Máximo Maria Beatriz, de Mendonça Adriana Cutrim, Alves Jussara Fernades, Cortelli Sheila Cavalca, Peruzzo Daiane Cristina, Duarte Poliana Mendes
Department of Periodontics, Dental Research Division, Guarulhos University, Guarulhos, São Paulo, Brazil.
J Oral Implantol. 2008;34(5):268-73. doi: 10.1563/1548-1336(2008)34[269:PDMBAW]2.0.CO;2.
The aim of this study was to evaluate the prevalence of peri-implant diseases around Branemark system implants in Brazilians and the possible relationship with periodontal bone loss, systemic condition, and demographic profile. A total of 113 individuals were enrolled in this study, and they received 347 implants. The implants were clinically and radiographically examined and diagnosed as healthy implants, mucositis, or peri-implantitis. The demographic and systemic profiles of the individuals were assessed via questionnaires, and the time of loading was obtained from files. The presence of periodontal bone loss in partially edentulous patients was determined by standardized radiographic evaluation. With regard to implants, the prevalence was 60.5% (n = 210), 32% (n = 111), and 7.5% (n = 26) for healthy tissues, mucositis, and peri-implantitis, respectively. No correlation was found between peri-implant tissue conditions and socioeconomic status, body mass index, smoking status, gender, age, diabetes mellitus, osteopenia, and osteoporosis. Statistically significant positive correlations were found in implants with mucositis and peri-implantitis in relation to time of loading and with peri-implantitis in relation to periodontal bone loss in the 4 quadrants (P < .05). Presence of peri-implant diseases may be associated with the increasing time of loading and generalized periodontal bone loss.
本研究的目的是评估巴西人群中Branemark系统种植体周围种植体周围疾病的患病率，以及其与牙周骨丧失、全身状况和人口统计学特征之间的可能关系。共有113名个体纳入本研究，他们共植入了347颗种植体。对种植体进行了临床和影像学检查，并诊断为健康种植体、黏膜炎或种植体周围炎。通过问卷调查评估个体的人口统计学和全身状况，并从档案中获取加载时间。通过标准化的影像学评估确定部分牙列缺损患者牙周骨丧失的情况。关于种植体，健康组织、黏膜炎和种植体周围炎的患病率分别为60.5%（n = 210）、32%（n = 111）和7.5%（n = 26）。未发现种植体周围组织状况与社会经济地位、体重指数、吸烟状况、性别、年龄、糖尿病、骨质减少和骨质疏松之间存在相关性。在黏膜炎和种植体周围炎的种植体中，发现加载时间与之存在统计学上显著的正相关，在4个象限中，种植体周围炎与牙周骨丧失存在统计学上显著的正相关（P <.05）。种植体周围疾病的存在可能与加载时间的延长和广泛性牙周骨丧失有关。
