Long-term outcomes after periimplantitis treatment and their influencing factors: a retrospective study
2
조회
0
다운로드
4
인용
0
참고문헌
키워드
초록
Purpose: This study aimed to determine the long-term outcomes after peri-implantitis treatment and the factors affecting these outcomes. Methods: This study included 92 implants in 45 patients who had been treated for periimplantitis. Clinical data on the characteristics of patients and their implants were collected retrospectively. The change in the marginal bone level was calculated by comparing the baseline and the most recently obtained (≥3 years after treatment) radiographs. The primary outcome variable was progression of the disease after the treatment at the implant level, which was defined as further bone loss of >1.0 mm or implant removal. A 2-level binary logistic regression analysis was used to identify the effects of possible factors on the primary outcome. Results: The mean age of the patients was 58.7 years (range, 22–79 years). Progression of peri-implantitis was observed in 64.4% of patients and 63.0% of implants during an observation period of 6.4±2.7 years (mean±standard deviation). Multivariable regression analysis revealed that full compliance to recall visits (P=0.019), smoking (P=0.023), placement of 4 or more implants (P=0.022), and marginal bone loss ≥4 mm at baseline (P=0.027) significantly influenced the treatment outcome. Conclusions: The long-term results of peri-implantitis treatment can be improved by full compliance on the part of patients, whereas it is impaired by smoking, placement of multiple implants, and severe bone loss at baseline. Encouraging patients to stop smoking and to receive supportive care is recommended before treatment.
Abstract
Purpose: This study aimed to determine the long-term outcomes after peri-implantitis treatment and the factors affecting these outcomes. Methods: This study included 92 implants in 45 patients who had been treated for periimplantitis. Clinical data on the characteristics of patients and their implants were collected retrospectively. The change in the marginal bone level was calculated by comparing the baseline and the most recently obtained (≥3 years after treatment) radiographs. The primary outcome variable was progression of the disease after the treatment at the implant level, which was defined as further bone loss of >1.0 mm or implant removal. A 2-level binary logistic regression analysis was used to identify the effects of possible factors on the primary outcome. Results: The mean age of the patients was 58.7 years (range, 22–79 years). Progression of peri-implantitis was observed in 64.4% of patients and 63.0% of implants during an observation period of 6.4±2.7 years (mean±standard deviation). Multivariable regression analysis revealed that full compliance to recall visits (P=0.019), smoking (P=0.023), placement of 4 or more implants (P=0.022), and marginal bone loss ≥4 mm at baseline (P=0.027) significantly influenced the treatment outcome. Conclusions: The long-term results of peri-implantitis treatment can be improved by full compliance on the part of patients, whereas it is impaired by smoking, placement of multiple implants, and severe bone loss at baseline. Encouraging patients to stop smoking and to receive supportive care is recommended before treatment.
참고문헌 (33)
- Schwarz F, "Peri-implantitis", J Periodontol, 89(Suppl 1), pp.S267~S290 (2018)
- Zitzmann NU, "Definition and prevalence of peri-implant diseases", J Clin Periodontol, 35, pp.286~291 (2008)
- Esposito M, "Treatment of peri-implantitis : what interventions are effective? A Cochrane systematic review", Eur J Oral Implantol, 5(Suppl), pp.S21~S41 (2012)
- Heitz-Mayfield LJ, "The therapy of peri-implantitis : a systematic review", Int J Oral Maxillofac Implants, 29(Suppl), pp.325~345 (2014)
- Mahato N, "Management of peri-implantitis: a systematic review, 2010-2015", Springerplus, 5, pp.105~ (2016)
- Charalampakis G, "A follow-up study of peri-implantitis cases after treatment", J Clin Periodontol, 38, pp.864~871 (2011)
- Lagervall M, "Treatment outcome in patients with peri-implantitis in a periodontal clinic : a retrospective study", J Periodontol, 84, pp.1365~1373 (2013)
- de Waal YC, "Prognostic indicators for surgical peri-implantitis treatment", Clin Oral Implants Res, 27, pp.1485~1491 (2016)
- Heitz-Mayfield LJ, "Supportive peri-implant therapy following anti-infective surgical peri-implantitis treatment : 5-year survival and success", Clin Oral Implants Res, 29, pp.1~6 (2018)
- Zeza B, "Implant patient compliance varies by periodontal treatment history", J Periodontol, 88, pp.846~853 (2017)
- Roccuzzo M, "Clinical outcomes of peri-implantitis treatment and supportive care : a systematic review", Clin Oral Implants Res, 29(Suppl 16), pp.331~350 (2018)
- Serino G, "Maintenance therapy in patients following the surgical treatment of peri-implantitis : a 5-year follow-up study", Clin Oral Implants Res, 26, pp.950~956 (2015)
- Amerio E, "Compliance with supportive periodontal", peri-implant therapy : a systematic review, 2020, pp.47, 81~100
- Leonhardt A, "Five-year clinical, microbiological, and radiological outcome following treatment of peri-implantitis in man", J Periodontol, 74, pp.1415~1422 (2003)
- Bergström J, "Periodontitis and smoking : an evidence-based appraisal", J Evid Based Dent Pract, 6, pp.33~41 (2006)
- Ah MK, "The effect of smoking on the response to periodontal therapy", J Clin Periodontol, 21, pp.91~97 (1994)
- Bergström J, "Exposure to tobacco smoking and periodontal health", J Clin Periodontol, 27, pp.61~68 (2000)
- Labriola A, "Systematic review of the effect of smoking on nonsurgical periodontal therapy", Periodontol 2000, 37, pp.124~137 (2005)
- Heitz-Mayfield LJ, "Peri-implant diseases : diagnosis and risk indicators", J Clin Periodontol, 35, pp.292~304 (2008)
- Stacchi C, "Risk factors for peri-implantitis: effect of history of periodontal disease and smoking habits. A systematic review and meta-analysis", J Oral Maxillofac Res, 7, pp.e3~ (2016)
- Sgolastra F, "Smoking and the risk of peri-implantitis. A systematic review and meta-analysis", Clin Oral Implants Res, 26, pp.e62~e67 (2015)
- Chambrone L, "Effects of smoking cessation on the outcomes of non-surgical periodontal therapy : a systematic review and individual patient data meta-analysis", J Clin Periodontol, 40, pp.607~615 (2013)
- Hull PS, "The reasons for tooth extractions in adults and their validation", J Dent, 25, pp.233~237 (1997)
- Nuvvula S, "Primary culprit for tooth loss!!", J Indian Soc Periodontol, 20, pp.222~224 (2016)
- Al-Shammari KF, "Reasons for tooth extraction in Kuwait", Med Princ Pract, 15, pp.417~422 (2006)
- Derks J, "Effectiveness of implant therapy analyzed in a Swedish population : prevalence of peri-implantitis", J Dent Res, 95, pp.43~49 (2016)
- Derks J, "Peri-implantitis-onset and pattern of progression", J Clin Periodontol, 43, pp.383~388 (2016)
- Jepsen S, "Regeneration of alveolar ridge defects. Consensus report of group 4 of the 15th European Workshop on Periodontology on Bone Regeneration", J Clin Periodontol, 46(Suppl 21), pp.277~286 (2019)
- Roos-Jansåker AM, "Surgical treatment of peri-implantitis using a bone substitute with or without a resorbable membrane : a 5-year follow-up", J Clin Periodontol, 41, pp.1108~1114 (2014)
- Roccuzzo M, "Surgical treatment of peri-implantitis intrabony lesions by means of deproteinized bovine bone mineral with 10% collagen : 7-year-results", Clin Oral Implants Res, 28, pp.1577~1583 (2017)
- Suárez-López Del Amo F, "Non-surgical therapy for peri-implant diseases : a systematic review", J Oral Maxillofac Res, 7, pp.e13~ (2016)
- Kullman L, "Comparison of radiographic bone height assessments in panoramic and intraoral radiographs of implant patients", Int J Oral Maxillofac Implants, 22, pp.96~100 (2007)
- Kim YK, "Magnification rate of digital panoramic radiographs and its effectiveness for pre-operative assessment of dental implants", Dentomaxillofac Radiol, 40, pp.76~83 (2011)