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Renvert, Stefan
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Publications (10 of 62) Show all publications
Renvert, S., Hirooka, H., Polyzois, I., Kelekis-Cholakis, A. & Wang, H.-L. (2019). Diagnosis and non-surgical treatment of peri-implant diseases and maintenance care of patients with dental implants: Consensus report of working group 3. International Dental Journal, 69, 12-17
Open this publication in new window or tab >>Diagnosis and non-surgical treatment of peri-implant diseases and maintenance care of patients with dental implants: Consensus report of working group 3
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2019 (English)In: International Dental Journal, ISSN 0020-6539, E-ISSN 1875-595X, Vol. 69, p. 12-17Article in journal (Refereed) Published
Abstract [en]

The following consensus report is based on four background reviews. The frequency of maintenance visits is based on patient risk indicators, homecare compliance and prosthetic design. Generally, a 6-month visit interval or shorter is preferred. At these visits, peri-implant probing, assessment of bleeding on probing and, if warranted, a radiographic examination is performed. Diagnosis of peri-implant mucositis requires: (i) bleeding or suppuration on gentle probing with or without increased probing depth compared with previous examinations; and (ii) no bone loss beyond crestal bone level changes resulting from initial bone remodelling. Diagnosis of peri-implantitis requires: (i) bleeding and/or suppuration on gentle probing; (ii) an increased probing depth compared with previous examinations; and (iii) bone loss beyond crestal bone level changes resulting from initial bone remodelling. If diagnosis of disease is established, the inflammation should be resolved. Non-surgical therapy is always the first choice. Access and motivation for optimal oral hygiene are key. The patient should have a course of mechanical therapy and, if a smoker, be encouraged not to smoke. Non-surgical mechanical therapy and oral hygiene reinforcement are useful in treating peri-implant mucositis. Power-driven subgingival air-polishing devices, Er: YAG lasers, metal curettes or ultrasonic curettes with or without plastic sleeves can be used to treat peri-implantitis. Such treatment usually provides clinical improvements such as reduced bleeding tendency, and in some cases a pocket-depth reduction of <= 1 mm. In advanced cases, however, complete resolution of the disease is unlikely.

Place, publisher, year, edition, pages
WILEY, 2019
Keywords
Peri-implant diseases, peri-implantitis, peri-implant mucositis, non-surgical therapy, maintenance, supportive care
National Category
Dentistry
Identifiers
urn:nbn:se:bth-18733 (URN)10.1111/idj.12490 (DOI)000484967500004 ()31478575 (PubMedID)
Available from: 2019-10-09 Created: 2019-10-09 Last updated: 2019-10-17Bibliographically approved
Hirooka, H. & Renvert, S. (2019). Diagnosis of Periimplant Disease. Implant Dentistry, 28(2), 144-149
Open this publication in new window or tab >>Diagnosis of Periimplant Disease
2019 (English)In: Implant Dentistry, ISSN 1056-6163, E-ISSN 1538-2982, Vol. 28, no 2, p. 144-149Article in journal (Refereed) Published
Abstract [en]

Purpose: The aim of this review is to describe the current guidelines for the differential diagnosis of periimplant diseases. Materials and Methods: Synopsis reviews were conducted to define the differential diagnosis of periimplant disease through an electronic literature search in MEDLINE up to February 2018. Discussion: Periimplant mucositis is defined by the presence of bleeding and/or suppuration on gentle probing with or without an increased probing depth compared with previous examinations and by the absence of bone loss beyond crestal bone-level changes resulting from initial bone remodeling. Periimplantitis is defined by the presence of bleeding and/or suppuration on gentle probing with an increased probing depth compared with previous examinations and by the presence of bone loss beyond crestal bone-level changes resulting from initial bone remodeling. Thus, a combination of clinical registrations (probing pocket depth, bleeding on probing, and presence of pus) combined with radiographic signs of possible bone loss is needed for differential diagnosis. Conclusions: An accurate baseline registration at the time of placement of the prosthesis (probing pocket depth and bone level) with ongoing yearly monitoring is essential for diagnosis and appropriate disease management.

Place, publisher, year, edition, pages
LIPPINCOTT WILLIAMS & WILKINS, 2019
Keywords
periimplant health, periimplant mucositis, periimplantitis
National Category
Dentistry
Identifiers
urn:nbn:se:bth-18639 (URN)10.1097/ID.0000000000000868 (DOI)000480757000008 ()30807404 (PubMedID)
Available from: 2019-09-11 Created: 2019-09-11 Last updated: 2019-09-20Bibliographically approved
Nilsson, H., Sanmartin Berglund, J. & Renvert, S. (2019). Longitudinal evaluation of periodontitis and tooth loss among older adults. Journal of Clinical Periodontology
Open this publication in new window or tab >>Longitudinal evaluation of periodontitis and tooth loss among older adults
2019 (English)In: Journal of Clinical Periodontology, ISSN 0303-6979, E-ISSN 1600-051XArticle in journal (Refereed) Epub ahead of print
Abstract [en]

Aim: To evaluate pattern of change in periodontal variables and tooth loss in a twelve-year follow-up study of older adults living in Sweden. Methods: In a prospective population study of older adults, a clinical examination and radiographic dental examination were performed at baseline (2001–2003) and after 12 years (2013–2015). In 375 individuals, the number and proportion of sites with a distance ≥4 mm and ≥5 mm from cemento-enamel junction to the bone level, the number and proportion of teeth with pockets ≥5 mm and number of teeth lost were calculated. Dental caries was registered. Periodontitis was defined as having ≥2 sites with ≥5 mm distance from cemento-enamel junction to the marginal bone level and ≥1 tooth with pockets ≥5 mm. Results: A diagnosis of periodontitis was evident in 39% of the individuals, and 23% of the individuals lost ≥3 teeth over the study period. The proportion of sites with ≥4 mm and ≥5 mm bone loss increased with age, while the proportion of teeth with pockets remained stable. Periodontitis was the strongest predictor for losing ≥3 teeth, OR 2.9 (p <.001) in the final model. Conclusions: Periodontitis is a risk factor for future tooth loss among older adults. © 2019 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd

Place, publisher, year, edition, pages
Blackwell Munksgaard, 2019
Keywords
epidemiology, older adults, periodontitis, public health, tooth loss
National Category
Dentistry
Identifiers
urn:nbn:se:bth-18646 (URN)10.1111/jcpe.13167 (DOI)000483385500001 ()2-s2.0-85071337987 (Scopus ID)
Available from: 2019-09-11 Created: 2019-09-11 Last updated: 2019-09-13Bibliographically approved
Wang, C.-W., Renvert, S. & Wang, H.-L. (2019). Nonsurgical Treatment of Periimplantitis. Implant Dentistry, 28(2), 155-160
Open this publication in new window or tab >>Nonsurgical Treatment of Periimplantitis
2019 (English)In: Implant Dentistry, ISSN 1056-6163, E-ISSN 1538-2982, Vol. 28, no 2, p. 155-160Article in journal (Refereed) Published
Abstract [en]

Purpose: Periimplantitis has become an emerging challenge faced by practicing dentists worldwide. When treating periimplantitis, we should attempt to manage this problem via nonsurgical therapies that include addressing all modifiable systemic risk factors and local contributing factors. Hence, the aim of this narrative review was to examine published studies on nonsurgical treatment of periimplantitis and evaluate their effectiveness and limitations. Materials and Methods: A literature search was performed in MEDLINE via PubMed database up to December 31, 2017. Current published clinical approaches focused on mechanical debridement, adjunctive antiseptic therapy, adjunctive antibiotic therapy, laser-assisted therapy, and combination approaches were included in this analysis. Results: Nonsurgical therapy of periimplantitis may result in complete healing of the disease and the patient is then placed on a supportive maintenance program. If the disease is not resolved and surgical intervention is not an option, active nonsurgical retreatment may be considered. In many cases where disease is not resolved, surgical therapy or implant removal could be considered. Conclusions: Nonsurgical treatment of periimplantitis usually provides clinical improvements in reducing bleeding tendency and in some cases pocket reduction. Early diagnosis, detection, and intervention remain the key for managing periimplantitis.

Place, publisher, year, edition, pages
LIPPINCOTT WILLIAMS & WILKINS, 2019
Keywords
dental implant, periimplant disease, debridement, antiseptic, antibiotics, laser
National Category
Dentistry
Identifiers
urn:nbn:se:bth-18640 (URN)10.1097/ID.0000000000000846 (DOI)000480757000010 ()30913111 (PubMedID)
Available from: 2019-09-11 Created: 2019-09-11 Last updated: 2019-09-11Bibliographically approved
Svärd, A., Renvert, S., Sanmartin Berglund, J. & Soderlin, M. (2019). PERIODONTITIS AND SALIVA ANTIBODIES TO CITRULLINATED PEPTIDES IN RHEUMATOID ARTHRITIS. Paper presented at Annual European Congress of Rheumatology (EULAR), JUN 12-15, 2019, Madrid, SPAIN. Annals of the Rheumatic Diseases, 78, 1530-1530
Open this publication in new window or tab >>PERIODONTITIS AND SALIVA ANTIBODIES TO CITRULLINATED PEPTIDES IN RHEUMATOID ARTHRITIS
2019 (English)In: Annals of the Rheumatic Diseases, ISSN 0003-4967, E-ISSN 1468-2060, Vol. 78, p. 1530-1530Article in journal, Meeting abstract (Other academic) Published
Place, publisher, year, edition, pages
BMJ PUBLISHING GROUP, 2019
National Category
Dentistry
Identifiers
urn:nbn:se:bth-18596 (URN)10.1136/annrheumdis-2019-eular.1209 (DOI)000472207104470 ()
Conference
Annual European Congress of Rheumatology (EULAR), JUN 12-15, 2019, Madrid, SPAIN
Available from: 2019-09-09 Created: 2019-09-09 Last updated: 2019-09-20Bibliographically approved
Nilsson, H., Sanmartin Berglund, J. & Renvert, S. (2018). Longitudinal evaluation of periodontitis and development of cognitive decline among older adults. Journal of Clinical Periodontology, 45(10), 1142-1149
Open this publication in new window or tab >>Longitudinal evaluation of periodontitis and development of cognitive decline among older adults
2018 (English)In: Journal of Clinical Periodontology, ISSN 0303-6979, E-ISSN 1600-051X, Vol. 45, no 10, p. 1142-1149Article in journal (Refereed) Published
Abstract [en]

Aim: To determine whether having periodontitis is associated with cognitive decline among older adults. Material and Methods: A prospective population study of older adults, Swedish National Study on Ageing and Care, (SNAC) provided repeated registrations of cognitive functions. Cognitive decline was defined as ≥3-points deterioration from a predetermined level at baseline, using the Mini-Mental State Examination (MMSE). Between 2001 and 2003, 715 individuals had a medical as well as a clinical and radiographic dental examination. The individuals were re-examined after 6 years. Periodontitis was defined as ≥4 mm bone loss at ≥30% of tooth sites. Social variables were captured from questionnaires. Results: The multivariate logistic regression analysis demonstrated a statistically significant association between prevalence of periodontitis and cognitive decline after adjustments of confounding factors of importance. Conclusions: A history of periodontitis may be of importance for cognitive functions among older adults. © 2018 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd

Place, publisher, year, edition, pages
Blackwell Munksgaard, 2018
Keywords
epidemiology, inflammation, neurocognitive disorders, older adults, periodontal diseases
National Category
Dentistry
Identifiers
urn:nbn:se:bth-17054 (URN)10.1111/jcpe.12992 (DOI)000447643700001 ()2-s2.0-85053205322 (Scopus ID)
Available from: 2018-09-27 Created: 2018-09-27 Last updated: 2018-11-01Bibliographically approved
Renvert, S., Lindahl, C. & Persson, G. R. (2018). Occurrence of cases with peri-implant mucositis or peri-implantitis in a 21-26years follow-up study. Journal of Clinical Periodontology, 45(2), 233-240
Open this publication in new window or tab >>Occurrence of cases with peri-implant mucositis or peri-implantitis in a 21-26years follow-up study
2018 (English)In: Journal of Clinical Periodontology, ISSN 0303-6979, E-ISSN 1600-051X, Vol. 45, no 2, p. 233-240Article in journal (Refereed) Published
Abstract [en]

AimTo determine the prevalence and development of peri-implant mucositis and peri-implantitis and to assess risk factors over time. Materials and MethodsThe study is a longitudinal case series assessing the occurrence and diagnosis of peri-implant mucositis and peri-implantitis. ResultsA total of 218 of 294 patients who had received dental implants between 1988 and 1992 were examined between 2000 and 2002 (examination II; 9-14years after the first examination). At examination III (20-26years after examination I, on average 23.3years), 86 individuals were re-examined. The diagnosis of peri-implant mucositis and peri-implantitis at examination III was 54.7% and 22.1%, respectively. Surgical treatment of peri-implantitis after examination II resulted in a bone gain for two of 12 individuals. Individuals with 3 implants at examination II were at risk for peri-implantitis at examination III (P< 0.05). Radiographic evidence of periodontitis (p=0.40), a diagnosis of peri-implant mucositis (p=.77) or smoking (p=.86) at examination II were not predictive of peri-implantitis at examination III. ConclusionsThe diagnosis and occurrence of peri-implantitis and peri-implant mucositis were high. Healthy conditions at implants after 9-14years were predictive of future implant health.

Place, publisher, year, edition, pages
WILEY, 2018
Keywords
human, peri-implant mucositis, peri-implantitis, prevalence, risk factors
National Category
Dentistry
Identifiers
urn:nbn:se:bth-15808 (URN)10.1111/jcpe.12822 (DOI)000419830500009 ()28963776 (PubMedID)
Available from: 2018-01-26 Created: 2018-01-26 Last updated: 2018-01-29Bibliographically approved
Renvert, S., Persson, G. R., Pirih, F. Q. & Camargo, P. M. (2018). Peri-implant health, peri-implant mucositis, and peri-implantitis: Case definitions and diagnostic considerations. Paper presented at World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions, NOV 09-11, 2017, Chicago, IL. Journal of Clinical Periodontology, 45, S278-S285
Open this publication in new window or tab >>Peri-implant health, peri-implant mucositis, and peri-implantitis: Case definitions and diagnostic considerations
2018 (English)In: Journal of Clinical Periodontology, ISSN 0303-6979, E-ISSN 1600-051X, Vol. 45, p. S278-S285Article in journal (Refereed) Published
Abstract [en]

The objective of this review is to identify case definitions and clinical criteria of peri-implant healthy tissues, peri-implant mucositis, and peri-implantitis. The case definitions were constructed based on a review of the evidence applicable for diagnostic considerations. In summary, the diagnostic definition of peri-implant health is based on the following criteria: 1) absence of peri-implant signs of soft tissue inflammation (redness, swelling, profuse bleeding on probing), and 2) the absence of further additional bone loss following initial healing. The diagnostic definition of peri-implant mucositis is based on following criteria: 1) presence of peri-implant signs of inflammation (redness, swelling, line or drop of bleeding within 30 seconds following probing), combined with 2) no additional bone loss following initial healing. The clinical definition of peri-implantitis is based on following criteria: 1) presence of peri-implant signs of inflammation, 2) radiographic evidence of bone loss following initial healing, and 3) increasing probing depth as compared to probing depth values collected after placement of the prosthetic reconstruction. In the absence of previous radiographs, radiographic bone level 3 mm in combination with BOP and probing depths 6 mm is indicative of peri-implantitis.

Place, publisher, year, edition, pages
WILEY, 2018
Keywords
diagnosis, peri-implant health, peri-implant mucositis, peri-implantitis
National Category
Dentistry
Identifiers
urn:nbn:se:bth-16739 (URN)10.1111/jcpe.12956 (DOI)000435795300022 ()29926496 (PubMedID)
Conference
World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions, NOV 09-11, 2017, Chicago, IL
Available from: 2018-07-05 Created: 2018-07-05 Last updated: 2018-07-05Bibliographically approved
Nilsson, H., Sanmartin Berglund, J. & Renvert, S. (2018). Periodontitis, tooth loss and cognitive functions among older adults. Clinical Oral Investigations, 22(5), 2103-2109
Open this publication in new window or tab >>Periodontitis, tooth loss and cognitive functions among older adults
2018 (English)In: Clinical Oral Investigations, ISSN 1432-6981, E-ISSN 1436-3771, Vol. 22, no 5, p. 2103-2109Article in journal (Refereed) Published
Abstract [en]

Objective: This study aims to evaluate the potential association between periodontitis, the number of teeth and cognitive functions in a cohort of older adults in Sweden. Material and methods: In total, 775 individuals from 60 to 99 years of age were selected for the study. A clinical and radiographic examination was performed. The number of teeth and prevalence of periodontal pockets and bone loss was calculated and categorised. Cognitive functions were assessed using the Mini-Mental State Examination (MMSE) and clock test. The education level was obtained from a questionnaire. Data were analysed using chi-square tests and multivariate logistic regression. Results: Age and gender were associated with the prevalence of bone loss. Age and education were associated with lower number of teeth. Gender was also associated with the presence of pockets. The multivariate logistic regression analysis demonstrated a statistically significant association between prevalence of bone loss, the number of teeth and the outcome on MMSE test. This association remained even after adjustment for age, education and gender. Tooth loss was also associated with lower outcome on clock test. Presence of periodontal pockets ≥ 5 mm was not associated with cognitive test outcome. Conclusions: A history of periodontitis and tooth loss may be of importance for cognitive functions among older adults. Clinical relevance: Diseases with and inflammatory profile may have an impact on cognitive decline. © 2017 Springer-Verlag GmbH Germany, part of Springer Nature

Place, publisher, year, edition, pages
Springer Verlag, 2018
Keywords
Dementia, Epidemiology, Mild cognitive impairment, Periodontal diseases and tooth loss
National Category
Dentistry
Identifiers
urn:nbn:se:bth-15714 (URN)10.1007/s00784-017-2307-8 (DOI)000431880700023 ()2-s2.0-85038611040 (Scopus ID)
Available from: 2018-01-04 Created: 2018-01-04 Last updated: 2018-05-24Bibliographically approved
Renvert, S., Roos-Jansåker, A.-M. & Persson, G. (2018). Surgical treatment of peri-implantitis lesions with or without the use of a bone substitute: a randomized clinical trial. Journal of Clinical Periodontology, 45(10), 1266-1274
Open this publication in new window or tab >>Surgical treatment of peri-implantitis lesions with or without the use of a bone substitute: a randomized clinical trial
2018 (English)In: Journal of Clinical Periodontology, ISSN 0303-6979, E-ISSN 1600-051X, Vol. 45, no 10, p. 1266-1274Article in journal (Refereed) Published
Abstract [en]

Aim: To assess whether the treatment outcome differed between surgical debridement, with or without a bone substitute. Materials and Methods: Forty-one adults with three- or four-wall peri-implant bone defects were enrolled in a 1-year RCT. Surgical debridement (control group), or in combination with a bone substitute (Endobon®) (test group) was performed. Results: Radiographic evidence of defect fill (primary outcome) was only significant in the test group (P = 0.004). At year 1, no bleeding on probing (BOP) in the control and test groups were 7/20 (35%) and 10/21 (47.6%), respectively (χ2= 0.67, P = 0.41). Plaque scores did not differ by study group at baseline (P = 0.31), or at year 1 (P = 0.08). Mid-buccal soft tissue recession changes did not differ by groups (P = 0.76). Successful treatment outcome (defect fill ≥1.0 mm, PPD values at implant ≤5 mm, no BOP, and no suppuration was identified in 1/20 (5.0%) control, and 9/21 (42.9%) test individuals (F = 7, 9, P &lt; 0.01). Number needed to treat analysis identified an absolute risk reduction of 32.8% in benefit of the test procedure. (F = 7, 9, P &lt; 0.01). Conclusions: Successful treatment outcome using a bone substitute was more predictable when a composite therapeutic endpoint was considered. © 2018 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd

Place, publisher, year, edition, pages
Blackwell Munksgaard, 2018
Keywords
bone grafting, peri-implantitis, radiographs, surgical treatment
National Category
Dentistry
Identifiers
urn:nbn:se:bth-17055 (URN)10.1111/jcpe.12986 (DOI)000447643700012 ()2-s2.0-85053244614 (Scopus ID)
Available from: 2018-09-27 Created: 2018-09-27 Last updated: 2018-11-01Bibliographically approved
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