Department of Periodontology, Universitat Internacional de Catalunya, Barcelona, Spain.
Faculty of Dentistry, Universitat Internacional de Catalunya, Barcelona, Spain.
J Periodontol. 2021 Sep;92(9):1306-1316. doi: 10.1002/JPER.20-0879. Epub 2021 Mar 10.
A study was made of the prevalence, co-occurrence and association among caries, nutritional habits, and peri-implant disease, with an analysis of the influence of other patient and implant factors upon peri-implant disease.
The included subjects underwent a clinical examination and were asked to complete a questionnaire. Demographic data and potential lifestyle/behavioral variables were collected. Clinical and radiographic assessment allowed calculation of the decayed, missing and filled teeth (DMFT) index and peri-implant diagnosis. Uni- and multivariate multinomial logistic regression analyses were applied to identify predictors of peri-implant disease.
A total of 169 patients with 311 implants were studied. At patient level, 92.2% of the subjects presented at least one carious lesion, whereas 22.5% and 56.2% were diagnosed with peri-implantitis and mucositis, respectively. Those patients with more than two caries had a higher risk of mucositis (OR = 3.33). Statistically significant associations for peri-implantitis included full mouth periodontal indexes, sugar-rich diets, keratinized mucosa width, number of missing teeth and interproximal untreated caries or fillings adjacent to implants.
High caries risk profiles and mucositis/peri-implantitis tended to accumulate within subjects. A sugar-enriched diet and untreated caries or fillings adjacent to implant sites may be further considered as risk indicators of peri-implantitis.
本研究旨在调查龋病、营养习惯和种植体周围疾病的流行情况、共现情况和相关性，并分析其他患者和种植体因素对种植体周围疾病的影响。
纳入的研究对象接受了临床检查，并完成了问卷调查。收集了人口统计学数据和潜在的生活方式/行为变量。临床和影像学评估允许计算龋齿、缺失和补牙（DMFT）指数和种植体周围的诊断。应用单变量和多变量多项逻辑回归分析来确定种植体周围疾病的预测因素。
共纳入 169 名患者（311 个种植体）进行研究。在患者层面，92.2%的受试者至少有一个龋齿病变，而 22.5%和 56.2%分别被诊断为种植体周围炎和黏膜炎。患有两个以上龋齿的患者发生黏膜炎的风险更高（OR=3.33）。种植体周围炎的统计学显著关联因素包括全口牙周指数、富含糖的饮食、角化黏膜宽度、缺牙数和种植体相邻的未治疗邻面龋或补牙。
高龋病风险的患者易同时患有黏膜炎/种植体周围炎。富含糖的饮食和种植体周围相邻未治疗的龋齿或补牙可能被进一步视为种植体周围炎的风险指标。
