Mazel Anthony, Belkacemi Souad, Tavitian Patrick, Stéphan Grégory, Tardivo Delphine, Catherine Jean Hugues, Aboudharam Gérard
UFR Odontologie, Aix-Marseille Université, Marseille, France.
Aix-Marseille Université UM63, Institut de Recherche pour le Développement IRD 198, Assistance Publique - Hôpitaux de Marseille (AP-HM), Microbes, Evolution, Phylogeny and Infection (MEΦI), Institut Hospitalo-Universitaire (IHU) - Méditerranée Infection, Marseille, France.
J Investig Clin Dent. 2019 May;10(2):e12398. doi: 10.1111/jicd.12398. Epub 2019 Feb 7.
The aim of the present study was to create a tool to evaluate the risk of peri-implantitis according its severity.
After ethics committee approval, 43 patients provided signed consent and were included prospectively. Forty-five observations were recorded. The following criteria were recorded: number of implant faces showing bleeding and/or suppuration, pocket depth on at least two faces of the implant, bone loss as a function of the length of the implant evaluated on X-rays, number of implant faces with bacterial plaque, the parameters required for determination of excess cement (screwed or sealed prosthesis, burying of sealed prostheses), periodontal status, glycemia, and annual consumption of tobacco. Each of these parameters was plotted on a chart using Microsoft Excel.
Seventeen of 45 (37.8%) cases were identified as having high peri-implantitis risk, two of 45 (4.4%) had low risk, and 11 of 45 (24.4%) had moderate risk; 33.3% patients did not have peri-implantitis and were considered at very low risk.
The observed results applied to the evaluation model are an effective diagnostic tool in assessing the risk of peri-implantitis. The tool takes into account parameters, which have not been taken into account until now. The information is automatically processed and allows early management of peri-implantitis.
本研究的目的是创建一种根据种植体周围炎的严重程度评估其风险的工具。
经伦理委员会批准后，43例患者签署知情同意书并被纳入前瞻性研究。记录了45次观察结果。记录了以下标准：出现出血和/或化脓的种植体面数量、种植体至少两个面上的牙周袋深度、根据X线评估的种植体长度计算的骨吸收、有细菌菌斑的种植体面数量、确定多余粘固剂所需的参数（螺丝固位或密封修复体、密封修复体的埋入情况）、牙周状况、血糖水平和年烟草消耗量。使用Microsoft Excel将这些参数中的每一个绘制在图表上。
45例中有17例（37.8%）被确定为种植体周围炎高风险，45例中有2例（4.4%）为低风险，45例中有11例（24.4%）为中度风险；33.3%的患者没有种植体周围炎，被认为风险极低。
应用于评估模型的观察结果是评估种植体周围炎风险的有效诊断工具。该工具考虑了迄今尚未考虑的参数。信息会自动处理，并有助于对种植体周围炎进行早期管理。
