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PREVALENCE OF PERI-IMPLANT DISEASE AROUND SUBCRESTAL PLACED IMPLANTS

Year 2025, Volume: 8 Issue: 1, 27 - 33, 04.03.2025
https://doi.org/10.26650/JARHS2025-1561954

Abstract

Objective: To investigate the long-term peri-implant health of subcrestal placed implants and identify the local factors influencing it.

Material and Methods: A total of 103 patients participated in this crosssectional study. Subcrestal placed implants (n=322) were followed up. Patients were assessed for peri-implant health status at routine visits and the results were recorded. Binary logistic regression analysis was used to investigate factors influencing the peri-implant health status.

Results: The peri-implant health of 103 patients was analysed. The mean function time was 14.05±5.95 years. In total, 47.5% of the patients were found to be healthy. 31% had peri-implant mucositis and 21.5% had periimplantitis. When all variables were analysed, it was found that periimplant mucositis and peri-implantitis were significantly associated with the following outcomes: additional instruments adjunct regular brushing [Odds ratio (OR):11.23]; and type of prosthesis retention [Odds ratio (OR):4.032].

Conclusion: Peri-implant mucositis and peri-implantitis occur in approximately half of subcrestal placed implants, and the use of oral hygiene instruments in addition to regular brushing and screw-retained prostheses plays an important role in implant survival.

References

  • Schwarz MS. Mechanical complications of dental implants. Clin Oral Implants Res 2000;11(1):156-8. google scholar
  • Lang NP, Wilson TG, Corbet EF. Biological complications with dental implants: their prevention, diagnosis and treatment. Clin Oral Implants Res 2000;11(1):146-55. google scholar
  • Derks J, Tomasi C. Peri-implant health and disease. A systematic review of current epidemiology. J Clin Periodontol 2015;42(16):158-71. google scholar
  • Lisa JA Heitz-Mayfield. Peri-implant mucositis and peri-implantitis: key features and differences. Br Dent J. 2024; 236(10):791-4. google scholar
  • Jordana F, Susbielles L, Colat-Parros J. Periimplantitis and implant body roughness: A systematic review of literature. Implant Dent 2018;27(6):672-81. google scholar
  • Zitzmann NU, Berglundh T, Marinello CP, Lindhe J. Experimental peri-implant mucositis in man. J Clin Periodontol 2001;28(6):517-23. google scholar
  • Salvi GE, Aglietta M, Eick S, Sculean A, Lang NP, Ramseier CA. Reversibility of experimental peri-implant mucositis compared with experimental gingivitis in humans. Clin Oral Implants Res 2012;23(2):182-90. google scholar
  • Berglundh T, Armitage G, Araujo MG, Avila-Ortiz G, Blanco J, Camargo PM, 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(1):313-8. google scholar
  • Mijiritsky E, Ferroni L, Gardin C, Peleg O, Gultekin A, Saglanmak A, et al. Presence of ROS in inflammatory environment of peri-implantitis tissue: In vitro and in vivo human evidence. J Clin Med 2020;9(1):38. google scholar
  • Obreja K, Ramanauskaite A, Begic A, Galarraga-Vinueza ME, Parvini P, Sader R, et al. The prevalence of peri-implant diseases around subcrestally placed implants: A cross-sectional study. Clin Oral Implants Res 2021;32(6):702-10. google scholar
  • Saaby M, Karring E, Schou S, Isidor F. Factors influencing severity of periimplantitis. Clin Oral Implants Res 2016;27(1):7-12. google scholar
  • Munshi M, Alshahrani S, Alalawi A, Dera S AL, Albalawi S, Alkuhl M, et al. The Prevalence, Diagnosis, Management and Prognosis of Periimplantitis. Journal of healthcare sciences 2023;03(10). google scholar
  • Romandini M, Lima C, Pedrinaci I, Araoz A, Soldini MC, Sanz M. Prevalence and risk/protective indicators of peri-implant diseases: A university-representative cross-sectional study. Clin Oral Implants Res 2021;32(1):112-22. google scholar
  • Altman DG, Gore SM, Gardner MJ, Pocock SJ. Statistical guidelines for contributors to medical journals. Br Med J (Clin Res Ed) 1983;286(6376):1489-93. google scholar
  • Derks J, Schaller D, Hâkansson J, Wennström JL, Tomasi C, Berglundh T. Effectiveness of Implant Therapy Analyzed in a Swedish Population: Prevalence of Peri-implantitis. J Dent Res 2016;95(1):43-9. google scholar
  • 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):929-35. google scholar
  • Rinke S, Ohl S, Ziebolz D, Lange K, Eickholz P. Prevalence of periimplant disease in partially edentulous patients: A practice-based cross-sectional study. Clin Oral Implants Res 2011;22(8):826-33. google scholar
  • Filho GS, Dalago HR, De Souza JGO, Stanley K, Jovanovic S, Bianchini MA. Prevalence of peri-implantitis in patients with implant-supported fixed prostheses. Quintessence Int (Berl) 2014;45(10):861-8. google scholar
  • Marcantonio C, Nicoli LG, Marcantonio Junior E, Zandim-Barcelos DL. Prevalence and Possible Risk Factors of Peri-implantitis: A Concept Review. Journal of Contemp Dent Pract 2015;16(9):750-7. google scholar
  • Krebs M, Kesar N, Begic A, von Krockow N, Nentwig GH, Weigl P. Incidence and prevalence of peri-implantitis and peri-implant mucositis 17 to 23 (18.9) years postimplant placement. Clin Implant Dent Relat Res 2019;21(6):1116-23. google scholar
  • Costa FO, Takenaka-Martinez S, Cota LOM, Ferreira SD, Silva GLM, Costa JE. Peri-implant disease in subjects with and without preventive maintenance: A 5-year follow-up. J Clin Periodontol 2012;39(2):173-81. google scholar
  • Swierkot K, Lottholz P, Flores-de-Jacoby L, Mengel R. Mucositis, Peri-Implantitis, Implant Success, and Survival of Implants in Patients With Treated Generalized Aggressive Periodontitis: 3-to 16-Year Results of a Prospective Long-Term Cohort Study. J Periodontol 2012;83(10):1213-25. google scholar
  • Armitage GC, Xenouidi AP. Post-treatment supportive care for the natural dentition and dental implants. Periodontol 2000 2016;71(1):164-84. google scholar
  • Jepsen S, Berglundh T, Genco R, Aass AM, Demirel K, Derks J, et al. Primary prevention of peri-implantitis: Managing peri-implant mucositis. J Clin Periodontol 2015;42(16):152-7 google scholar
  • 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(4):372-9. google scholar
  • Agrali OB, Elemek E, Dincer J, Kigili A, Cilingir A, Kuru L, et al. Do Platform Switching Together with Subcrestal Placement have a Benefit on Marginal Bone Levels Around Dental Implants? Clinical and Experimental Health Sciences. 2018;50(2). google scholar
  • Koutouzis T, Neiva R, Nair M, Nonhoff J, Lundgren T. Cone Beam Computed Tomographic Evaluation of Implants with Platform-Switched Morse Taper Connection with the Implant-Abutment Interface at Different Levels in Relation to the Alveolar Crest. Int J Oral Maxillofac Implants 2014;29(5):1157-63. google scholar
  • Serino G, Ström C. Peri-implantitis in partially edentulous patients: Association with inadequate plaque control. Clin Oral Implants Res 2009;20(2):169-74. google scholar
  • Lazic MM, Jaksic M, Todorovic A, Dordevic I, Lazic V. Biological complications of the cement-retained implant-supported restorations. Serbian Dental Journal 2019;66(4). google scholar
  • Shapoff CA, Lahey BJ. Crestal bone loss and the consequences of retained excess cement around dental implants. Compend Contin Educ Dent 2012;33(2):94-6. google scholar
  • Bayer A, Martmez J, Valenzuela J, Prado S. Coronas cementadas comparado con coronas atornilladas para pacientes con restauraciones fijas implantosoportadas. Int J Inter Dent 2021;14(1):83-9. google scholar

SUBKRESTAL OLARAK YERLEŞTİRİLEN İMPLANTLARIN PERİ-İMPLANT HASTALIK PREVALANSI

Year 2025, Volume: 8 Issue: 1, 27 - 33, 04.03.2025
https://doi.org/10.26650/JARHS2025-1561954

Abstract

Amaç: Subkrestal olarak yerleştirilen implantların uzun dönemli peri-implant sağlık durumlarını incelemek ve bu duruma etki eden lokal faktörleri belirlemektir.

Gereç ve Yöntemler: Çalışmaya 103 hasta katılmıştır. Subkrestal olarak yerleştirilen 322 implant takip edilmiştir. Hastalara rutin kontrollerinde peri-implant sağlık durumu taraması yapılmış ve sonuçlar kaydedilmiştir. İkili (binary) lojistik regresyon analizi ile peri-implant sağlık durumuna etki eden lokal faktörler araştırılmıştır.

Bulgular: Ortalama fonksiyon süresi 14,05±5,95 yıl olan hastaların %47,5’i sağlıklı tespit edilirken; %31’inde peri-mukozitis ve %21,5’sında peri-implantitis gözlenmiştir. Değişkenler incelendiğinde peri-implant mukozitis ve peri-implantitisin, diş fırçalamaya ek oral hijyen enstrümanlarının kullanımı [Odds oranı (OR): 11,23]; ve Protez retansiyon tipi [Odds oranı (OR): 4,032] ile anlamlı şekilde ilişkili olduğu görülmüştür.

Sonuç: Peri-implant mukozitis ve peri-implantitis, subkrestal olarak yerleştirilen implantların yaklaşık yarısında görülür ve diş fırçalamaya ek bakım enstrümanlarının kullanımı ve vidalı protezler implantın sağkalımında önemli bir yere sahiptir.

References

  • Schwarz MS. Mechanical complications of dental implants. Clin Oral Implants Res 2000;11(1):156-8. google scholar
  • Lang NP, Wilson TG, Corbet EF. Biological complications with dental implants: their prevention, diagnosis and treatment. Clin Oral Implants Res 2000;11(1):146-55. google scholar
  • Derks J, Tomasi C. Peri-implant health and disease. A systematic review of current epidemiology. J Clin Periodontol 2015;42(16):158-71. google scholar
  • Lisa JA Heitz-Mayfield. Peri-implant mucositis and peri-implantitis: key features and differences. Br Dent J. 2024; 236(10):791-4. google scholar
  • Jordana F, Susbielles L, Colat-Parros J. Periimplantitis and implant body roughness: A systematic review of literature. Implant Dent 2018;27(6):672-81. google scholar
  • Zitzmann NU, Berglundh T, Marinello CP, Lindhe J. Experimental peri-implant mucositis in man. J Clin Periodontol 2001;28(6):517-23. google scholar
  • Salvi GE, Aglietta M, Eick S, Sculean A, Lang NP, Ramseier CA. Reversibility of experimental peri-implant mucositis compared with experimental gingivitis in humans. Clin Oral Implants Res 2012;23(2):182-90. google scholar
  • Berglundh T, Armitage G, Araujo MG, Avila-Ortiz G, Blanco J, Camargo PM, 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(1):313-8. google scholar
  • Mijiritsky E, Ferroni L, Gardin C, Peleg O, Gultekin A, Saglanmak A, et al. Presence of ROS in inflammatory environment of peri-implantitis tissue: In vitro and in vivo human evidence. J Clin Med 2020;9(1):38. google scholar
  • Obreja K, Ramanauskaite A, Begic A, Galarraga-Vinueza ME, Parvini P, Sader R, et al. The prevalence of peri-implant diseases around subcrestally placed implants: A cross-sectional study. Clin Oral Implants Res 2021;32(6):702-10. google scholar
  • Saaby M, Karring E, Schou S, Isidor F. Factors influencing severity of periimplantitis. Clin Oral Implants Res 2016;27(1):7-12. google scholar
  • Munshi M, Alshahrani S, Alalawi A, Dera S AL, Albalawi S, Alkuhl M, et al. The Prevalence, Diagnosis, Management and Prognosis of Periimplantitis. Journal of healthcare sciences 2023;03(10). google scholar
  • Romandini M, Lima C, Pedrinaci I, Araoz A, Soldini MC, Sanz M. Prevalence and risk/protective indicators of peri-implant diseases: A university-representative cross-sectional study. Clin Oral Implants Res 2021;32(1):112-22. google scholar
  • Altman DG, Gore SM, Gardner MJ, Pocock SJ. Statistical guidelines for contributors to medical journals. Br Med J (Clin Res Ed) 1983;286(6376):1489-93. google scholar
  • Derks J, Schaller D, Hâkansson J, Wennström JL, Tomasi C, Berglundh T. Effectiveness of Implant Therapy Analyzed in a Swedish Population: Prevalence of Peri-implantitis. J Dent Res 2016;95(1):43-9. google scholar
  • 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):929-35. google scholar
  • Rinke S, Ohl S, Ziebolz D, Lange K, Eickholz P. Prevalence of periimplant disease in partially edentulous patients: A practice-based cross-sectional study. Clin Oral Implants Res 2011;22(8):826-33. google scholar
  • Filho GS, Dalago HR, De Souza JGO, Stanley K, Jovanovic S, Bianchini MA. Prevalence of peri-implantitis in patients with implant-supported fixed prostheses. Quintessence Int (Berl) 2014;45(10):861-8. google scholar
  • Marcantonio C, Nicoli LG, Marcantonio Junior E, Zandim-Barcelos DL. Prevalence and Possible Risk Factors of Peri-implantitis: A Concept Review. Journal of Contemp Dent Pract 2015;16(9):750-7. google scholar
  • Krebs M, Kesar N, Begic A, von Krockow N, Nentwig GH, Weigl P. Incidence and prevalence of peri-implantitis and peri-implant mucositis 17 to 23 (18.9) years postimplant placement. Clin Implant Dent Relat Res 2019;21(6):1116-23. google scholar
  • Costa FO, Takenaka-Martinez S, Cota LOM, Ferreira SD, Silva GLM, Costa JE. Peri-implant disease in subjects with and without preventive maintenance: A 5-year follow-up. J Clin Periodontol 2012;39(2):173-81. google scholar
  • Swierkot K, Lottholz P, Flores-de-Jacoby L, Mengel R. Mucositis, Peri-Implantitis, Implant Success, and Survival of Implants in Patients With Treated Generalized Aggressive Periodontitis: 3-to 16-Year Results of a Prospective Long-Term Cohort Study. J Periodontol 2012;83(10):1213-25. google scholar
  • Armitage GC, Xenouidi AP. Post-treatment supportive care for the natural dentition and dental implants. Periodontol 2000 2016;71(1):164-84. google scholar
  • Jepsen S, Berglundh T, Genco R, Aass AM, Demirel K, Derks J, et al. Primary prevention of peri-implantitis: Managing peri-implant mucositis. J Clin Periodontol 2015;42(16):152-7 google scholar
  • 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(4):372-9. google scholar
  • Agrali OB, Elemek E, Dincer J, Kigili A, Cilingir A, Kuru L, et al. Do Platform Switching Together with Subcrestal Placement have a Benefit on Marginal Bone Levels Around Dental Implants? Clinical and Experimental Health Sciences. 2018;50(2). google scholar
  • Koutouzis T, Neiva R, Nair M, Nonhoff J, Lundgren T. Cone Beam Computed Tomographic Evaluation of Implants with Platform-Switched Morse Taper Connection with the Implant-Abutment Interface at Different Levels in Relation to the Alveolar Crest. Int J Oral Maxillofac Implants 2014;29(5):1157-63. google scholar
  • Serino G, Ström C. Peri-implantitis in partially edentulous patients: Association with inadequate plaque control. Clin Oral Implants Res 2009;20(2):169-74. google scholar
  • Lazic MM, Jaksic M, Todorovic A, Dordevic I, Lazic V. Biological complications of the cement-retained implant-supported restorations. Serbian Dental Journal 2019;66(4). google scholar
  • Shapoff CA, Lahey BJ. Crestal bone loss and the consequences of retained excess cement around dental implants. Compend Contin Educ Dent 2012;33(2):94-6. google scholar
  • Bayer A, Martmez J, Valenzuela J, Prado S. Coronas cementadas comparado con coronas atornilladas para pacientes con restauraciones fijas implantosoportadas. Int J Inter Dent 2021;14(1):83-9. google scholar
There are 31 citations in total.

Details

Primary Language English
Subjects Oral Implantology
Journal Section Research Articles
Authors

Alper Sağlanmak 0000-0001-7121-0257

Volkan Arısan 0000-0002-0881-7483

Publication Date March 4, 2025
Submission Date October 5, 2024
Acceptance Date December 5, 2024
Published in Issue Year 2025 Volume: 8 Issue: 1

Cite

MLA Sağlanmak, Alper and Volkan Arısan. “PREVALENCE OF PERI-IMPLANT DISEASE AROUND SUBCRESTAL PLACED IMPLANTS”. Journal of Advanced Research in Health Sciences, vol. 8, no. 1, 2025, pp. 27-33, doi:10.26650/JARHS2025-1561954.