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. 2019 Oct-Dec;19(4):283-289.
doi: 10.4103/jips.jips_197_19. Epub 2019 Oct 10.

Evaluation of peri-implant condition in periodontally compromised patients

Guilherme Da Rocha Scalzer Lopes  1 , Alfredo Carlos Rodrigues Feitosa  2 , Fabrícia Ferreira Suaid  2 , Jefferson David Melo De Matos  1 , John Eversong Lucena De Vasconcelos  3 , Sergio Lins De Azevedo Vaz  4 , Valdir Cabral Andrade  5 , Renato Sussumu Nishioka  1 , Selva Maria Gonçalves Guerra  4
Affiliations

Evaluation of peri-implant condition in periodontally compromised patients

Guilherme Da Rocha Scalzer Lopes et al. J Indian Prosthodont Soc. 2019 Oct-Dec.

Abstract

Aims: The aim of the study is to evaluate the profile of peri-implant tissues in periodontally compromised patients.

Settings and design: In vivo - cross sectional study design.

Materials and methods: Fifty-eight implants were evaluated, clinically and radiographically, installed in seven individuals treated by the same team of professionals, during the years 1997 and 2005 in a private dental clinic in Vitória, ES, Brazil; that time of data collection, all implants were at least 10 years of functional loading. The variables related to the dental implants evaluated were: visible Plaque Index, Gingival Bleeding Index (GBI), probing pocket depth, bleeding on probing, and bone level, to relate them to the classification of dental implants.

Statistical analysis used: The Chi-square and Kruskal-Wallis test were adopted.

Results: The total of 58 implants were classified: 11 (18.9%) as healthy and 12 (20.7%) as clinically stable. The other 35 implants (60.4%) had some type of peri-implant inflammation, 20 of them (34.5%) were diagnosed with peri-implant mucositis and 15 (25.9%) with peri-implantitis. Among the variables studied, the results showed statistically significant differences for implant location (P = 0.001) and GBI (P = 0.03). Most of the maxillary implants (85.7%) were classified for some type of peri-implant disease. For the implants which resulted in Score 1 for GBI, most of them (75.0%) were also classified for some type of peri-implant disease.

Conclusions: Dental implants placed in periodontally compromised patients may have high long-term survival rates. However, most implants were classified with some type of peri-implant inflammation.

Keywords: Implants; mucositis; peri-implantitis; periodontal diseases; risk factors.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Peri-implant probing pocket depth, measured in millimeter, at the follow-up
Figure 2
Figure 2
Digital intraoral periapical radiographic showing an implant with apical bone level to the second thread of the implant at the follow-up (red arrows point to the second thread)
See this image and copyright information in PMC

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