Evaluation of peri‐implant marginal tissues around tissue‐level and bone‐level implants in patients with a history of chronic periodontitis

Vianna, Tiago Tarbes; Taiete, Tiago; Casarin, Renato Corrêa Viana; Giorgi, Maria Cecília Caldas; Aguiar, Flávio Henrique Baggio; Silvério, Karina Gonzáles; Júnior, Francisco Humberto Nociti; Sallum, Enílson Antônio; Casati, Márcio Z.

doi:10.1111/jcpe.12999

Cited by 20 publications

(37 citation statements)

References 47 publications

(104 reference statements)

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“…4,5 A tremendous amount of research data on long-term success of dental implants in periodontally healthy patients exists in the literature. 9,10 However, to date, follow-up studies on clinical and radiographic peri-implant outcomes of SDIs placed in treated cases of generalized aggressive periodontitis (GAgP) remains a gray area. Generally, the microbial niche on dental implants may differ among partially edentulous dentition and completely edentulous patients.…”

Section: Introductionmentioning

confidence: 99%

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Clinical and radiographic peri‐implant outcomes of short dental implants placed in posterior jaws of patients with treated generalized aggressive periodontitis: A 3‐year follow‐up study

Akram

Vohra

Sheikh

et al. 2019

Clin Implant Dent Rel Res

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Background: Studies assessing clinical and radiographic peri-implant parameters around short dental implants (SDIs) in treated generalized aggressive periodontitis (GAgP) patients are scant.Objectives: This 3-year follow-up study aimed to compare the clinical peri-implant and radiographic bone status around SDIs placed in partially edentulous patients treated for GAgP and periodontally healthy patients and to assess the implant success rate between both the groups. Materials and Methods:A total of seven patients clinically diagnosed with GAgP and seven periodontally healthy patients was included in the clinical study. Forty-eight (29 maxilla; 19 mandible) and 11 (8 maxilla; 3 mandible) SDIs were placed in the GAgP group and healthy group, respectively. Plaque index (PI), bleeding on probing (BOP), probing depth (PD), and clinical attachment level (CAL) were recorded at six sites around all teeth and implants. Marginal bone loss (MBL) was studied incorporating in a specialized software and examined on a calibrated computer display screen with the help of an image analyzer. Patient satisfaction was recorded using a questionnaire sheet that contained questions regarding esthetics and function of the restorations. Results:The implant survival rate after 3 years was 81.25%. BOP and CAL around SDIs of GAgP patients were significantly higher than in periodontally healthy subjects (P = .01) throughout the follow-up. CAL around the teeth of GAgP patients was significantly greater during the follow-up than around the teeth of periodontal healthy subjects (P = .02). The PI and BOP between the teeth and implants showed no statistical significant difference. The mean PD at teeth was 0.4 mm greater than at implants. Implants showed significantly increased attachment loss than teeth (P = .01). The overall mean satisfaction of visual analogue scale was 12.8 ± 1.45.Conclusion: This short-term follow-up study indicates SDIs remain functionally stable in the posterior jaws of treated GAgP patients. K E Y W O R D Saggressive periodontitis, dental scaling, short dental implants, survival rate

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Section: Introductionmentioning

confidence: 99%

“…8 There are several studies that evaluated short-and long-term outcomes of dental implants in chronic periodontitis patients. 9,10 However, to date, follow-up studies on clinical and radiographic peri-implant outcomes of SDIs placed in treated cases of generalized aggressive periodontitis (GAgP) remains a gray area.…”

Section: Introductionmentioning

confidence: 99%

Clinical and radiographic peri‐implant outcomes of short dental implants placed in posterior jaws of patients with treated generalized aggressive periodontitis: A 3‐year follow‐up study

Akram

Vohra

Sheikh

et al. 2019

Clin Implant Dent Rel Res

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“…95%CI: confidence interval of 95% compared with TPI. Only two studies [26,28] reported MBL between implant insertion and loading in this review, both of which revealed less bone resorption of TPI than that of OPI though no significant differences were observed. Further meta-analysis is necessary if more studies on MBL between implant insertion and loading emerge in the future.…”

Section: Discussionmentioning

confidence: 82%

“…Furthermore, a favorable bone response is associated with a horizontal offset no less than 0.4 mm, according to the review of Atieh et al [46]. Only two studies [26,27] reported the horizontal offset between implant and abutment in this review (one is 0.4mm and another is 0.25mm, 0.4mm or 0.75mm). More data are needed for further analysis.…”

Section: Discussionmentioning

confidence: 87%

“…Overall, 62 full-text articles were obtained and hand searches were conducted on bibliographies of the full-text articles, which identified 9 additional articles. Eventually, 11 articles[4,[25][26][27][28][29][30][31][32][33][34] reporting 10 different studies were included in this review according to the eligibility criteria. A detailed flowchart for study selection is presented inFig 1…”

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confidence: 99%

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Clinical and radiographic performance of one-piece and two-piece implant:a systematic review and meta-analysis

Liu

Wang

2021

J Prosthodont Res

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The aim of this system review was to evaluate clinical and radiographic performance of one-piece implant (OPI) and two-piece implant (TPI). Methods: Electronic database searches were performed in MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials and OpenGrey databases up to May 2019. Two authors individually screened the related literatures according to the inclusion and exclusion criteria. Main clinical outcomes included failure and complication rates. Radiographic outcomes were peri-implant bone loss between baseline and last available follow-up. Results: Finally, 11 articles reporting 10 different studies were included in this review. No statistically significant difference (P = 0.22) in risk of failure was found between the two types of implants (RR: 0.49, 95% CI: 0.16-1.53). Peri-implantitis accounted for most failures and complications and there was no statistically significant difference in risk of peri-implantitis no matter after 1 year follow-up (RR: 1.15, 95% CI: 0.37-3.53, P = 0.81) or at 2-3 years (RR: 1.95, 95% CI: 0.23-16.63, P = 0.54). With regard to the marginal bone loss (MBL) around implants, subgroup meta-analysis by platform switching versus platform matching showed a significant MBL-reducing effect for TPI when compared to OPI (WMD: 0.21mm, 95% CI: 0.07-0.36mm, P = 0.004) in the platform-switching subgroup, while no significant difference in MBL was observed between the two groups in the platform-matching subgroup (P = 0.67). Conclusions: The results of this review suggested that OPI and TPI showed similar short-term survival rates and incidences of complications. Nevertheless, TPI with platform switching may be a better option to reduce peri-implant bone loss.

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Association of prosthetic angles of the Implant Supracrestal Complex with peri‐implant tissue mucositis

Rungtanakiat,

Thitaphanich,

Chengprapakorn

et al. 2023

Clinical & Exp Dental Res

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Objectives: The aim of this study was to investigate the association of the Mucosal Emergence Angle (MEA) with peri-implant tissue mucositis.Material and Methods: Forty-seven patients with 103 posterior bone level implants underwent clinical and radiographic examination. Three-dimensional data from Cone Bean Computer Tomography and Optica Scan were transposed. Three angles were defined: MEA, Deep Angle (DA) and Total Angle (TA) and measured at six sites for each implant.Results: There was a significant correlation between MEA and Bleeding on Probing for all sites with an overall odds ratio of odd ratio 1.07 (95% confidence interval [CI] 1.05-1.09, p < 0.001). Sites with MEA ≥ 30°, 40°, 50°, 60°, and 70°had a higher risk for bleeding with an odds ratio of 3. 1, 5, 7.5, 11.4 and 33.55, respectively. When all 6 sites of an implant prostheses had MEA ≥ 40°, the risk of having bleeding at all 6 sites was 9.5 times higher (95% CI 1.70-52.97, p = 0.010).Conclusions: Maintaining MEA no wider than 30°−40°is advisable, while the aim should be to keep this angle as narrow as clinically feasible. Registered in Thai Clinical Trials Registry: http://www.thaiclinicaltrials.org/show/TCTR20220204002.

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Evaluation of peri‐implant marginal tissues around tissue‐level and bone‐level implants in patients with a history of chronic periodontitis

Abstract: Under a rigid supportive therapy, both approaches performed likewise regarding clinical and radiographic parameters for rehabilitation of patients with a history of chronic periodontitis.

Cited by 20 publications

References 47 publications

Clinical and radiographic peri‐implant outcomes of short dental implants placed in posterior jaws of patients with treated generalized aggressive periodontitis: A 3‐year follow‐up study

Clinical and radiographic peri‐implant outcomes of short dental implants placed in posterior jaws of patients with treated generalized aggressive periodontitis: A 3‐year follow‐up study

Clinical and radiographic performance of one-piece and two-piece implant:a systematic review and meta-analysis

Association of prosthetic angles of the Implant Supracrestal Complex with peri‐implant tissue mucositis

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