Department of Biomedical and Neuromotor Sciences, Dental School, University of Bologna, Italy.
Unit of Dentistry and Oral & Maxillofacial Surgery, Surgical, Medical and Dental Department of Morphological Sciences related to Transplant, Oncology and Regenerative Medicine, University of Modena and Reggio Emilia, Modena, Italy.
Dent Med Probl. 2021 Oct-Dec;58(4):545-554. doi: 10.17219/dmp/136359.
Peri-implant mucositis is a common inflammatory lesion of the soft tissues surrounding endosseous implants, with no loss of the supporting bone. Its prevention or early diagnosis are vital for dental implant success.The aim of this review was to investigate knowledge strengths and gaps in clinicians' perceptions of periimplant mucositis prevalence and evidence for successful treatment.A literature search for articles published until 2020, reporting on the prevalence of peri-implant mucositis and its treatment was performed in standard online databases. The inclusion criteria were as follows: studies in English; studies with an available abstract; studies on humans with at least 1 dental implant; and studies reporting on the prevalence and/or treatment of peri-implant mucositis. Sixty-five studies fulfilled the inclusion criteria. The included papers were analyzed to identify data on the prevalence and treatment of peri-implant mucositis. The prevalence statistics for peri-implant mucositis had wide ranges in both the patient-based (PB) analysis and the implant-based (IB) analysis; the possible reasons for these wide ranges are discussed. Treatment methods for peri-implant mucositis were analyzed individually and compared to the management of gingivitis.It was determined that the currently available information on the prevalence rates and the standardized therapeutic protocols for peri-implant mucositis are insufficient. Since the mean gingivitis and peri-implant mucositis prevalence rates in the PB analysis were similar, it is possible that peri-implant mucositis is underestimated due to variables related to implant rehabilitation itself.
种植体周围黏膜炎是一种常见的口腔种植体周围软组织的炎症性病变，不伴有骨丧失。预防或早期诊断对于种植体成功至关重要。本综述旨在研究临床医生对种植体周围黏膜炎的流行率及其治疗的认知中的优势和差距。在标准在线数据库中对截至 2020 年发表的报告种植体周围黏膜炎流行率及其治疗的文章进行了文献检索。纳入标准如下：发表于英文文献；提供摘要的文献；研究对象为至少植入 1 颗种植体的人类；以及报告种植体周围黏膜炎的流行率和/或治疗的文献。共有 65 项研究符合纳入标准。对纳入的文献进行分析，以确定种植体周围黏膜炎的流行率和治疗数据。在基于患者的（PB）分析和基于种植体的（IB）分析中，种植体周围黏膜炎的流行率统计数据范围很广；讨论了造成这些范围广泛的可能原因。单独分析了种植体周围黏膜炎的治疗方法，并与牙龈炎的管理进行了比较。确定目前关于种植体周围黏膜炎的流行率和标准化治疗方案的信息不足。由于 PB 分析中平均牙龈炎和种植体周围黏膜炎的流行率相似，因此由于与种植体修复本身相关的变量，种植体周围黏膜炎可能被低估。
