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J Periodontol. 2021 Sep;92(9):1306-1316. doi: 10.1002/JPER.20-0879. Epub 2021 Mar 10.

Exploring the relationship among dental caries, nutritional habits, and peri-implantitis.

Journal of periodontology

Javi Vilarrasa, Marta Peña, Laura Gumbau, Alberto Monje, José Nart

Affiliations

  1. Department of Periodontology, Universitat Internacional de Catalunya, Barcelona, Spain.
  2. Faculty of Dentistry, Universitat Internacional de Catalunya, Barcelona, Spain.
  3. Department of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, Michigan.

PMID: 33599333 DOI: 10.1002/JPER.20-0879

Abstract

BACKGROUND: A study was made of the prevalence, co-occurrence and association among caries, nutritional habits, and peri-implant disease, with an analysis of the influence of other patient and implant factors upon peri-implant disease.

METHODS: The included subjects underwent a clinical examination and were asked to complete a questionnaire. Demographic data and potential lifestyle/behavioral variables were collected. Clinical and radiographic assessment allowed calculation of the decayed, missing and filled teeth (DMFT) index and peri-implant diagnosis. Uni- and multivariate multinomial logistic regression analyses were applied to identify predictors of peri-implant disease.

RESULTS: A total of 169 patients with 311 implants were studied. At patient level, 92.2% of the subjects presented at least one carious lesion, whereas 22.5% and 56.2% were diagnosed with peri-implantitis and mucositis, respectively. Those patients with more than two caries had a higher risk of mucositis (OR = 3.33). Statistically significant associations for peri-implantitis included full mouth periodontal indexes, sugar-rich diets, keratinized mucosa width, number of missing teeth and interproximal untreated caries or fillings adjacent to implants.

CONCLUSION: High caries risk profiles and mucositis/peri-implantitis tended to accumulate within subjects. A sugar-enriched diet and untreated caries or fillings adjacent to implant sites may be further considered as risk indicators of peri-implantitis.

© 2021 American Academy of Periodontology.

Keywords: dental caries; diet; food and nutrition; mucositis; peri-implantitis; risk factors

References

  1. Frencken JE, Sharma P, Stenhouse L, Green D, Laverty D, Dietrich T. Global epidemiology of dental caries and severe periodontitis-a comprehensive review. J Clin Periodontol. 2017;44:S94-S105. - PubMed
  2. Marcenes W, Kassebaum NJ, Bernabé E, et al. Global burden of oral conditions in 1990-2010: a systematic analysis. J Dent Res. 2013;92(7):592-597. - PubMed
  3. Eke PI, Borgnakke WS, Genco RJ. Recent epidemiologic trends in periodontitis in the USA. Periodontol 2000. 2020;82(1):257-267. - PubMed
  4. Chapple ILC, Bouchard P, Cagetti MG, et al. Interaction of lifestyle, behaviour or systemic diseases with dental caries and periodontal diseases: consensus report of group 2 of the joint EFP/ORCA workshop on the boundaries between caries and periodontal diseases. J Clin Periodontol. 2017;44:S39. - PubMed
  5. Sanz M, Beighton D, Curtis MA, et al. Role of microbial biofilms in the maintenance of oral health and in the development of dental caries and periodontal diseases. Consensus report of group 1 of the Joint EFP/ORCA workshop on the boundaries between caries and periodontal disease. J Clin Periodontol. 2017;44:S5-S11. - PubMed
  6. Fejerskov O, Nyvad B, Kidd E. Dental caries, what is it? Dental Caries: The Disease and its Clinical Management. 3rd ed. Oxford, UK: Willey Blackwell; 2015:7. - PubMed
  7. Papapanou PN, Sanz M, Buduneli N, et al. Periodontitis: consensus report of workgroup 2 of the 2017 World Workshop on the classification of periodontal and peri-implant diseases and conditions. J Periodontol. 2018;89:S173-S182. - PubMed
  8. Hujoel PP, Lingström P. Nutrition, dental caries and periodontal disease: a narrative review. J Clin Periodontol. 2017;44:S79-S84. - PubMed
  9. Mattila PT, Niskanen MC, Vehkalahti MM, Nordblad A, Knuuttila MLE. Prevalence and simultaneous occurrence of periodontitis and dental caries. J Clin Periodontol. 2010;37(11):962-967. - PubMed
  10. Nascimento GG, Baelum V, Dahlen G, Lopez R. Methodological issues in assessing the association between periodontitis and caries among adolescents. Community Dent Oral Epidemiol. 2018;46(3):303-309. - PubMed
  11. Strauss F, Espinoza I, Stähli A, Baeza M, Cortés R, Morales A. Dental caries is associated with severe periodontitis in Chilean adults: a Cross-Sectional Study. BMC Oral Health. 2019;19(1):278. - PubMed
  12. Jepsen S, Blanco J, Buchalla W, et al. Prevention and control of dental caries and periodontal diseases at individual and population level: consensus report of group 3 of joint EFP/ORCA workshop on the boundaries between caries and periodontal diseases. J Clin Periodontol. 2017;44:S85. - PubMed
  13. Emami E, de Souza RF, Kabawat M, Feine JS. The impact of edentulism on oral and general health. Int J Dent. 2013;2013:498305. - PubMed
  14. Albrektsson T, Donos N. Implant survival and complications. The Third EAO consensus conference 2012. Clin Oral Implants Res. 2012;23(Suppl.6):63-65. - PubMed
  15. Pjetursson B, Asgeirsson A, Zwahlen M, Sailer I. Improvements in implant dentistry over the last decade: comparison of survival and complication rates in older and newer publications. Int J Oral Maxillofac Implants. 2014;29(Suppl):308-334. - PubMed
  16. Jepsen S, Berglundh T, Genco R, et al. Primary prevention of peri-implantitis: managing peri-implant mucositis. J Clin Periodontol. 2015;42(S16):S152-S157. - PubMed
  17. Monje A, Insua A, Wang H-L. Understanding peri-implantitis as a plaque-associated and site-specific entity: on the local predisposing factors. J Clin Med. 2019;8(2):279. - PubMed
  18. Salvi GE, Cosgarea R, Sculean A. Prevalence and mechanisms of peri-implant diseases. J Dent Res. 2017;96(1):31-37. - PubMed
  19. Rakic M, Galindo-Moreno P, Monje A, et al. How frequent does peri-implantitis occur? A systematic review and meta-analysis. Clin Oral Investig 2018;22(4):1805-1816. - PubMed
  20. Takahashi N, Nyvad B. The role of bacteria in the caries process. J Dent Res. 2011;90(3):294-303. - PubMed
  21. von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. J Clin Epidemiol. 2008;61(4):344-349. - PubMed
  22. Martínez-González MA, García-Arellano A, Toledo E, et al. A 14-item mediterranean diet assessment tool and obesity indexes among high-risk subjects: the PREDIMED trial. Plos One. 2012;7(8):e43134. - PubMed
  23. O'Leary TJ, Drake RB, Naylor JE. The plaque control record. J Periodontol. 1972;43(1):38. - PubMed
  24. Ainamo J, Bay I. Problems and proposals for recording gingivitis and plaque. Int Dent J. 1975;25(4):229-235. - PubMed
  25. Pitts NB, Ekstrand K. International caries detection and assessment system (ICDAS) and its international caries classification and management system (ICCMS)-methods for staging of the caries process and enabling dentists to manage caries. Community Dent Oral Epidemiol. 2013;41(1):e41-e52. - PubMed
  26. Berglundh T, Armitage G, Araujo MG, et al. Peri-implant diseases and conditions: consensus report of workgroup 4 of the 2017 World Workshop on the classification of periodontal and peri-implant diseases and conditions. J Periodontol. 2018;89:S313. - PubMed
  27. Ferreira SD, Silva GLM, Cortelli JR, Costa JE, Costa FO. Prevalence and risk variables for peri-implant disease in Brazilian subjects. J Clin Periodontol. 2006;33(12):929-935. - PubMed
  28. Rodrigo D, Sanz-Sánchez I, Figuero E, et al. Prevalence and risk indicators of peri-implant diseases in Spain. J Clin Periodontol. 2018;45(12):1510-1520. - PubMed
  29. Rokn A, Aslroosta H, Akbari S, Najafi H, Zayeri F, Hashemi K. Prevalence of peri-implantitis in patients not participating in well-designed supportive periodontal treatments: a cross-sectional study. Clin Oral Implants Res. 2017;28(3):314-319. - PubMed
  30. Vignoletti F, di Domenico GL, di Martino M, Montero E, de Sanctis M. Prevalence and risk indicators of peri-implantitis in a sample of university-based dental patients in Italy: a cross-sectional study. J Clin Periodontol. 2019;46(5):597-605. - PubMed
  31. Dinu M, Pagliai G, Casini A, Sofi F. Mediterranean diet and multiple health outcomes: an umbrella review of meta-analyses of observational studies and randomised trials. Eur J Clin Nutr. 2018;72(1):30-43. - PubMed
  32. Estruch R, Martínez-González MA, et al. Effects of a Mediterranean-style diet on cardiovascular risk factors: a randomized trial. Ann Intern Med. 2006;145(1):1-11. - PubMed
  33. Laiola M, de Filippis F, Vitaglione P, Ercolini D. A Mediterranean diet intervention reduces the levels of salivary periodontopathogenic bacteria in overweight and obese subjects. Appl Environ Microbiol. 2020;86(12):e00777-e00720. - PubMed
  34. Woelber JP, Gärtner M, Breuninger L, et al. The influence of an anti-inflammatory diet on gingivitis. A randomized controlled trial. J Clin Periodontol. 2019;46(4):481-490. - PubMed
  35. Frisch E, Vach K, Ratka-Krueger P. Impact of supportive implant therapy on peri-implant diseases: a retrospective 7-year study. J Clin Periodontol 2020;47(1):101-109. - PubMed
  36. Monje A, Wang H-L, Nart J. Association of preventive maintenance therapy compliance and peri-implant diseases: a cross-Sectional Study. J Periodontol. 2017;88(10):1030-1041. - PubMed
  37. Wennström JL, Derks J. Is there a need for keratinized mucosa around implants to maintain health and tissue stability? Clin Oral Implants Res. 2012;23(Suppl.6):136-146. - PubMed
  38. Perussolo J, Souza AB, Matarazzo F, Oliveira RP, Araújo MG. Influence of the keratinized mucosa on the stability of peri-implant tissues and brushing discomfort: a 4-year follow-up study. Clin Oral Implants Res. 2018;29(12):1177-1185. - PubMed
  39. Roccuzzo M, Grasso G, Dalmasso P. Keratinized mucosa around implants in partially edentulous posterior mandible: 10-year results of a prospective comparative study. Clin Oral Implants Res. 2016;27(4):491-496. - PubMed
  40. Monje A, Blasi G. Significance of keratinized mucosa/gingiva on peri-implant and adjacent periodontal conditions in erratic maintenance compliers. J Periodontol. 2019;90(5):445-453. - PubMed
  41. Boynueǧri D, Nemli SK, Kasko YA. Significance of keratinized mucosa around dental implants: a prospective comparative study. Clin Oral Implants Res. 2013;24(8):928-933. - PubMed
  42. Grischke J, Karch A, Wenzlaff A, Foitzik MM, Stiesch M, Eberhard J. Keratinized mucosa width is associated with severity of peri-implant mucositis. A cross-sectional study. Clin Oral Implants Res. 2019;30(5):457-465. - PubMed
  43. Gurgel BC de V, Montenegro SCL, Dantas PMC, Pascoal AL de B, Lima KC, Calderon P dos S. Frequency of peri-implant diseases and associated factors. Clin Oral Implants Res. 2017;28(10):1211-1217. - PubMed
  44. Chapple ILC, Mealey BL, van Dyke TE, et al. Periodontal health and gingival diseases and conditions on an intact and a reduced periodontium: consensus report of workgroup 1 of the 2017 World Workshop on the classification of periodontal and peri-implant diseases and conditions. J Periodontol. 2018;89(Supp 1):S74. - PubMed
  45. Mizutani S, Ekuni D, Tomofuji T, et al. Relationship between xerostomia and gingival condition in young adults. J Periodontal Res. 2015;50(1):74-79. - PubMed
  46. Wiener RC, Wu B, Crout R, et al. Hyposalivation and xerostomia in dentate older adults. J Am Dent Assoc. 2010;141(3):279-284. - PubMed
  47. Byun SJ, Heo SM, Ahn SG, Chang M. Analysis of proximal contact loss between implant-supported fixed dental prostheses and adjacent teeth in relation to influential factors and effects. A cross-sectional study. Clin Oral Implants Res. 2015;26(6):709-714. - PubMed
  48. Jeong J-S, 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(12):1314-1320. - PubMed
  49. Pang NS, Suh CS, Kim KD, Park W, Jung BY. Prevalence of proximal contact loss between implant-supported fixed prostheses and adjacent natural teeth and its associated factors: a 7-year prospective study. Clin Oral Implants Res. 2017;28(12):1501-1508. - PubMed
  50. Pons R, Nart J, Valles C, Salvi GE, Monje A. Self-administered proximal implant-supported hygiene measures and the association to peri-implant conditions. Journal of Periodontology. 2020; https://doi.org/10.1002/jper.20-0193. - PubMed

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