{"id":229977,"date":"2023-08-17T12:32:14","date_gmt":"2023-08-17T10:32:14","guid":{"rendered":"https:\/\/die-mundgesundheitsstiftung.de\/?page_id=229977"},"modified":"2024-04-30T11:57:06","modified_gmt":"2024-04-30T09:57:06","slug":"klassifikation-periimplantitis","status":"publish","type":"page","link":"https:\/\/die-mundgesundheitsstiftung.de\/en\/stiftung\/klassifikation-periimplantitis\/","title":{"rendered":"Classification of periimplantitis"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; custom_padding_last_edited=&#8221;on|tablet&#8221; next_background_color=&#8221;#ffffff&#8221; _builder_version=&#8221;4.20.4&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;#FFFFFF&#8221; background_image=&#8221;https:\/\/die-mundgesundheitsstiftung.de\/media\/2023\/08\/DMS-7.png&#8221; parallax=&#8221;on&#8221; parallax_method=&#8221;off&#8221; custom_padding=&#8221;140px||140px||true|&#8221; custom_padding_tablet=&#8221;180px||180px||true|false&#8221; custom_padding_phone=&#8221;70px||70px||true|false&#8221; 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front_content=&#8221;<\/p>\n<p>Lorem ipsum dolor sit amet, consetetur sadipscing elitr, sed diam nonumy eirmod tempor invidunt ut labore et dolore<\/p>\n<p>&#8221; back_title=&#8221;Wer wir sind&#8221; use_back_icon=&#8221;on&#8221; back_icon=&#8221;&#xf3a5;||fa||400&#8243; back_icon_color=&#8221;#FFFFFF&#8221; back_content=&#8221;<\/p>\n<p>Lorem ipsum dolor sit amet, consetetur sadipscing elitr, sed diam nonumy eirmod tempor invidunt ut labore et dolore<\/p>\n<p>&#8221; use_force_square=&#8221;on&#8221; front_side_bg_color=&#8221;#F5F5F5&#8243; back_side_bg_color=&#8221;#FE5E15&#8243; _builder_version=&#8221;4.22.1&#8243; _module_preset=&#8221;default&#8221; front_title_font=&#8221;|600|||||||&#8221; front_title_text_color=&#8221;#000000&#8243; front_desc_text_color=&#8221;#000000&#8243; front_desc_line_height=&#8221;2em&#8221; back_title_font=&#8221;|600|||||||&#8221; back_title_text_color=&#8221;#FFFFFF&#8221; back_desc_text_color=&#8221;#F5F5F5&#8243; back_desc_line_height=&#8221;2em&#8221; custom_margin=&#8221;0px||||false|false&#8221; custom_padding=&#8221;0px||3px||false|false&#8221; custom_padding_tablet=&#8221;|120px||120px|false|true&#8221; custom_padding_phone=&#8221;|10px||10px|false|true&#8221; custom_padding_last_edited=&#8221;on|tablet&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221; overlay_bg_color_gradient_type_tablet=&#8221;linear&#8221; overlay_bg_color_gradient_type_phone=&#8221;linear&#8221; overlay_bg_color_gradient_type__hover=&#8221;linear&#8221; image_bg_color_gradient_type__hover=&#8221;linear&#8221;][\/dipi_flip_box][\/et_pb_column][et_pb_column type=&#8221;2_3&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.20.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p><span>Allein mit der Sondierung bzw. Messung der Taschentiefe ist es nicht m\u00f6glich, gesundes von krankem periimplant\u00e4ren Gewebe zu unterscheiden<\/span><\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.20.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<div id=\"fws_64ddcad8c9d80\" data-midnight=\"\" data-column-margin=\"default\" class=\"wpb_row vc_row-fluid vc_row inner_row\">\n<div class=\"row_col_wrap_12_inner col span_12  left\">\n<div class=\"vc_col-sm-12 wpb_column column_container vc_column_container col child_column no-extra-padding inherit_tablet inherit_phone \" data-padding-pos=\"all\" data-has-bg-color=\"false\" data-bg-color=\"\" data-bg-opacity=\"1\" data-animation=\"\" data-delay=\"0\">\n<div class=\"vc_column-inner\">\n<div class=\"wpb_wrapper\">\n<div class=\"nectar-split-heading animated-in\" data-align=\"default\" data-m-align=\"inherit\" data-text-effect=\"default\" data-animation-type=\"default\" data-animation-delay=\"0\" data-animation-offset=\"\" data-m-rm-animation=\"\" data-stagger=\"\" data-custom-font-size=\"false\">\n<div class=\"heading-line\">\n<div id=\"fws_64ddf6d24a7d9\" data-midnight=\"\" data-column-margin=\"default\" class=\"wpb_row vc_row-fluid vc_row inner_row\">\n<div class=\"row_col_wrap_12_inner col span_12  left\">\n<div class=\"vc_col-sm-12 wpb_column column_container vc_column_container col child_column no-extra-padding inherit_tablet inherit_phone \" data-padding-pos=\"all\" data-has-bg-color=\"false\" data-bg-color=\"\" data-bg-opacity=\"1\" data-animation=\"\" data-delay=\"0\">\n<div class=\"vc_column-inner\">\n<div class=\"wpb_wrapper\">\n<div class=\"nectar-split-heading animated-in\" data-align=\"default\" data-m-align=\"inherit\" data-text-effect=\"default\" data-animation-type=\"default\" data-animation-delay=\"0\" data-animation-offset=\"\" data-m-rm-animation=\"\" data-stagger=\"\" data-custom-font-size=\"false\">\n<div class=\"heading-line\">\n<div>\n<h5><span>Fokus: Pr\u00e4vention und Fr\u00fcherkennung<\/span><\/h5>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"fws_64ddf6d24ac7d\" data-midnight=\"\" data-column-margin=\"default\" class=\"wpb_row vc_row-fluid vc_row inner_row  vc_custom_1643712173443\">\n<div class=\"row-bg-wrap\">\n<div class=\"row-bg\"><\/div>\n<\/div>\n<div class=\"row_col_wrap_12_inner col span_12  left\">\n<div class=\"vc_col-sm-12 wpb_column column_container vc_column_container col child_column no-extra-padding inherit_tablet inherit_phone \" data-padding-pos=\"all\" data-has-bg-color=\"false\" data-bg-color=\"\" data-bg-opacity=\"1\" data-animation=\"\" data-delay=\"0\">\n<div class=\"vc_column-inner\">\n<div class=\"wpb_wrapper\">\n<div class=\"nectar-split-heading animated-in\" data-align=\"default\" data-m-align=\"inherit\" data-text-effect=\"default\" data-animation-type=\"default\" data-animation-delay=\"0\" data-animation-offset=\"\" data-m-rm-animation=\"\" data-stagger=\"\" data-custom-font-size=\"false\">\n<div class=\"heading-line\">\n<div>\n<h3><span>Periimplantitis Klassifikation 2018<\/span><\/h3>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"fws_64ddf6d24afc5\" data-midnight=\"\" data-column-margin=\"default\" class=\"wpb_row vc_row-fluid vc_row inner_row  vc_custom_1547717058116\">\n<div class=\"row-bg-wrap\">\n<div class=\"row-bg\"><\/div>\n<\/div>\n<div class=\"row_col_wrap_12_inner col span_12  left\">\n<div class=\"vc_col-sm-6 wpb_column column_container vc_column_container col child_column has-animation padding-3-percent inherit_tablet inherit_phone triggered-animation animated-in\" data-padding-pos=\"top-bottom\" data-has-bg-color=\"false\" data-bg-color=\"\" data-bg-opacity=\"1\" data-animation=\"fade-in-from-bottom\" data-delay=\"0\">\n<div class=\"vc_column-inner\">\n<div class=\"wpb_wrapper\">\n<div class=\"wpb_text_column wpb_content_element \">\n<div class=\"wpb_wrapper\">\n<p class=\"p1\"><span class=\"s1\">Mit der Einf\u00fchrung einer neuen, weltweit einheitlichen Parodontitis-Klassifikation am 21. Juni 2018 wurde auch die Periimplantitis neu definiert (Berglundh et al. 2018, Schwarz et al. 2018). Demnach ist eine Periimplantitis gekennzeichnet durch Entz\u00fcndungen im periimplant\u00e4ren Bindegewebe und fortschreitenden Verlust von St\u00fctzknochen. Schon fr\u00fch w\u00e4hrend des Nachsorgeprozesses ist der Beginn einer Periimplantitis m\u00f6glich.<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">Auf histopathologischer Ebene zeigt die Periimplantitis deutliche Unterschiede zur Parodontitis. Die Periimplantitis hat ein h\u00f6heres Progressionspotenzial und eine im Vergleich erh\u00f6hte lokale Entz\u00fcndungsantwort. Die Erkrankung schreitet nicht-linear und \u2013 verglichen mit einer Parodontitis \u2013 beschleunigt voran (Schwarz et al. 2018).<\/span><\/p>\n<p class=\"p2\"><span class=\"s1\"><span>Was ist gesund und was schon krank?<\/span><b><br \/><\/b><\/span><span class=\"s1\">Periimplantitis-Stellen zeigen klinische Anzeichen von Entz\u00fcndungen und erh\u00f6hte Sondierungstiefen im Vergleich zu Ausgangsmessungen.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"vc_col-sm-6 wpb_column column_container vc_column_container col child_column has-animation padding-3-percent inherit_tablet inherit_phone triggered-animation animated-in\" data-padding-pos=\"top-bottom\" data-has-bg-color=\"false\" data-bg-color=\"\" data-bg-opacity=\"1\" data-animation=\"fade-in-from-bottom\" data-delay=\"0\">\n<div class=\"vc_column-inner\">\n<div class=\"wpb_wrapper\">\n<div class=\"wpb_text_column wpb_content_element \">\n<div class=\"wpb_wrapper\">\n<p><span class=\"s1\">Jedoch sei es allein mit der Sondierung bzw. Messung der Taschentiefe nicht m\u00f6glich, gesundes von krankem periimplant\u00e4ren Gewebe zu unterscheiden (Berglundh et al. 2018).<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">Die periimplant\u00e4re Mukositis entspricht der Gingivitis an nat\u00fcrlichen Z\u00e4hnen und gilt als reversibel. Darum ist eine fr\u00fchzeitige Diagnose und Behandlung wichtig. Bleibt eine periimplant\u00e4re Mukositis jedoch unbehandelt, kann die Entz\u00fcndung auf das umliegende Knochengewebe \u00fcbergreifen, es kommt zur irreversiblen Periimplantitis, welche zum Verlust des Implantats f\u00fchren kann.<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">Wenn es also gelingt, Risikopatienten zuverl\u00e4ssig und fr\u00fchzeitig zu erfassen, besteht eine gro\u00dfe Chance, die Pr\u00e4valenz der Periimplantiden zu reduzieren.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][dipi_carousel navigation=&#8221;on&#8221; navigation_on_hover=&#8221;on&#8221; navigation_prev_icon_yn=&#8221;on&#8221; 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