Journal of Periodontal and Implant Science

Korean Academy of Periodontology (대한치주과학회)
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Prevalence and risk indicators of peri-implantitis in Korean patients with a history of periodontal disease: a cross-sectional study

  • Goh, Mi-Seon (Department of Periodontology, Institute of Oral Bioscience, Chonbuk National University School of Dentistry) ;
  • Hong, Eun-Jin (Department of Periodontology, Institute of Oral Bioscience, Chonbuk National University School of Dentistry) ;
  • Chang, Moontaek (Department of Periodontology, Institute of Oral Bioscience, Chonbuk National University School of Dentistry)
  • Received : 2017.05.05
  • Accepted : 2017.07.24
  • Published : 2017.08.30
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Abstract

Purpose: The aim of this study was to analyze the prevalence and risk indicators of peri-implantitis in Korean patients with history of periodontal disease. Methods: A total of 444 patients with 1,485 implants were selected from patients who had been treated at the Department of Periodontology, Chonbuk National University Dental Hospital between July 2014 and June 2015. A group with a history of peri-implantitis (HP) (370 patients with 1,189 implants) and a group with a current peri-implantitis (CP) (318 patients with 1,004 implants) were created based on the radiographic and clinical assessments of implants. The prevalence of peri-implantitis was calculated at both the patient and implant levels. The influence of risk variables on the occurrence of peri-implantitis was analyzed using generalized estimating equations analysis. Results: The prevalence of peri-implantitis in the HP and CP groups ranged from 6.7% to 19.7%. The cumulative peri-implantitis rate in the HP group estimated with the Kaplan-Meier method was higher than that in the CP group over the follow-up period. Among the patient-related risk variables, supportive periodontal therapy (SPT) was the only significant risk indicator for the occurrence of peri-implantitis in both groups. In the analysis of implant-related variables, implants supporting fixed dental prosthesis (FDP) and implants with subjective discomfort was associated with a higher prevalence of peri-implantitis than single implants and implants without subjective discomfort in the HP group. The presence of subjective discomfort was the only significant implant-related variable predictive of peri-implantitis in the CP group. Conclusions: Within the limitations of this study, the prevalence of peri-implantitis in Korean patients with a history of periodontal disease was similar to that reported in other population samples. Regular SPT was important for preventing peri-implantitis. Single implants were found to be less susceptible to peri-implantitis than those supporting FDP. Patients' subjective discomfort was found to be a strong risk indicator for peri-implantitis.

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References

  1. Muddugangadhar BC, Amarnath GS, Sonika R, Chheda PS, Garg A. Meta-analysis of failure and survival rate of implant-supported single crowns, fixed partial denture, and implant tooth-supported prostheses. J Int Oral Health 2015;7:11-7.
  2. Jung RE, Zembic A, Pjetursson BE, Zwahlen M, Thoma DS. Systematic review of the survival rate and the incidence of biological, technical, and aesthetic complications of single crowns on implants reported in longitudinal studies with a mean follow-up of 5 years. Clin Oral Implants Res 2012;23 Suppl 6:2-21. https://doi.org/10.1111/j.1600-0501.2012.02547.x
  3. Pjetursson BE, Thoma D, Jung R, Zwahlen M, Zembic A. A systematic review of the survival and complication rates of implant-supported fixed dental prostheses (FDPs) after a mean observation period of at least 5 years. Clin Oral Implants Res 2012;23 Suppl 6:22-38.
  4. Albrektsson T, Isidor F. Consensus report of session IV. In: Lang NP, Karring T, editors. Proceedings of the 1st European Workshop on Periodontology. Chicago: Quintessence; 1994. p.365.
  5. Lindhe J, Meyle JGroup D of European Workshop on Periodontology. Peri-implant diseases: consensus report of the sixth European Workshop on Periodontology. J Clin Periodontol 2008;35:282-5. https://doi.org/10.1111/j.1600-051X.2008.01283.x
  6. Larsson L, Decker AM, Nibali L, Pilipchuk SP, Berglundh T, Giannobile WV. Regenerative medicine for periodontal and peri-implant diseases. J Dent Res 2016;95:255-66. https://doi.org/10.1177/0022034515618887
  7. Fu JH, Wang HL. Can periimplantitis be treated? Dent Clin North Am 2015;59:951-80. https://doi.org/10.1016/j.cden.2015.06.004
  8. Derks J, Schaller D, Hakansson J, Wennstrom JL, Tomasi C, Berglundh T. Peri-implantitis - onset and pattern of progression. J Clin Periodontol 2016;43:383-8. https://doi.org/10.1111/jcpe.12535
  9. Albrektsson T, Canullo L, Cochran D, De Bruyn H. "Peri-implantitis": a complication of a foreign body or a man-made "Disease". Facts and fiction. Clin Implant Dent Relat Res 2016;18:840-9. https://doi.org/10.1111/cid.12427
  10. Derks J, Tomasi C. Peri-implant health and disease. A systematic review of current epidemiology. J Clin Periodontol 2015;42 Suppl 16:S158-71. https://doi.org/10.1111/jcpe.12334
  11. Salvi GE, Cosgarea R, Sculean A. Prevalence and mechanisms of peri-implant diseases. J Dent Res 2017;96:31-7. https://doi.org/10.1177/0022034516667484
  12. Eke PI, Dye BA, Wei L, Slade GD, Thornton-Evans GO, Borgnakke WS, et al. Update on prevalence of periodontitis in adults in the United States: NHANES 2009 to 2012. J Periodontol 2015;86:611-22. https://doi.org/10.1902/jop.2015.140520
  13. Heitz-Mayfield LJ. Peri-implant diseases: diagnosis and risk indicators. J Clin Periodontol 2008;35:292-304. https://doi.org/10.1111/j.1600-051X.2008.01275.x
  14. Monje A, Galindo-Moreno P, Tozum TF, Suarez-Lopez del Amo F, Wang HL. Into the paradigm of local factors as contributors for peri-implant disease: short communication. Int J Oral Maxillofac Implants 2016;31:288-92.
  15. Heitz-Mayfield LJ, Huynh-Ba G. History of treated periodontitis and smoking as risks for implant therapy. Int J Oral Maxillofac Implants 2009;24 Suppl:39-68.
  16. Sgolastra F, Petrucci A, Severino M, Gatto R, Monaco A. Periodontitis, implant loss and peri-implantitis. A meta-analysis. Clin Oral Implants Res 2015;26:e8-16.
  17. Monje A, Aranda L, Diaz KT, Alarcon MA, Bagramian RA, Wang HL, et al. Impact of maintenance therapy for the prevention of peri-implant diseases: a systematic review and meta-analysis. J Dent Res 2016;95:372-9. https://doi.org/10.1177/0022034515622432
  18. Begg MD. Analysis of correlated responses. In: Lesaffre E, Feine J, Leroux B, Declerck D, editors. Statistical and methodological aspects of oral health research. Chichester: John Wiley & Sons; 2009. p.221-40.
  19. Albrektsson T, Chrcanovic B, Ostman PO, Sennerby L. Initial and long-term crestal bone responses to modern dental implants. Periodontol 2000 2017;73:41-50. https://doi.org/10.1111/prd.12176
  20. Roccuzzo M, De Angelis N, Bonino L, Aglietta M. Ten-year results of a three-arm prospective cohort study on implants in periodontally compromised patients. Part 1: implant loss and radiographic bone loss. Clin Oral Implants Res 2010;21:490-6. https://doi.org/10.1111/j.1600-0501.2009.01886.x
  21. Chang M, Wennstrom JL. Bone alterations at implant-supported FDPs in relation to inter-unit distances: a 5-year radiographic study. Clin Oral Implants Res 2010;21:735-40. https://doi.org/10.1111/j.1600-0501.2009.01893.x
  22. Balshi TJ, Hernandez RE, Pryszlak MC, Rangert B. A comparative study of one implant versus two replacing a single molar. Int J Oral Maxillofac Implants 1996;11:372-8.
  23. Jeong JS, Chang M. Food impaction and periodontal/peri-implant tissue conditions in relation to the embrasure dimensions between implant-supported fixed dental prostheses and adjacent teeth: a cross-sectional study. J Periodontol 2015;86:1314-20. https://doi.org/10.1902/jop.2015.150322
  24. Ebell MH, Siwek J, Weiss BD, Woolf SH, Susman JL, Ewigman B, et al. Simplifying the language of evidence to improve patient care: strength of recommendation taxonomy (SORT): a patient-centered approach to grading evidence in medical literature. J Fam Pract 2004;53:111-20.
  25. Blicher B, Joshipura K, Eke P. Validation of self-reported periodontal disease: a systematic review. J Dent Res 2005;84:881-90. https://doi.org/10.1177/154405910508401003
  26. Eke PI, Dye BA, Wei L, Slade GD, Thornton-Evans GO, Beck JD, et al. Self-reported measures for surveillance of periodontitis. J Dent Res 2013;92:1041-7. https://doi.org/10.1177/0022034513505621
  27. Coli P, Christiaens V, Sennerby L, Bruyn H. Reliability of periodontal diagnostic tools for monitoring peri-implant health and disease. Periodontol 2000 2017;73:203-17. https://doi.org/10.1111/prd.12162
  28. Koldsland OC, Scheie AA, Aass AM. Prevalence of peri-implantitis related to severity of the disease with different degrees of bone loss. J Periodontol 2010;81:231-8. https://doi.org/10.1902/jop.2009.090269
  29. Zetterqvist L, Feldman S, Rotter B, Vincenzi G, Wennstrom JL, Chierico A, et al. A prospective, multicenter, randomized-controlled 5-year study of hybrid and fully etched implants for the incidence of peri-implantitis. J Periodontol 2010;81:493-501. https://doi.org/10.1902/jop.2009.090492
  30. Sanz M, Chapple ILWorking Group 4 of the VIII European Workshop on Periodontology. Clinical research on peri-implant diseases: consensus report of Working Group 4. J Clin Periodontol 2012;39 Suppl 12:202-6. https://doi.org/10.1111/j.1600-051X.2011.01837.x

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