Şahin Tuğba
Division of Periodontology, Faculty of Dentistry, Abant Izzet Baysal University, Bolu, Turkey.
PeerJ. 2024 Dec 3;12:e18663. doi: 10.7717/peerj.18663. eCollection 2024.
Peri-implant and periodontal conditions share common underlying factors, including risk factors, microbiology, immunology, and treatment approaches.
This study aims to investigate the potential co-occurrence of peri-implant and periodontal conditions.
One hundred twenty-three implants were divided into three groups: peri-implantitis (41 implants), peri-implant mucositis (41 implants), and peri-implant health (41 implants). Peri-implant and periodontal statuses were assessed using the 2017 AAP/EFP World Workshop on Classification of Periodontal and Peri-implant Diseases and Conditions. All measurements were performed by a single clinician (T.Ş.). One-way analysis of variance was used to compare the study groups according to the data. An assessment was conducted regarding the coexistence of periodontal and peri-implant conditions.
Patients with peri-implant mucositis predominantly had gingivitis, whereas those with peri-implant health exhibited periodontal health. In contrast, patients with peri-implantitis mostly had gingivitis, with a lower occurrence of periodontitis. A significant difference was observed between the peri-implant and periodontal groups ( = 0.003). Significant differences were observed between peri-implant and periodontal evaluations for plaque indices, gingival indices, probing depth, gingival recession, and clinical attachment level ( = 0.001), ( = 0.006).
The findings of this study underscore the intricate influence of implant treatment on periodontal health. This observation emphasizes the importance of elucidating the underlying factors to improve clinical management and outcomes in patients with periodontal and peri-implant diseases, highlighting the relevance and potential impact of this research in the field.
种植体周围疾病与牙周疾病有着共同的潜在因素，包括危险因素、微生物学、免疫学及治疗方法。
本研究旨在调查种植体周围疾病与牙周疾病同时发生的可能性。
123颗种植体被分为三组：种植体周炎（41颗种植体）、种植体周围黏膜炎（41颗种植体）和种植体周围健康组（41颗种植体）。采用2017年美国牙周病学会/欧洲牙周病学会世界牙周和种植体周围疾病及状况分类研讨会的标准评估种植体周围和牙周状况。所有测量均由同一名临床医生（T.Ş.）进行。根据数据，采用单因素方差分析对研究组进行比较。对牙周和种植体周围疾病的共存情况进行了评估。
种植体周围黏膜炎患者主要患有牙龈炎，而种植体周围健康者表现为牙周健康。相比之下，种植体周炎患者大多患有牙龈炎，牙周炎发生率较低。种植体周围组和牙周组之间观察到显著差异（P = 0.003）。在菌斑指数、牙龈指数、探诊深度、牙龈退缩和临床附着水平方面，种植体周围和牙周评估之间观察到显著差异（P = 0.001），（P = 0.006）。
本研究结果强调了种植治疗对牙周健康的复杂影响。这一观察结果强调了阐明潜在因素对改善牙周和种植体周围疾病患者临床管理及治疗效果的重要性，突出了本研究在该领域的相关性和潜在影响。
