Papalou Ioanna, Vagia Panagiota, Cakir Ahmet, Tenenbaum Henri, Huck Olivier, Davideau Jean-Luc
Department of Periodontology, Dental Faculty, University of Strasbourg, 8 Rue Sainte-Elisabeth, Strasbourg 67000, France.
Pôle de Médecine et Chirurgie Bucco-Dentaires, Hôpitaux Universitaires de Strasbourg, Strasbourg 67000, France.
Int J Dent. 2022 Feb 7;2022:9984871. doi: 10.1155/2022/9984871. eCollection 2022.
The association between peri-implant diseases and the periodontal, implant, and prosthesis characteristics has been characterized in various ways.
The aim of this study was to evaluate the link between the peri-implant and periodontal status and the influence of implant and prosthesis parameters during implant follow-up.
One hundred and seven patients with a total of 310 implants that had at least one year of function who were attending periodontal and implant maintenance at a university clinic setting were included in this cross-sectional study. The demographic, periodontal, peri-implant tissue, implant, and prosthesis parameters were recorded. A pocket depth > 4 mm with bleeding on probing defined periodontal/peri-implant soft tissue diseased sites. Analyses were performed at the patient and implant levels using univariable and multivariable mixed regression analysis.
The mean implant follow-up was 7.22 years. At the patient level, the bleeding on probing and pocket depth measurements were more pronounced around the implant than around the teeth. The opposite was observed for plaque and the clinical attachment levels. At the implant level, multivariable analysis showed that the periodontal and corresponding peri-implant tissue parameters, such as diseased sites, were closely related. The implant location, bone level, and number were selectively associated with the implant bone level, while cemented retention and emergence restoration profile influenced the implant pocket depth.
The present study suggested that clinical peri-implant and periodontal soft tissue statuses were different, which could be a consequence of the initial implant and prosthesis healing process. However, during implant follow-up, the peri-implant parameters were predominantly associated with their corresponding periodontal parameters regardless of an association with the implant and prosthesis characteristics. This trial is registered with ClinicalTrials.gov ID: NCT03841656.
种植体周围疾病与牙周、种植体及修复体特征之间的关联已通过多种方式进行了描述。
本研究的目的是评估种植体周围与牙周状况之间的联系，以及种植体和修复体参数在种植体随访期间的影响。
本横断面研究纳入了107例患者，共310颗已行使功能至少1年的种植体，这些患者在大学诊所接受牙周和种植体维护治疗。记录了人口统计学、牙周、种植体周围组织、种植体和修复体参数。探诊深度>4 mm且探诊出血定义为牙周/种植体周围软组织病变部位。使用单变量和多变量混合回归分析在患者和种植体水平上进行分析。
种植体的平均随访时间为7.22年。在患者水平上，种植体周围的探诊出血和探诊深度测量比牙齿周围更明显。对于菌斑和临床附着水平则观察到相反的情况。在种植体水平上，多变量分析表明牙周和相应的种植体周围组织参数，如病变部位，密切相关。种植体位置、骨水平和数量与种植体骨水平有选择性关联，而粘结固位和边缘修复外形影响种植体探诊深度。
本研究表明临床种植体周围和牙周软组织状况不同，这可能是种植体和修复体初始愈合过程的结果。然而，在种植体随访期间，种植体周围参数主要与其相应的牙周参数相关，而与种植体和修复体特征无关。本试验已在ClinicalTrials.gov注册，注册号：NCT03841656。
