Risk indicators for mucositis and peri-implantitis: results from a practice-based cross-sectional study
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Purpose: This practice-based cross-sectional study aimed to investigate whether common risk indicators for peri-implant diseases were associated with peri-implant mucositis and peri-implantitis in patients undergoing supportive implant therapy (SIT) at least 5 years after implant restoration. Methods: Patients exclusively restored with a single implant type were included. Probing pocket depth (PPD), bleeding on probing (BOP), suppuration, and radiographic bone loss (RBL) were assessed around implants. The case definitions were as follows: peri-implant mucositis: PPD ≥4 mm, BOP, no RBL; and peri-implantitis: PPD ≥5 mm, BOP, RBL ≥3.5 mm. Possible risk indicators were compared between patients with and without mucositis and peri-implantitis using the Fisher exact test and the Wilcoxon rank-sum test, as well as a multiple logistic regression model for variables showing significance (P<0.05). Results: Eighty-four patients with 169 implants (observational period: 5.8±0.86 years) were included. A patient-based prevalence of 52% for peri-implant mucositis and 18% for peri-implantitis was detected. The presence of 3 or more implants (odds ratio [OR], 4.43; 95 confidence interval [CI], 1.36–15.05; P=0.0136) was significantly associated with an increased risk for mucositis. Smoking was significantly associated with an increased risk for peri-implantitis (OR, 5.89; 95% CI, 1.27–24.58; P=0.0231), while the presence of keratinized mucosa around implants was associated with a lower risk for peri-implantitis (OR, 0.05; 95% CI, 0.01–0.25; P<0.001). Conclusions: The number of implants should be considered in strategies to prevent mucositis. Furthermore, smoking and the absence of keratinized mucosa were the strongest risk indicators for peri-implantitis in patients undergoing SIT in the present study.
Abstract
Purpose: This practice-based cross-sectional study aimed to investigate whether common risk indicators for peri-implant diseases were associated with peri-implant mucositis and peri-implantitis in patients undergoing supportive implant therapy (SIT) at least 5 years after implant restoration. Methods: Patients exclusively restored with a single implant type were included. Probing pocket depth (PPD), bleeding on probing (BOP), suppuration, and radiographic bone loss (RBL) were assessed around implants. The case definitions were as follows: peri-implant mucositis: PPD ≥4 mm, BOP, no RBL; and peri-implantitis: PPD ≥5 mm, BOP, RBL ≥3.5 mm. Possible risk indicators were compared between patients with and without mucositis and peri-implantitis using the Fisher exact test and the Wilcoxon rank-sum test, as well as a multiple logistic regression model for variables showing significance (P<0.05). Results: Eighty-four patients with 169 implants (observational period: 5.8±0.86 years) were included. A patient-based prevalence of 52% for peri-implant mucositis and 18% for peri-implantitis was detected. The presence of 3 or more implants (odds ratio [OR], 4.43; 95 confidence interval [CI], 1.36–15.05; P=0.0136) was significantly associated with an increased risk for mucositis. Smoking was significantly associated with an increased risk for peri-implantitis (OR, 5.89; 95% CI, 1.27–24.58; P=0.0231), while the presence of keratinized mucosa around implants was associated with a lower risk for peri-implantitis (OR, 0.05; 95% CI, 0.01–0.25; P<0.001). Conclusions: The number of implants should be considered in strategies to prevent mucositis. Furthermore, smoking and the absence of keratinized mucosa were the strongest risk indicators for peri-implantitis in patients undergoing SIT in the present study.
참고문헌 (41)
- Lang NP, "Berglundh TWorking Group 4 of Seventh European Workshop on Periodontology. Periimplant diseases: where are we now?--Consensus of the Seventh European Workshop on Periodontology", J Clin Periodontol, 11(Suppl 11), pp.178~181 (2011)
- Derks J, "Peri-implant health and disease. A systematic review of current epidemiology", J Clin Periodontol, 42(Suppl 16), pp.S158~S171 (2015)
- Monje A, "Impact of maintenance therapy for the prevention of peri-implant diseases: a systematic review and meta-analysis", J Dent Res, 95, pp.372~379 (2016)
- Smeets R, "Definition, etiology, prevention and treatment of peri-implantitis--a review", Head Face Med, 10, pp.34~ (2014)
- Alani A, "Peri-implantitis. Part 2: prevention and maintenance of peri-implant health", Br Dent J, 217, pp.289~297 (2014)
- Schwendicke F, "Preventing and treating peri-implantitis : a cost-effectiveness analysis", J Periodontol, 86, pp.1020~1029 (2015)
- Costa FO, "Peri-implant disease in subjects with and without preventive maintenance : a 5-year follow-up", J Clin Periodontol, 39, pp.173~181 (2012)
- Sgolastra F, "Smoking and the risk of peri-implantitis. A systematic review and meta-analysis", Clin Oral Implants Res, 26, pp.e62~e67 (2015)
- 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)
- Renvert S, "Risk indicators for peri-implant mucositis : a systematic literature review", J Clin Periodontol, 42(Suppl 16), pp.S172~S186 (2015)
- Saaby M, "Factors influencing severity of peri-implantitis", Clin Oral Implants Res, 27, pp.7~12 (2016)
- Dalago HR, "Risk indicators for peri-implantitis. A cross-sectional study with 916 implants", Clin Oral Implants Res, 28, pp.144~150 (2017)
- Rinke S, "Prevalence of periimplant disease in partially edentulous patients : a practice-based cross-sectional study", Clin Oral Implants Res, 22, pp.826~833 (2011)
- Landry RG, "Periodontal screening and recording (PSR) index: precursors, utility and limitations in a clinical setting", Int Dent J, 52, pp.35~40 (2002)
- Roos-Jansåker AM, "Nine- to fourteen-year follow-up of implant treatment. Part I: implant loss and associations to various factors", J Clin Periodontol, 33, pp.283~289 (2006)
- Karoussis IK, "Association between periodontal and peri-implant conditions : a 10-year prospective study", Clin Oral Implants Res, 15, pp.1~7 (2004)
- Roos-Jansåker AM, "Nine- to fourteen-year follow-up of implant treatment. Part II: presence of peri-implant lesions", J Clin Periodontol, 33, pp.290~295 (2006)
- Renvert S, "Peri-implant health, peri-implant mucositis, and peri-implantitis: case definitions and diagnostic considerations", J Clin Periodontol, 45(Suppl 20), pp.S278~S285 (2018)
- Ainamo J, "Problems and proposals for recording gingivitis and plaque", Int Dent J, 25, pp.229~235 (1975)
- O'Leary TJ, "The plaque control record", J Periodontol, 43, pp.38~ (1972)
- Eickholz P, "Tooth loss after active periodontal therapy. 1: patient-related factors for risk, prognosis, and quality of outcome", J Clin Periodontol, 35, pp.165~174 (2008)
- Atieh MA, "The frequency of peri-implant diseases : a systematic review and meta-analysis", J Periodontol, 84, pp.1586~1598 (2013)
- Derks J, "Effectiveness of implant therapy analyzed in a Swedish population : prevalence of peri-implantitis", J Dent Res, 95, pp.43~49 (2016)
- Lee CT, "Prevalences of peri-implantitis and peri-implant mucositis : systematic review and meta-analysis", J Dent, 62, pp.1~12 (2017)
- Rakic M, "How frequent does peri-implantitis occur? A systematic review and meta-analysis", Clin Oral Investig, 22, pp.1805~1816 (2018)
- Mir-Mari J, "Prevalence of peri-implant diseases. A cross-sectional study based on a private practice environment", J Clin Periodontol, 39, pp.490~494 (2012)
- Frisch E, "Long-term results of implant-supported over-dentures retained by double crowns : a practice-based retrospective study after minimally 10 years follow-up", Clin Oral Implants Res, 24, pp.1281~1287 (2013)
- Salvi GE, "The effects of anti-infective preventive measures on the occurrence of biologic implant complications and implant loss : a systematic review", Int J Oral Maxillofac Implants, 29(Suppl), pp.292~307 (2014)
- Passoni BB, "Does the number of implants have any relation with peri-implant disease?", J Appl Oral Sci, 22, pp.403~408 (2014)
- Gurgel BC, "Frequency of peri-implant diseases and associated factors", Clin Oral Implants Res, 28, pp.1211~1217 (2017)
- Serino G, "Peri-implantitis in partially edentulous patients : association with inadequate plaque control", Clin Oral Implants Res, 20, pp.169~174 (2009)
- Konstantinidis IK, "Cross-sectional study on the prevalence and risk indicators of peri-implant diseases", Eur J Oral Implantology, 8, pp.75~88 (2015)
- Dreyer H, "Epidemiology and risk factors of peri-implantitis : a systematic review", J Periodontal Res, 53, pp.657~681 (2018)
- Canullo L, "Clinical and microbiological findings in patients with peri-implantitis : a cross-sectional study", Clin Oral Implants Res, 27, pp.376~382 (2016)
- Ferreira CF, "Prevalence of peri-implant diseases : analyses of associated factors", Eur J Prosthodont Restor Dent, 23, pp.199~206 (2015)
- Rokn A, "Prevalence of peri-implantitis in patients not participating in well-designed supportive periodontal treatments : a cross-sectional study", Clin Oral Implants Res, 28, pp.314~319 (2017)
- Grischke J, "Keratinized mucosa width is associated with severity of peri-implant mucositis. A cross-sectional study", Clin Oral Implants Res, 30, pp.457~465 (2019)
- Pranskunas M, "Influence of peri-implant soft tissue condition and plaque accumulation on peri-implantitis : a systematic review", J Oral Maxillofac Res, 7, pp.e2~ (2016)
- Carcuac O, "Peri-implantitis in a specialist clinic of periodontology. Clinical features and risk indicators", Swed Dent J, 34, pp.53~61 (2010)
- Ziebolz D, "Microbiological and aMMP-8 findings depending on peri-implant disease in patients undergoing supportive implant therapy", Diagn Microbiol Infect Dis, 88, pp.47~52 (2017)
- Renvert S, "Factors related to peri-implantitis-a retrospective study", Clin Oral Implants Res, 25, pp.522~529 (2014)