Hoerler Sarah B, Mueller Erin B, Murray Whitnee R, Zhou Miao Xian
Department of Dental Specialties, Division of Periodontics, Mayo Clinic in Rochester, Rochester, Minnesota, USA.
Int J Dent Hyg. 2025 May;23(2):415-421. doi: 10.1111/idh.12860. Epub 2024 Oct 24.
Bacterial biofilm control around dental implants is critical for the health of the peri-implant soft tissue and longevity of dental implants. The patient's role in regular biofilm removal around dental implants is just as important as that of the dental hygienist. The purpose of this study is to identify the relationship between at-home dental implant care and patients' perceptions of peri-implant soft tissue health.
A 15-item paper survey was distributed to adult patients undergoing professional dental hygiene maintenance at a specialty dental practice within a 3-month period and had at least one dental implant. Survey items included participant demographics, patient-reported adjunctive aids for dental implants and patient perceptions of dental implant oral hygiene practices and peri-implant soft tissue health.
There was a statistical difference between time spent cleaning dental implants and peri-implant soft tissue health. An association was found between patients who reported spending more time cleaning their dental implants and less bleeding (p = 0.046/54%), gingival inflammation (p = 0.026/58%) and gingival tissue redness (p = 0.036/53%). Additionally, patients who more frequently underwent professional dental hygiene maintenance perceived less gingival inflammation (p = 0.001/66%).
To promote peri-implant soft tissue health and reduce oral biological complications, best practice guidelines should be implemented, including optimal at-home dental implant care and regular professional dental hygiene maintenance.
控制牙种植体周围的细菌生物膜对于种植体周围软组织的健康以及牙种植体的使用寿命至关重要。患者在定期清除牙种植体周围生物膜方面所起的作用与口腔保健员同样重要。本研究的目的是确定家庭牙种植体护理与患者对种植体周围软组织健康的认知之间的关系。
在3个月内,向一家专科牙科诊所接受专业口腔卫生维护且至少有一颗牙种植体的成年患者发放了一份包含15个条目的纸质调查问卷。调查项目包括参与者的人口统计学信息、患者报告的牙种植体辅助工具以及患者对牙种植体口腔卫生习惯和种植体周围软组织健康的认知。
清洁牙种植体所花费的时间与种植体周围软组织健康之间存在统计学差异。研究发现,报告花费更多时间清洁牙种植体的患者出现较少出血(p = 0.046/54%)、牙龈炎症(p = 0.026/58%)和牙龈组织发红(p = 0.036/53%)。此外,更频繁接受专业口腔卫生维护的患者牙龈炎症较轻(p = 0.001/66%)。
为促进种植体周围软组织健康并减少口腔生物并发症,应实施最佳实践指南,包括最佳的家庭牙种植体护理和定期的专业口腔卫生维护。