Probing single‐tooth dental implants with and without prostheses: a cross‐sectional study comparing healthy and peri‐implant mucositis sites

García-García, Marta; Mir-Marí, Javier; Figueiredo, Rui; Valmaseda‐Castellón, Eduard

doi:10.1111/jcpe.13436

Cited by 8 publications

(5 citation statements)

References 29 publications

(56 reference statements)

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“…7,71,72 Hashim et al found a considerable false-positive rate when using bleeding on probing for diagnosis per-implantitis, 73 while a recent study demonstrated that probing depth at posterior implant sites is significantly underestimated both at healthy implants and implants with mucositis in presence of the prosthesis. 74 The pressure applied with the periodontal probe, its angulation and the resistance of the peri-implant tissues can also affect the accuracy of peri-implant health/disease and the outcomes of peri-implant therapies. 7,71,72 From a clinical research point of view, the assessment of bleeding on probing with a periodontal probe provides a dichotomous outcome, without distinguishing and quantifying the severity of the inflammation.…”

Section: Power Doppler Ultrasonography For Tissue Perfusion Evaluatio...mentioning

confidence: 99%

Soft tissue features of peri‐implant diseases and related treatment

Galárraga-Vinueza

Tavelli

2022

Clin Implant Dent Rel Res

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Background The need for soft tissue grafting at implant sites for preventing and treating peri‐implant diseases is a currently investigated and debated topic. Purpose The aim of this manuscript is to explore the inflammatory mechanisms at the peri‐implant soft tissue compartment, to distinguish the structural components of the peri‐implant soft tissue phenotype and their role on peri‐implant health, and to appraise the clinical indications and expected outcomes of soft tissue augmentation procedures at peri‐implant diseased sites. Materials and Methods This narrative review depicts the inflammatory biomarkers and mediators in the peri‐implant crevicular fluid utilized to diagnose peri‐implant disease and that have been shown to be associated with peri‐implant soft tissue phenotype modification and disease resolution. The impact of the peri‐implant soft tissue phenotype, involving keratinized mucosa (KM) width, attached mucosa (AM), mucosal thickness (MT), and supracrestal tissue height (STH), on peri‐implant health, esthetic, patient's comfort and disease prevention are discussed. The manuscript also illustrates the use of ultrasonography for the detection of peri‐implant health/disease and the evaluation of the treatment outcomes following surgical therapies. Results Current evidence indicates that soft tissue phenotype modification at implant sites with inadequate KM width, AM and MT can be beneficial for promoting peri‐implant health and improving patient's comfort and hygiene procedures. Treatment approaches and outcomes from the available literature on soft tissue phenotype modification in combination with conventional techniques at sites with peri‐implant mucositis or peri‐implantitis are presented and discussed in detail. Conclusions Soft tissue grafting can be beneficial in preventing and treating peri‐implant diseases. Clinical recommendations based on the disease, soft tissue phenotype characteristics and bone defect morphology are provided for a comprehensive hard‐ and soft‐tissue‐oriented treatment of peri‐implant disease.

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Section: Power Doppler Ultrasonography For Tissue Perfusion Evaluatio...mentioning

confidence: 99%

Soft tissue features of peri‐implant diseases and related treatment

Galárraga-Vinueza

Tavelli

2022

Clin Implant Dent Rel Res

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“…PD was measured without removing the prosthetic restoration since both cemented and screw-retained fixed prosthesis were included. This may affect clinical assessments, especially in the posterior area [ 65 ]. No microbiological samplings were performed, and inflammatory PCF markers were not qualitatively analyzed.…”

Section: Discussionmentioning

confidence: 99%

Non-surgical treatment of peri-implantitis with and without erythritol air-polishing a 12-month randomized controlled trial

et al. 2023

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Background A variety of interventions have been explored in the non-surgical management of peri-implantitis. In spite of extensive testing of various study protocols, effective treatments largely remain unavailable. The objective of the present 12-month single-centre, examiner-masked, randomized controlled clinical trial was to explore whether a low-abrasive erythritol air-polishing system produces added clinical benefit when used adjunctive to conventional non-surgical management of peri-implantitis and to record any associated patient-centered outcomes. Methods Forty-three patients with mild to severe peri-implantitis including at least one implant either received ultrasonic/curette subgingival instrumentation and erythritol air-polishing (test) or ultrasonic/curette instrumentation only (control) at baseline and at 3, 6, 9, and 12 months. Probing depth (PD), bleeding on probing (BoP), dental plaque, suppuration (SUP), crestal bone level (CBL), and peri-implant crevicular fluid (PCF) were recorded at baseline, 6 and 12 months. Visual Analogue Scale (VAS) scores were collected immediately following subgingival interventions at all time-points. Results A reduction in PD was observed from baseline to 6 months for the test (p = 0.006) and control (p < 0.001) and from baseline to 12 months for the control (p < 0.001). No intergroup differences were observed for primary outcome variables PD or CBL over time (p > 0.05). At 6 months, a intergroup difference in PCF was observed in favor of the test (p = 0.042). Moreover, a reduction in SUP from baseline to 6 and 12 months was observed in the test (p = 0.019). Overall, patients in the control group experienced less pain/discomfort compared with the test (p < 0.05), females reporting more pain/discomfort than males (p = 0.005). Conclusions This study confirms that conventional non-surgical management of peri-implantitis produces limited clinical improvement. It is shown that an erythritol air-polishing system may not produce added clinical benefits when used adjunctive to conventional non-surgical management. In other words, neither approach effectively resolved peri-implantitis. Moreover, the erythritol air-polishing system produced added pain/discomfort particularly in female patients. Trial registration The clinical trial was prospectively registered in ClinicalTrials.gov with registration NCT04152668 (05/11/2019).

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“…Finally, the diagnostic use of probing is not without important limitations. Although it is well established that over contouring of the implant prosthesis can limit access to probing and reliable measurement of probing depth (Salvi et al, 2022; Garcia‐Garcia et al, 2021), there is no current consensus practice of how this issue should be addressed in research. As this limitation results exclusively to underestimation of probing depth, ignoring this problem can risk potentially seriously compromising an analysis (Figure 5).…”

Section: Discussionmentioning

confidence: 99%

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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Probing single‐tooth dental implants with and without prostheses: a cross‐sectional study comparing healthy and peri‐implant mucositis sites

Cited by 8 publications

References 29 publications

Soft tissue features of peri‐implant diseases and related treatment

Soft tissue features of peri‐implant diseases and related treatment

Non-surgical treatment of peri-implantitis with and without erythritol air-polishing a 12-month randomized controlled trial

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

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