Center for Dentistry and Oral Medicine (Carolinum), Dept. of Periodontology, Goethe-University Frankfurt, Theodor-Stern-Kai 7, 60596, Frankfurt am Main, Germany.
Clin Oral Investig. 2024 Nov 7;28(12):633. doi: 10.1007/s00784-024-06030-5.
Assessment of periodontal and peri-implant inflammation, evidenced by bleeding on probing (BOP), among partially dentate patients receiving supportive periodontal care (SPC).
MATERIAL & METHODS: Patient charts from the Center for Dentistry and Oral Medicine of Goethe-University Frankfurt with at least one dental implant were reviewed. Measurements included probing pocket depth (PPD), BOP, and full-mouth bleeding and plaque scores for all teeth and implants.
100 patients (median; lower/upper quartile: age 68.9; 62.6/76.5 years; 51 females, 6 smokers, 16 with anticoagulative medication, 6 localized stage III, 57 generalized stage III, 37 stage IV, 70 grade B, 30 Grade C, 22; 20/25 teeth left, 2; 1/4 implants) were examined. Peri-implant BOP (24; 11.5/41.5%) was significantly higher than BOP at teeth (14; 8/21.5%) (p < 0.001). A median of 0 (0/1) implants exhibited no BOP and 0 (0/1) only one site with BOP. Shallow pockets (PPD 1-3 mm) were significantly more frequent in teeth (93; 87/97%) than in implants (72.5; 58/94.5%; p < 0.001). Moderately deep pockets (PPD 4 and 5 mm) were less frequent in teeth compared to implants (6; 2/11%; 22; 5.5/33%; p < 0.001).
Peri-implant sites exhibit a higher prevalence of BOP compared to periodontal sites in SPC patients.
Practitioners providing supportive periodontal care to patients with dental implants should anticipate a greater prevalence of BOP around implants compared to teeth.
评估接受牙周支持治疗（SPC）的部分牙列缺损患者的牙周和种植体周围炎，表现为探诊出血（BOP）。
回顾法兰克福歌德大学牙科学与口腔医学中心的患者病历，这些患者至少有一个牙种植体。测量包括所有牙齿和种植体的探诊牙周袋深度（PPD）、BOP 以及全口出血和菌斑评分。
共检查了 100 名患者（中位数；下四分位数/上四分位数：年龄 68.9 岁；62.6/76.5 岁；51 名女性，6 名吸烟者，16 名服用抗凝药物，6 名局部 III 期，57 名广泛 III 期，37 名 IV 期，70 名 B 级，30 名 C 级，22 名；20/25 颗天然牙，2 颗；1/4 颗种植体）。种植体周围 BOP（24；11.5/41.5%）显著高于天然牙的 BOP（14；8/21.5%）（p<0.001）。中位数为 0（0/1）个种植体无 BOP，0（0/1）个种植体仅有一个位点出现 BOP。浅牙周袋（PPD 1-3mm）在天然牙中明显更为常见（93；87/97%），而在种植体中则较少（72.5；58/94.5%；p<0.001）。中度深牙周袋（PPD 4 和 5mm）在天然牙中的发生率明显低于种植体（6；2/11%；22；5.5/33%；p<0.001）。
在接受 SPC 的患者中，与牙周位点相比，种植体周围位点的 BOP 发生率更高。
为牙种植体患者提供牙周支持治疗的医生应预计，与天然牙相比，种植体周围更常见 BOP。
