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Paradontal pathogens such asActinobacillus actinomycetemcomitans, Porphyromonas gingivalis, Prevotella intermedia,Bacteroides forsythus, and Treponema denticola were cultivated in high concentrations inpatients with peri-implantitis, but not in controls without implant pathology, suggestingthat these microorganisms may be crucial for the infectious loosening of dental implants.In the retrospective case series of Baltensperger , 48 patients with acute osteomye-litis have been observed.