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The Microbiome of Peri-Implantitis: A Systematic Review and Meta-Analysis

Authors :
Patrick R. Schmidlin
Daniel B. Wiedemeier
Fabienne Gilli
Thomas Attin
Lamprini Karygianni
Philipp Sahrmann
University of Zurich
Sahrmann, Philipp
Source :
Microorganisms, Microorganisms, Vol 8, Iss 661, p 661 (2020)
Publication Year :
2020
Publisher :
MDPI Publishing, 2020.

Abstract

This review aimed to systematically compare microbial profiles of peri-implantitis to those of periodontitis and healthy implants. Therefore, an electronic search in five databases was conducted. For inclusion, studies assessing the microbiome of peri-implantitis in otherwise healthy patients were considered. Literature was assessed for consistent evidence of exclusive or predominant peri-implantitis microbiota. Of 158 potentially eligible articles, data of 64 studies on 3730 samples from peri-implant sites were included in this study. Different assessment methods were described in the studies, namely bacterial culture, PCR-based assessment, hybridization techniques, pyrosequencing, and transcriptomic analyses. After analysis of 13 selected culture-dependent studies, no microbial species were found to be specific for peri-implantitis. After assessment of 28 studies using PCR-based methods and a meta-analysis on 19 studies, a higher prevalence of Aggregatibacter actinomycetemcomitans and Prevotella intermedia (log-odds ratio 4.04 and 2.28, respectively) was detected in peri-implantitis biofilms compared with healthy implants. Actinomyces spp., Porphyromonas spp. and Rothia spp. were found in all five pyrosequencing studies in healthy-, periodontitis-, and peri-implantitis samples. In conclusion, the body of evidence does not show a consistent specific profile. Future studies should focus on the assessment of sites with different diagnosis for the same patient, and investigate the complex host-biofilm interaction.

Details

Database :
OpenAIRE
Journal :
Microorganisms, Microorganisms, Vol 8, Iss 661, p 661 (2020)
Accession number :
edsair.doi.dedup.....63d9acc59a3d3c323df28616942313fd
Full Text :
https://doi.org/10.5167/uzh-194923