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Enterococcus faecalis and Dental Implants.

Dennis Flanagan1

  • 1Private practice, Willimantic, Conn.

The Journal of Oral Implantology
|October 5, 2016
PubMed
Summary

Enterococcus faecalis, a common bacterium in tooth infections, can persist after root canal therapy and lead to dental implant complications like bone loss. It may act as a key pathogen in peri-implantitis, even when not dominant.

Area of Science:

  • Microbiology
  • Dental Implantology
  • Periodontology

Background:

  • Enterococcus faecalis is frequently found in persistent tooth root infections.
  • This bacterium can survive root canal treatments and colonize bone tissues.
  • E. faecalis may contribute to dental implant failures, including marginal bone loss and peri-implantitis.

Purpose of the Study:

  • To investigate the role of Enterococcus faecalis in dental implant infections.
  • To understand how E. faecalis contributes to bone loss around implants.
  • To highlight E. faecalis as a potential keystone pathogen in peri-implantitis.

Main Methods:

  • Review of existing literature on E. faecalis in endodontic and implant infections.
  • Analysis of case studies and clinical observations.
Keywords:
biologycell biologyimplant dentistrymaxillofacial pathology

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  • Discussion of microbiological and pathogenic mechanisms.
  • Main Results:

    • E. faecalis can persist in the oral cavity and bone after tooth extraction.
    • It can colonize dental implants, leading to fixture and bone loss.
    • E. faecalis may be a critical determinant in multibacterial peri-implantitis, despite not always being the dominant species.

    Conclusions:

    • Enterococcus faecalis poses a significant risk for dental implant success.
    • Early detection and management of E. faecalis are crucial for preventing implant complications.
    • E. faecalis warrants consideration as a key etiological agent in peri-implantitis.