J Multidiscip Healthc. 2021 May 25;14:1183-1191. doi: 10.2147/JMDH.S312926. eCollection 2021.
Analysis of Prosthetic Factors Affecting Peri-Implant Health: An in vivo Retrospective Study.
Journal of multidisciplinary healthcare
Reham N AlJasser, Mohammed A AlSarhan, Dalal H Alotaibi, Saleh AlOraini, Abdul Sadekh Ansari, Syed Rashid Habib, Muhammad Sohail Zafar
Affiliations
Affiliations
- Department of Periodontics and Community Dentistry, College of Dentistry, King Saud University, Riyadh, Saudi Arabia.
- Dental University Hospital, King Saud University Medical City, Riyadh, Saudi Arabia.
- Department of Prosthetic Dental Sciences, College of Dentistry, King Saud University, Riyadh, Saudi Arabia.
- Department of Restorative Dentistry, College of Dentistry, Taibah University, Al Madinah, Al Munawwarah, 41311, Saudi Arabia.
- Department of Dental Materials, Islamic International Dental College, Riphah International University, Islamabad, 44000, Pakistan.
PMID: 34079276
PMCID: PMC8164962 DOI: 10.2147/JMDH.S312926
Abstract
OBJECTIVE: To investigate and compare the various restorative and prosthetic parameters affecting peri-implant tissues' health following dental implant placement and functional loading.
METHODS: A total of 484 dental implants (length>6mm, non-turned, 2-3 piece, titanium - Straumann) were evaluated for patients (male=271; female=213). Study variables such as patient's age, gender, implant restoration/crown type, crown retention, and implant crown status were assessed against various periodontal parameters (periodontal pocket depth (PPD), plaque index (PI), bleeding on probing (BOP), gingival color, and crestal bone level). All the data were analyzed using the SPSS software.
RESULTS: Out of all the investigated dental implants, 201 (42%) of the implants investigated presented with BOP > one-site of the peri-implant mucosa (peri-implant mucositis), 115 (23.76%) presented with peri-implant marginal bone loss. PPD value was significantly lower in good crown status (p<0.0001). Majority of the patients with good crown status had no plaque accumulation based on the PI scores (52.7%). Only 35% of the patients whose crown status was good were having BOP when compared with 65% who did not have any BOP recorded. Gingival color (pale pink and red) showed statistically significant association with crown type (porcelain fused to metal v/s all ceramic) (p=0.005). Most of patients with crown status good had no change in their radiographic findings (94%) compared to only 6% who had implant threads exposed (p<0.0001).
CONCLUSION: Optimal design of Implant prosthetic factors are vital for avoiding the development of peri-implant mucositis/peri-implantitis and must be considered during treatment planning while restoring dental implants.
© 2021 AlJasser et al.
Keywords: dental implants; implant health; implant mucositis; implant prosthesis; implants; peri-implantitis
Conflict of interest statement
The authors report no conflicts of interest in this work.
References
- Clin Implant Dent Relat Res. 2012 Dec;14(6):839-51 - PubMed
- J Periodontol. 1992 Nov;63(11):859-70 - PubMed
- Clin Oral Implants Res. 2016 Jun;27(6):650-5 - PubMed
- J Clin Med. 2019 Feb 25;8(2): - PubMed
- J Periodontol. 2009 Sep;80(9):1388-92 - PubMed
- Int J Oral Maxillofac Surg. 2015 Mar;44(3):377-88 - PubMed
- J Periodontol. 2013 Dec;84(12):1755-67 - PubMed
- Clin Oral Implants Res. 2012 Oct;23 Suppl 6:136-46 - PubMed
- Clin Oral Implants Res. 2017 Feb;28(2):214-218 - PubMed
- Clin Oral Implants Res. 2015 Oct;26(10):1121-8 - PubMed
- J Prosthet Dent. 2015 Sep;114(3):346-50 - PubMed
- Clin Oral Implants Res. 2012 Aug;23(8):925-9 - PubMed
- Clin Oral Implants Res. 2017 Feb;28(2):144-150 - PubMed
- Int J Dent Hyg. 2008 May;6(2):137-42 - PubMed
- J Clin Periodontol. 1990 Nov;17(10):714-21 - PubMed
- Clin Oral Implants Res. 2009 Oct;20(10):1170-7 - PubMed
- Dent Traumatol. 2017 Apr;33(2):77-83 - PubMed
- J Clin Periodontol. 2018 Jun;45 Suppl 20:S246-S266 - PubMed
- Eur J Oral Implantol. 2015 Spring;8(1):75-88 - PubMed
- Oral Microbiol Immunol. 1987 Dec;2(4):145-51 - PubMed
- Clin Oral Implants Res. 2006 Aug;17(4):375-9 - PubMed
- J Biomed Mater Res B Appl Biomater. 2014 Apr;102(3):643-50 - PubMed
- J Oral Implantol. 2016 Dec;42(6):512-516 - PubMed
- Clin Oral Implants Res. 2014 Sep;25(9):1065-71 - PubMed
- J Periodontol. 2018 Jun;89 Suppl 1:S313-S318 - PubMed
- J Clin Periodontol. 2008 Sep;35(8 Suppl):282-5 - PubMed
- Br Dent J. 2017 Sep 8;223(5):325-332 - PubMed
- J Clin Periodontol. 2018 Feb;45(2):225-232 - PubMed
- Int J Oral Maxillofac Implants. 2013 Nov-Dec;28(6):1536-45 - PubMed
- J Dent Res. 2014 Jan;93(1):19-26 - PubMed
- J Clin Periodontol. 2012 May;39(5):490-4 - PubMed
- J Investig Clin Dent. 2012 Nov;3(4):258-61 - PubMed
- Clin Oral Implants Res. 2009 Jan;20(1):75-8 - PubMed
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