Is History of Periodontitis a Risk Factor for Peri-implant Disease? A Pilot Study

Altay, Mehmet Ali; Tozoglu, Sinan; Yıldırımyan, Nelli; Özarslan, Mehmet Mustafa

doi:10.11607/jomi.5781

Cited by 10 publications

(6 citation statements)

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“…In terms of history of severe periodontitis, the results support previous publications with long‐term follow‐up 22‐24 . It should be noted that some studies with short‐term follow‐up have expressed little or no risk of peri‐implantitis in patients with the history of periodontitis 25,26 . It has been suggested that dental implants that have been in function over longer durations are more susceptible to development of peri‐implantitis.…”

Section: Discussionsupporting

confidence: 84%

“…[22][23][24] It should be noted that some studies with short-term follow-up have expressed little or no risk of peri-implantitis in patients with the history of periodontitis. 25,26 It has been suggested that dental implants that have been in function over longer durations are more susceptible to development of peri-implantitis. Fransson et al 27 indicated that the rate of peri-implantitis-associated bone loss does not have a linear progression pattern and it increases over time.…”

Section: Discussionmentioning

confidence: 99%

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Risk indicators of long‐term outcome of implant therapy in patients with a history of severe periodontitis or no history of periodontitis: A retrospective cohort study

Alhakeem

Kanounisabet

Nowzari

et al. 2022

Int J Dental Hygiene

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Objective The aim of this retrospective cohort study was to assess factors associated with peri‐implant disease in partially edentulous patients with a history of severe periodontitis or no history of periodontitis. Methods Partially edentulous patients with a history of severe periodontitis/without history of periodontitis who received implant surgery within the past 6 to 8 years were recalled. Clinical and radiographic examinations were recorded. Periodontal probing depth, marginal bone loss (MBL) and peri‐implantitis were considered as the primary outcome and peri‐implant bleeding on probing (BOP) was considered as the secondary outcome. The following criteria were considered as the predictors, as well: history of severe periodontitis, gender, age, smoking, brushing frequency, recall interval, full‐mouth plaque score, full‐mouth bleeding score, splinted prosthesis, open/tight interproximal contact, width of keratinized mucosa, mucosal thickness, implants placed in the grafted bone and implant type. Univariate and multivariate regression analyses were utilized. Results A total of 88 patients (186 implants) fulfilled the study. Forty‐seven patients (108 implants) had a history of severe periodontitis and 41 patients (78 implants) had no history of periodontitis. There was a higher chance of peri‐implantitis in patients with a history of severe periodontitis (OR = 11.13; p = 0.045), implants with lack of peri‐implant KM (<2 mm) and implants placed in the grafted bone (OR = 14.94, p < 0.001; OR = 4.93, p = 0.047). The risk of peri‐implant MBL ≥3 mm was higher in patients with greater FMBS (OR = 1.20; p < 0.001). The chance of peri‐implant BOP was independently higher in patients who brushed their teeth at most once per day (OR = 3.20; p = 0.04), higher FMBS (OR = 1.16; p < 0.001) and irregular recall visits (OR = 15.34; p = 0.001). Conclusions Partially edentulous patients with the history of severe periodontitis, lack of peri‐implant KM and implants placed in bone‐grafted sites expressed higher probability of peri‐implantitis. In addition, inadequate frequency of brushing (at most once daily) and irregular recall visits were associated with greater chance of peri‐implant BOP.

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Section: Discussionsupporting

confidence: 84%

Section: Discussionmentioning

confidence: 99%

Risk indicators of long‐term outcome of implant therapy in patients with a history of severe periodontitis or no history of periodontitis: A retrospective cohort study

Alhakeem

Kanounisabet

Nowzari

et al. 2022

Int J Dental Hygiene

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“…As far as controls (Group-2) are concerned, these individuals had healthy implants (defined according to Table 2 Periodontal and peri-implant status among patients with peri-implant mucositis and controls at baseline and 3-month follow-up *Compared with Group-2 at baseline (P < 0.01) using the paired t test † Compared with Groups-1 (P < 0.001) and 2 (P < 0.01) at 3-month follow-up using the paired t test and the Bonferroni Post-hoc test criteria reported elsewhere [28]); and were visiting the oral healthcare facility for routine dental prophylactic/hygiene maintenance. Studies [42,43] have shown that patients with a history of periodontitis are at an increased risk of developing peri-implant diseases, such as peri-implantitis compared with individuals with a healthy periodontal health status. Despite the fact that none of the participants included in Group-1 had existing or a history of periodontitis, peri-implant diseases (PM) occurred in these individuals.…”

Section: Discussionmentioning

confidence: 99%

Assessment of salivary alpha amylase and mucin-4 before and after non-surgical treatment of peri-implant mucositis

et al. 2022

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Background The present study was based on the null hypothesis that there is no difference in clinicoradiographic parameters and whole salivary alpha amylase (AA) and mucin-4 levels before and after non-surgical mechanical debridement (NSMD) of patients with peri-implant mucositis (PM). The aim was to assess whole salivary AA and mucin-4 levels before and after treatment of PM. Methods Patients with PM (Group-1) and individuals without peri-implant diseases (Group-2) were included. Demographic data was collected and peri-implant modified plaque and bleeding indices (mPI and mBI, respectively), probing depth (PD) and crestal bone loss were measured at baseline. Levels of AA and mucin-4 were assessed in unstimulated whole saliva samples. All patients underwent full-mouth non-surgical periodontal therapy (NSPT) and NSMD; and clinical parameters and salivary biomarkers were re-assessed after 3 months. Level of significance was set at P < 0.01. Results Twenty-six and 32 individuals were included in groups 1 and 2, respectively. None of the participants had periodontitis. At baseline clinical periodontal parameters (PI [P < 0.001], GI [P < 0.001], clinical AL [P < 0.001] and PD [P < 0.001]) were significantly high in Group-1 than Group-2. At 3-month follow-up, there was a statistically significant reduction in clinical periodontal and peri-implant parameters (PI [P < 0.01], GI [P < 0.01], and PD [P < 0.01]) in Group-1 compared with their baseline values. At baseline, salivary AA levels were significantly high in Group-1 than Group-2 (P < 0.01). At 3-month follow-up, there was no significant difference in whole salivary AA levels among patients in groups 1 and 2. Conclusions The AA and mucin-4 levels are potential biomarkers for evaluation of peri-implant diseases including PM. Mechanical instrumentation continues to be the most predictable treatment option for the management of peri-implant diseases.

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“…Researchers have failed to demonstrate that systemic disorder-related factors (i.e., smoking and high blood pressure) are definitive risk factors for developing peri-implantitis [ 17 , 18 ]. However, it is also true that the proportion of patients with peri-implantitis with diabetes mellitus and hypertension is high [ 19 ]. Because no definitive opinion on the relationship between peri-implant inflammation and hypertension exists, the present study findings are quite valuable.…”

Section: Discussionmentioning

confidence: 99%

Influence of antihypertensive medications on the clinical parameters of anodized dental implants: a retrospective cohort study

Seki

Hasuike

Iwano³

et al. 2020

Int J Implant Dent

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Background: Hypertension is a chronic medical condition in which blood pressure in the arteries is elevated. Given the large proportion of dental implant patients using antihypertensive medications, it is crucial to evaluate the effects of these drugs on the clinical parameters of osseointegrated implants. The aim of the present retrospective cohort study was to evaluate the influence of antihypertensive medications on clinical peri-implant tissue parameters. Methods: Thirty-five patients received a total of 77 anodized dental implants. Based on the history of the use of antihypertensive medications, the patients were divided into two groups: the group taking antihypertensive medications (AH group) and the group of healthy patients (H group). Implants were followed up clinically and radiologically, with a focus on the peri-implant soft tissue parameters probing pocket depth, bleeding on probing, modified plaque index, and marginal peri-implant bone level stability. Results: None of the implants were lost, and no technical failures occurred. The mean follow-up duration was 7 years and 1 month. A significant difference was observed in the probing pocket depth 3.8 ± 1.3 mm in the AH group and 3.0 ± 0.7 mm in the H group. In the AH and H groups, 26.5% (9/34) and 4.7% (2/43) of the patients were diagnosed with peri-implantitis at the implant level, respectively. Conclusions: Our findings suggest some correlations between antihypertensive medication use and clinical parameters in anodized peri-implant tissue.

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Is History of Periodontitis a Risk Factor for Peri-implant Disease? A Pilot Study

Cited by 10 publications

References 0 publications

Risk indicators of long‐term outcome of implant therapy in patients with a history of severe periodontitis or no history of periodontitis: A retrospective cohort study

Risk indicators of long‐term outcome of implant therapy in patients with a history of severe periodontitis or no history of periodontitis: A retrospective cohort study

Assessment of salivary alpha amylase and mucin-4 before and after non-surgical treatment of peri-implant mucositis

Influence of antihypertensive medications on the clinical parameters of anodized dental implants: a retrospective cohort study

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