Biofilm Formation
Conditions
Keywords
Biofilm, peri-implantitis, metagenomic analysis, abutment
Brief summary
This study evaluates the efficacy of Mutli-Im® transepithelial components in the inhibition of bacterial adhesion. The control group will be the Multi-Im® transepithelial component with the conventional surface (Multi-IM® Machined) and the experimental group will be the Multi-Im transepithelial components with the Ti-Golden® surface (Multi-Im Golden) or with the nanogolden surface (Multi-Im® nanogolden). Periodontal indices and biofilformation will be assessed during 2 months after implant loading. Metagenomic analysis and PCR technique will be implemented to assess the biofilm formation.
Interventions
Once the implant is placed, the implant loading protocol will be decided following the clinical criteria. When implant loading is to be done, then the Multi-IM machined transepithelial component is connected to the implant.
Once the implant is placed, the implant loading protocol will be decided following the clinical criteria. When implant loading is to be done, then the Multi-IM Nanogolden transepithelial component is connected to the implant.
Once the implant is placed, the implant loading protocol will be decided following the clinical criteria. When implant loading is to be done, then the Multi-IM Ti-Golden transepithelial component is connected to the implant.
Sponsors
Study design
Eligibility
Inclusion criteria
* Indication of having to place at least three dental implants. * Plate index ≤ 20% and absence of evidence of active periodontal disease. * Bleeding index of adjacent teeth ≤ 30%. * Probing depth in adjacent teeth \<4 mm. * Not having used systemic antibiotics during the last 6 months. * Non smoker. * Possibility for observation during the treatment period. * Having signed the informed consent.
Exclusion criteria
* Suffering any alteration or serious hematologic disease. * Being undergoing or having received in the 30 days prior to inclusion: radiotherapy, chemotherapy or immunosuppressive treatments, systemic corticosteroids and/or anticoagulants. * Presence of malignant tumors, hemangiomas or angiomas in the area of implant placement. * Patients undergoing treatment with bisphosphonate drugs, both orally and intravenously. * Metabolic bone disease. * Diseases that affect the oral mucosa. * Diabetic patients. * Severe parafunctional habits and/or temporomandibular joint disorders. * Pregnant or lactating women. * Physical or mental inability to maintain a good oral hygiene. * Being participating in another study. * In general, any inability to participate in the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Total amount of the 25 most relevant bacterial species in peri-implantitis processes measured in the retired Multi-Im implants | 24 hours |
| Total amount of the 25 most relevant bacterial species in peri-implantitis processes | 2 months |
Secondary
| Measure | Time frame |
|---|---|
| Dental plaque index | Baseline, 24 hours, 2 months |
| Total number of bacterial species. | 24 hours, 2 months |
| Probing depth of natural teeth | Baseline, 24 hours, 2 months |
| Gingival index of the natural teeth | Baseline, 24 hours, 2 months |
| Total amount of the 6 most abundant bacterial species. | 24 hours, 2 months |
Countries
Spain