Section of Graduate Periodontology, Faculty of Odontology, University Complutense, Madrid, Spain.
Department of Periodontology, Universitat Internacional de Catalunya, Barcelona, Spain.
Clin Oral Implants Res. 2021 Jan;32(1):100-111. doi: 10.1111/clr.13683. Epub 2020 Dec 20.
To study the symptoms and perception reported by patients with peri-implant diseases, as well as their signs and their potential impact on the oral health quality of life.
Two hundred and forty randomly selected patients were invited to participate. As part of the history assessment, the patient OHIP-14Sp was evaluated together with, for each implant, the patient perception regarding the peri-implant health status and the history of pain, spontaneous discomfort, bleeding, suppuration, swelling, and discomfort during brushing. As part of the clinical examination, the following potential signs of peri-implant diseases were collected: probing pocket depth (PPD), mucosal dehiscence (MD), extent of BoP, presence of SoP, and visual signs of redness and swelling. Those parameters were analyzed in relation to the actual peri-implant health diagnosis.
Ninety-nine patients with a total of 458 dental implants were studied. Even in case of peri-implantitis, 88.9% of the implants were perceived by the patients as healthy. The total OHIP-14Sp sum score did not differ in relation to the peri-implant health diagnosis. Increased reports of spontaneous discomfort, bleeding, swelling, and discomfort during brushing were observed in presence of disease. However, only a minor proportion of implants with peri-implant diseases presented symptoms. PPD ≥ 6 mm was more frequent in diseased than in healthy implants (p < .01), while PPD ≥ 8 in pre-peri-implantitis/peri-implantitis than in healthy/mucositis implants (p < .01). Implants with peri-implantitis showed higher MD than implants without peri-implantitis (p < .01).
Peri-implant diseases are in most cases asymptomatic and not perceived by the patients. Despite being unable to accurately discriminate between peri-implant mucositis and peri-implantitis, PPD and MD resulted as the only two clinical signs associated with pre-peri-implantitis/peri-implantitis.
研究患有种植体周围疾病患者的症状和感知，以及他们的体征及其对口腔健康生活质量的潜在影响。
随机邀请了 240 名患者参加。作为病史评估的一部分，评估了患者的 OHIP-14Sp，以及每位患者对种植体周围健康状况以及疼痛、自发性不适、出血、化脓、肿胀和刷牙时不适的历史的感知。作为临床检查的一部分，收集了以下种植体周围疾病的潜在体征：探诊袋深度（PPD）、黏膜退缩（MD）、探诊出血（BoP）、探诊溢脓（SoP）和红肿的视觉迹象。这些参数与实际的种植体周围健康诊断相关进行了分析。
研究了 99 名患者的 458 颗种植牙。即使在种植体周围炎的情况下，88.9%的种植体仍被患者认为是健康的。OHIP-14Sp 总分与种植体周围健康诊断无关。在疾病存在的情况下，患者报告自发性不适、出血、肿胀和刷牙时不适的情况增加。然而，仅有少数患有种植体周围疾病的种植体出现症状。与健康种植体相比，患有疾病的种植体 PPD≥6mm 的比例更高（p<.01），而在 pre-peri-implantitis/peri-implantitis 种植体中 PPD≥8 的比例高于健康/黏膜炎种植体（p<.01）。患有种植体周围炎的种植体的 MD 高于没有种植体周围炎的种植体（p<.01）。
大多数情况下，种植体周围疾病是无症状的，患者无法感知。尽管无法准确区分种植体周围黏膜炎和种植体周围炎，但 PPD 和 MD 是与 pre-peri-implantitis/peri-implantitis 相关的唯一两个临床体征。
