Incidence and Related Factors of Peri-implant Diseases in Patients Treated with Single Crown on Implant
Keywords:
Peri-implant diseases, Peri-implant mucositis, Peri-implantitis, Risk factors, Biological complicationsAbstract
Background: Dental implants are a treatment with a high survival rate. However, long-term complications after implant function can be occurred. Peri-implant diseases is a biological complication leading to dental implant failure. There are several factors that related to peri-implant diseases progression. Controlling risk factors are necessary to prevent the peri-implant diseases that is the critical cause of implant loss. Objective: To investigate the incidence and related factors of peri-implant diseases. Method: The observational cross-sectional study was conducted from 41 patients with 70 implants. All implants were supported with a single crown that loaded for at least 4 years. The data of implant treatment were obtained from review dental records. Clinical examination was performed to accumulate data such as oral hygiene status, gingival inflammation, probing pocket depth and contact of restoration. The periapical radiograph was examined to evaluate the level of bone loss around implant. All collected data were analyzed to examine the incidence and associated factors of peri-implant diseases by chi-square test. Result: 41 patients with 70 implants participated in this study. The incidence of peri-implant diseases was 81.4% (95% CI: 70.3%, 89.7%) categorized as peri-implant mucositis at 77.1% (95% CI: 65.6%, 86.3%) peri-implantitis at 4.3% (95% CI: 0.9%, 12.0%) and peri-implant health at 18.5% (95% CI: 10.3%, 29.7%). The risk factors such as poor oral hygiene, lack of regular maintenance and improper prosthesis were statistically significantly associated with the diseases. While, inadequate keratinized and history of periodontitis were no statistically significant of the diseases. Conclusion: Peri-implant diseases patients in this study were related with poor oral hygiene, lack of regular maintenance and improper prosthesis. So, controlling these risk factors maybe reduce the severity of peri-implant diseases and other complication after implant function.
References
Lang NP, Pun L, Lau KY, Li KY, Wong MC. A systematic review on survival and success rates of implants placed immediately into fresh extraction sockets after at least 1 year. Clin Oral Implants Res 2012;23 (Suppl 5):39-66.
Berglundh T, Persson L, Klinge B. A systematic review of the incidence of biological and technical complications in implant dentistry reported in prospective longitudinal studies of at least 5 years. J Clin Periodontol 2002;29(Suppl 3):197-212; discussion 232-3.
Fragkioudakis I, Tseleki G, Doufexi AE, Sakellari D. Current concepts on the pathogenesis of peri-implantitis: A narrative review. Eur J Dent. 2021 May;15(2):379-87.
Berglundh T, Armitage G, Araujo MG, Avila-Ortiz G, Blanco J, Camargo PM, et al. Peri‐implant diseases and conditions: Consensus report of workgroup 4 of the 2017 World Workshop on the classification of periodontal and peri‐implant diseases and conditions. J Clin Periodontol. 2018;45(Suppl 20):S286-91.
Villamil RED, Picado SR, Ulloa NGR, Gutiérrez JMF, Gazel EG, Barrantes MP, et al. Frequency of peri-implant diseases and their associated factors. Universitas Odontológica 2022;41:1-15.
Derks J, Tomasi C. Peri‐implant health and disease. A systematic review of current epidemiology. J Clin Periodontol. 2015;42(Suppl 16):S158-71.
Lv PX, Zhong JS, Ouyang XY, Iao S, Liu J, Xie Y. Investigation of peri-implant diseases prevalence and related risk indicators in patients with treated severe periodontitis over 4 years after restoration. Journal of Dental Sciences 2023;1-6.
Fu JH, Wang HL. Breaking the wave of peri‐implantitis. Periodontol 2000 2020;84(1):145-60.
Canullo L, Tallarico M, Radovanovic S, Delibasic B, Covani U, Rakic M. Distinguishing predictive profiles for patient‐based risk assessment and diagnostics of plaque induced, surgically and prosthetically triggered peri‐implantitis. Clin Oral Implants Res 2016;27(10):1243-50.
Serino G, Ström C. Peri‐implantitis in partially edentulous patients: association with inadequate plaque control. Clin Oral Implants Res. 2009;20(2):169-74.
Afrashtehfar KI, Oh KC, Jurado CA, Lee H. Lack of keratinized mucosa increases peri-implantitis risk. Evid Based Dent 2023;24(3):118-20.
Rinke S, Ohl S, Ziebolz D, Lange K, Eickholz P. Prevalence of periimplant disease in partially edentulous patients: a practice‐based cross‐sectional study. Clin Oral Implants Res 2011;22(8):826-33.
Gunpinar S, Meraci B, Karas M. Analysis of risk indicators for prevalence of peri-implant diseases in Turkish population. Int J Implant Dent 2020;6(1):19.
Fischman SL. Current status of indices of plaque. J Clin Periodontol 1986;13(5):371-4, 379-80.
McClanahan SF, Bartizek RD, Biesbrock AR. Identification and consequences of distinct Löe‐Silness gingival index examiner styles for the clinical assessment of gingivitis. J Periodontol. 2001;72(3):383-92.
Marini L. Diagnostic agreement in the assignment of the 2017 AAP/EFP world workshop case definitions of periodontitis and peri-implant health and diseases. [dissertation]. Rome: Sapienza University of Rome; 2023.
Guarnieri R, Grande M, Zuffetti F, Testori T. Incidence of peri-implant diseases on implants with and without laser-microgrooved collar: a 5-year retrospective study carried Out in private Practice Patients. Int J Oral Maxillofac Implants 2018;33(2):457-65.
Onclin P, Slot W, Vissink A, Raghoebar GM, Meijer HJ. Incidence of peri‐implant mucositis and peri‐implantitis in patients with a maxillary overdenture: A sub‐analysis of two prospective studies with a 10‐year follow‐up period. Clin Implant Dent Relat Res 2022;24(2):188-95.
Roos‐Jansåker AM, Lindahl C, Renvert H, Renvert S. Nine‐to fourteen‐year follow‐up of implant treatment. Part II: presence of peri‐implant lesions. J Clin Periodontol 2006;33(4):290-5.
Ferreira SD, Silva GM, Cortelli JR, Costa J, Costa FO. Prevalence and risk variables for peri‐implant disease in Brazilian subjects. J Clin Periodontol 2006;33(12):929-35.
Costa FO, Takenaka‐Martinez S, Cota LOM, Ferreira SD, Silva GLM, Costa JE. Peri‐implant disease in subjects with and without preventive maintenance: a 5‐year follow‐up. J Clin Periodontol 2012;39(2):173-81.
Karoussis IK, Salvi GE, Heitz‐Mayfield LJ, Brägger U, Hämmerle CH, Lang NP. Long‐term implant prognosis in patients with and without a history of chronic periodontitis: a 10‐year prospective cohort study of the ITI® Dental Implant System. Clin Oral Implants Res 2003;14(3):329-39.
Avila‐Ortiz G, Gonzalez‐Martin O, Couso‐Queiruga E, Wang Hl. The peri-implant phenotype. J Periodontol 2020;91(3):283-8.
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