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Updated: Dec 14, 2025

Effects of Mechanical Methods Used in Peri-implantitis Treatment on Implant Surface Decontamination and Roughness
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EARLY POSTOPERATIVE COMPLICATIONS IN DENTAL IMPLANT PATIENTS.

A Borisenko1, M Antonenko1, N Zelinsky1

  • 1Bohomolets National Medical University, Institute Post-graduate Education, Department of Therapeutic Stomatology; Department of Dentistry, Kyiv, Ukraine.

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Generalized periodontitis significantly increases dental implant complication risks, particularly affecting wound healing and leading to infections. Early identification of microflora changes is crucial for preventing adverse outcomes in patients undergoing dental implantation.

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Area of Science:

  • Dental Implantology
  • Periodontology
  • Oral Microbiology

Background:

  • Tooth loss due to generalized periodontitis and caries complications necessitates dental restoration.
  • Dental implantation is a key method for restoring dentition integrity, functional, and aesthetic aspects.
  • Understanding age-specific complications in dental implantation is vital for improving outcomes.

Purpose of the Study:

  • To enhance dental implantation results by identifying causes of complications.
  • To develop preventative strategies for dental implantation complications across different age groups.
  • To analyze the impact of generalized periodontitis on post-implantation outcomes.

Main Methods:

  • Observation of 65 patients (35-60 years) with secondary adentia.
  • Comparison between a main group (45 patients with periodontitis-related adentia) and a control group (20 patients with caries-related adentia).
  • Comprehensive periodontal and peri-implant examinations, alongside microbiological studies of oral microflora dynamics.

Main Results:

  • A high complication rate (53.33%) observed in the main group, primarily linked to generalized periodontitis.
  • Frequent complications included poor wound healing (15.56%), wound infection (17.78%), pain, altered sensitivity, and mandible perforation (2.22%).
  • Early stages of dental implantation revealed significant, aggressive changes in the microflora of the implant site in the main group.

Conclusions:

  • Generalized periodontitis is a major contributing factor to post-dental implantation complications.
  • Qualitative and quantitative microflora shifts in the peri-implant area indicate increased risk.
  • Targeted preventative measures addressing periodontitis and microflora management are essential for successful dental implantation.