The effect of factors related to periodontal status toward peri‐implantitis

Arunyanak, Sirikarn P.; Sophon, Navawan; Tangsathian, Teerawut; Supanimitkul, Kakanang; Suwanwichit, Tharntip; Kungsadalpipob, Kajorn

doi:10.1111/clr.13461

Cited by 27 publications

(42 citation statements)

References 27 publications

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“…In addition to these results, patients who have ≥ 4 number of implants have higher risk for peri-implantitis occurrence (OD = 2.10) than patients having number of implants < 4 as reported in numerous studies [3,22,[33][34][35]. These results are in agreement with the literature as follows: higher PI (which also demonstrates poor oral hygiene) [27,30,36], patients who do not participate to the maintenance therapy [7,37], and patients who had history of periodontitis were demonstrated as risk indicators for the development of peri-implant disease [4,33,38]. In this cross sectional study, patients who have current diagnosis of periodontitis had increased probability for development of peri-implant disease.…”

Section: Discussionsupporting

confidence: 88%

“…Knowledge of the factors that lead to peri-implant disease is crucial for maintaining the dental implants to function properly. Several patient-and implant-related risk indicators including poor oral hygiene, smoking, history of periodontal disease, and compliance of maintenance have been reported [2][3][4]7]. On the other hand, the necessity of keratinized tissue around implant is controversial.…”

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confidence: 99%

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Analysis of risk indicators for prevalence of peri-implant diseases in Turkish population

2020

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Background: The aim of this cross-sectional study was (1) to determine the prevalence of peri-implant mucositis and peri-implantitis and (2) to reveal the risk indicators associated with peri-implant diseases. The second point was to investigate the role of keratinized mucosa on peri-implant health. Materials and methods: Three hundred and eighty-two subjects who were treated with 1415 dental implants between 2011-2017 were clinically evaluated. Patients' medical and dental history, as well as implant details, were recorded. Periimplant examination included probing pocket depth (PPD), bleeding on probing (BoP), plaque index (PI), gingival index (GI), and keratinized tissue width. Furthermore, the patient (sex, age, and smoking) and implant/prosthesis-related factors (surface characteristic, time in function, design of prosthesis etc.) were evaluated. Implants were classified into three groups: healthy, peri-implant mucositis, and peri-implantitis. Uni-and multi-variate regression analyses were utilized for statistics. Results: 41.1% (n = 157) and 36.9% (n = 84) of patients had mucositis and peri-implantitis, respectively. 53.6% (n = 758) of implants (95%CI 80.2-90.4) had mucositis, and 21.7% (n = 307) had peri-implantitis. Patients with a maintenance < 2/year (OR = 2.576), having periodontitis (OR = 3.342) and higher PI (OR = 3.046) had significant associations with the development of peri-implant mucositis. Significant ORs were determined for peri-implantitis with patients having maintenance < 2/year (OR = 2.048), having number of implants ≥ 4 (OR = 2.103), diagnosed with periodontitis (OR = 3.295), and higher PI (OR = 7.055). Keratinized tissue width < 2 mm (ORs = 5389/8.013), PPD (ORs = 1.570/8.338), PI (ORs = 6.726/5.205), and BoP (ORs = 3.645/4.353) independent variables were significantly associated with both peri-implant mucositis and peri-implantitis at implant level, respectively. Conclusions: Within the limits of this study, the prevalence of mucositis and peri-implantitis was shown to be high in Turkish population. Furthermore, increased risk for peri-implantitis was identified in patients having maintenance < 2/year, presence of periodontitis, poor plaque control, and having number of implants ≥ 4. Less keratinized tissue (< 2 mm), PPD, and BoP were also risk indicators for peri-implantitis development.

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Section: Discussionsupporting

confidence: 88%

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confidence: 99%

Analysis of risk indicators for prevalence of peri-implant diseases in Turkish population

2020

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“…The data comprised their medical and dental history, smoking habits, history of periodontal therapy, oral hygiene status, history of implant treatment, and implant prosthesis types. The patients’ clinical and radiographic examinations were performed at one visit as described in a recent publication [ 23 ] and reported thoroughly in the next session. Maintenance care at the implant sites was performed according to the cumulative interceptive supportive therapy (CIST) protocol [ 24 ].…”

Section: Methodsmentioning

confidence: 99%

The lack of keratinized mucosa is associated with poor peri-implant tissue health: a cross-sectional study

et al. 2020

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Objectives The aim of this cross-sectional study is to determine the association between the absence of keratinized mucosa and peri-implant tissue health. Methods and materials This cross-sectional study comprised 412 implants from 200 patients from faculty-based clinics. Demographic, medical, and clinical information were collected. The modified sulcus bleeding index, modified plaque index, mucosal recession, probing depth, bone level, the width of keratinized mucosa, and implant status were evaluated by three calibrated examiners. Each implant was categorized into either of two peri-implant mucosa groups: keratinized mucosa (KM) or non-keratinized mucosa (NKM). The chi-square test was performed to the association between the keratinized mucosa groups and peri-implant clinical parameters and peri-implant status. Multiple logistic regression models were analyzed to test potential associations between peri-implant clinical parameters and the presence or absence of keratinized mucosa. Results Thirty-two implants (7.8%) were categorized into the NKM group. The prevalence of peri-implantitis was 12.5% and 8.3% at the subject level and implant level, respectively. The NKM group was associated with more plaque accumulation, mucosal recession, interproximal bone level ≥ 3 mm, and peri-implantitis ( p < 0.05). After controlling for confounding factors, the NKM group demonstrated higher plaque accumulation, mucosal recession, and interproximal bone level ≥ 3 mm with adjusted odds ratios of 2.98 (1.33–6.66), 3.20 (95% CI, 1.03–9.90), and 4.62 (1.70–12.58), respectively. Conclusion Within the limitation of this study, the lack of keratinized mucosa around the dental implants was significantly associated with more plaque accumulation, mucosal recession, interproximal bone level ≥ 3 mm, and peri-implantitis.

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“…[21][22][23] The risk for peri-implant bone destruction is increased by the opportunistic infection of adjacent teeth. 24,25 Recent studies demonstrated that higher implant failure is associated with the severity of periodontal disease. 25,26 Thus, a Ti implant surface with resistance to periimplant infection would increase long-term implant survival by decreasing inflammatory bone tissue destruction.…”

Section: Introductionmentioning

confidence: 99%

“…24,25 Recent studies demonstrated that higher implant failure is associated with the severity of periodontal disease. 25,26 Thus, a Ti implant surface with resistance to periimplant infection would increase long-term implant survival by decreasing inflammatory bone tissue destruction. This study aimed to investigate whether surface Sr modification also induces favorable osteoblast functions of MSCs under a P. gingivalis LPSstimulated inflammatory condition in a clinical Ti oral implant surface.…”

Section: Introductionmentioning

confidence: 99%

Positive regulation of Porphyromonas gingivalis lipopolysaccharide-stimulated osteoblast functions by strontium modification of an SLA titanium implant surface

Park

2019

J Biomater Appl

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This study aimed to investigate whether strontium (Sr) ion delivery to the surface of microstructured titanium (Ti) oral implants drives favorable osteoblast functions of mesenchymal stem cells (MSCs) under a Porphyromonas gingivalis lipopolysaccharide (LPS)-stimulated inflammatory condition. The goal is to gain insight for future surface engineering of Ti implants with increased resistance to peri-implantitis and better bone recovery capacity from peri-implant bone destruction. The Sr ions were introduced into a clinically available sandblasted/acid-etched (SLA) Ti implant surface by wet chemical treatment. The results showed that Sr ion incorporation enhances the osteogenesis-related cell functions of bipotent ST2 stem cells in the microstructured SLA type implant surface. Early spreading and osteogenic differentiation (osteogenesis-related mRNA expression, ALP activity and osteocalcin protein secretion) were notably increased in Sr-incorporated SLA implant surface under 1 mg of P. gingivalis LPS stimulation. In addition, Sr ion modification increased early osteogenic differentiation (ALP mRNA expression and ALP activity) of ST2 cells, again under the more severe inflammatory condition induced by a high dose of LPS (10 mg/mL). These results indicate that surface chemistry modification using Sr ions provides microstructured Ti oral implants with greater resistance to the development and progression of inflammatory bone tissue destruction, and increased bone recovery capacity in the bacterial LPScontaminated Ti oral implant surface by enhancing the early osteogenic differentiation of MSCs.

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The effect of factors related to periodontal status toward peri‐implantitis

Cited by 27 publications

References 27 publications

Analysis of risk indicators for prevalence of peri-implant diseases in Turkish population

Analysis of risk indicators for prevalence of peri-implant diseases in Turkish population

The lack of keratinized mucosa is associated with poor peri-implant tissue health: a cross-sectional study

Positive regulation of Porphyromonas gingivalis lipopolysaccharide-stimulated osteoblast functions by strontium modification of an SLA titanium implant surface

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