Department of Periodontology, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand.
Clin Oral Implants Res. 2019 Aug;30(8):791-799. doi: 10.1111/clr.13461. Epub 2019 Jun 12.
To investigate the association between periodontal status and peri-implant diseases in patients with osseointegrated dental implants of different implant systems.
This cross-sectional study evaluated 200 consecutive implant patients using clinical and radiographic examinations during periodontal maintenance visits. The demographic data and treatment history were obtained from history taking and chart record review. The association between periodontal status and peri-implant diseases was analyzed using chi-square and logistic regression analysis.
Patients with a history of chronic periodontitis had a significantly higher prevalence of peri-implantitis compared with those without a history of periodontal disease (25% vs. 10.9%). The highest prevalence of peri-implantitis was observed in patients with a history of severe chronic periodontitis. Data analysis revealed that peri-implant health status was significantly associated with past periodontal status, maintenance status, and present periodontal status. However, multivariate analysis indicated that only a history of chronic periodontitis was significantly associated with peri-implantitis (adjusted OR = 2.55, 95% CI 1.14-5.70, p = 0.02).
Patients with a history of chronic periodontitis, especially those with severe periodontal disease had a 2.5-fold increased risk of peri-implantitis.
研究不同种植系统的骨整合种植体患者的牙周状况与种植体周围疾病之间的关系。
本横断面研究在牙周维护就诊期间通过临床和影像学检查评估了 200 名连续种植体患者。通过病史询问和图表记录回顾获得人口统计学数据和治疗史。使用卡方检验和逻辑回归分析分析牙周状况与种植体周围疾病之间的关系。
患有慢性牙周炎病史的患者发生种植体周围炎的患病率明显高于无牙周疾病病史的患者（25%比 10.9%）。在有严重慢性牙周炎病史的患者中，种植体周围炎的患病率最高。数据分析显示，种植体周围健康状况与既往牙周状况、维护状况和当前牙周状况显著相关。然而，多变量分析表明，只有慢性牙周炎病史与种植体周围炎显著相关（调整后的 OR=2.55，95%CI 1.14-5.70，p=0.02）。
有慢性牙周炎病史的患者，尤其是患有严重牙周疾病的患者，发生种植体周围炎的风险增加了 2.5 倍。
