Display options
Share it on

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

  1. Department of Periodontics and Community Dentistry, College of Dentistry, King Saud University, Riyadh, Saudi Arabia.
  2. Dental University Hospital, King Saud University Medical City, Riyadh, Saudi Arabia.
  3. Department of Prosthetic Dental Sciences, College of Dentistry, King Saud University, Riyadh, Saudi Arabia.
  4. Department of Restorative Dentistry, College of Dentistry, Taibah University, Al Madinah, Al Munawwarah, 41311, Saudi Arabia.
  5. 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

  1. Clin Implant Dent Relat Res. 2012 Dec;14(6):839-51 - PubMed
  2. J Periodontol. 1992 Nov;63(11):859-70 - PubMed
  3. Clin Oral Implants Res. 2016 Jun;27(6):650-5 - PubMed
  4. J Clin Med. 2019 Feb 25;8(2): - PubMed
  5. J Periodontol. 2009 Sep;80(9):1388-92 - PubMed
  6. Int J Oral Maxillofac Surg. 2015 Mar;44(3):377-88 - PubMed
  7. J Periodontol. 2013 Dec;84(12):1755-67 - PubMed
  8. Clin Oral Implants Res. 2012 Oct;23 Suppl 6:136-46 - PubMed
  9. Clin Oral Implants Res. 2017 Feb;28(2):214-218 - PubMed
  10. Clin Oral Implants Res. 2015 Oct;26(10):1121-8 - PubMed
  11. J Prosthet Dent. 2015 Sep;114(3):346-50 - PubMed
  12. Clin Oral Implants Res. 2012 Aug;23(8):925-9 - PubMed
  13. Clin Oral Implants Res. 2017 Feb;28(2):144-150 - PubMed
  14. Int J Dent Hyg. 2008 May;6(2):137-42 - PubMed
  15. J Clin Periodontol. 1990 Nov;17(10):714-21 - PubMed
  16. Clin Oral Implants Res. 2009 Oct;20(10):1170-7 - PubMed
  17. Dent Traumatol. 2017 Apr;33(2):77-83 - PubMed
  18. J Clin Periodontol. 2018 Jun;45 Suppl 20:S246-S266 - PubMed
  19. Eur J Oral Implantol. 2015 Spring;8(1):75-88 - PubMed
  20. Oral Microbiol Immunol. 1987 Dec;2(4):145-51 - PubMed
  21. Clin Oral Implants Res. 2006 Aug;17(4):375-9 - PubMed
  22. J Biomed Mater Res B Appl Biomater. 2014 Apr;102(3):643-50 - PubMed
  23. J Oral Implantol. 2016 Dec;42(6):512-516 - PubMed
  24. Clin Oral Implants Res. 2014 Sep;25(9):1065-71 - PubMed
  25. J Periodontol. 2018 Jun;89 Suppl 1:S313-S318 - PubMed
  26. J Clin Periodontol. 2008 Sep;35(8 Suppl):282-5 - PubMed
  27. Br Dent J. 2017 Sep 8;223(5):325-332 - PubMed
  28. J Clin Periodontol. 2018 Feb;45(2):225-232 - PubMed
  29. Int J Oral Maxillofac Implants. 2013 Nov-Dec;28(6):1536-45 - PubMed
  30. J Dent Res. 2014 Jan;93(1):19-26 - PubMed
  31. J Clin Periodontol. 2012 May;39(5):490-4 - PubMed
  32. J Investig Clin Dent. 2012 Nov;3(4):258-61 - PubMed
  33. Clin Oral Implants Res. 2009 Jan;20(1):75-8 - PubMed

Publication Types