Indivudual and implant factors associeated with peri-implantitis: a multi-level analysis
Fatores individuais e do implante associados à peri-implantite: uma análise multinível
Palavras-chave:
Peri-implantitis, Prevalence, Risk factorsResumo
The study aimed to carry out a multilevel analysis of the factors associated with peri-implantitis in patients who were rehabilitated with osseointegrated implants at the Dental Clinic of Universidade Paulista (UNIP). Being analyzed by means of influence on the patients' quality of life, 171 patients with 668 implants, with 5 years in function, were selected through clinical and radiographic examinations. Systemic and local factors and characteristics were evaluated to determine the health of the peri-implant tissues. Quality of life was assessed using the Oral Health Impact Profile Index (OHIP-14). Multilevel logistic analysis was performed to estimate the OR of peri-implantitis at implant and patient level. The model was analyzed using the likelihood ratio test and the Wald test. Through the results, it was verified that the probing depth both at the implant and patient level and the distance from the gingival margin to the implant platform are factors risk for peri-implantitis. However, due to the low prevalence of the disease, there was no negative impact on the patients' quality of life.
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Referências
AAP. The American Academy of Periodontology. (Peri-implant Mucositis and Peri-implantitis: A Current Understanding of their Diagnoses and Clinical implications. J periodontal. April; v. 84, n. 4, p.:436-43, 2013.
ADELL, R. et al. A 15-year study of osseointegrated implants in the treatment of the edentulous jaw. Int J Oral Surg. Jan; v. 10, n. 6, p.:387-416, 1981.
AGUIRRE-ZORZANO, L. A. Prevalence of periimplant inflammatory disease in patients with a history of periodontal disease who receive supportive periodontal therapy. Clin Oral Implants Res. Nov; v. 26, n. 11, p.:133844. 2015. doi: 10.1111/clr.12462.
AIMETTI. M. et al. Soft tissue and crestal bone changes around implants with platform-switched abutments placed nonsubmerged at subcrestal position: a 2-year clinical and radiographic evaluation. Int J Oral Maxillofac Implants. Nov-Dec; v. 30, v. 6, p.:1369-77. 2015.
AL SHAMRANY, M. Oral health-related quality of life: a broader perspective. EMHJ – East Mediterr Health J.; v. 12, n. 6, p.: 894-901. 2006.
ALBREKTSSON, T., ISIDOR, F. Consensus report of session IV. In: Lang N.P, Karring, T (eds.). Proceedings of the 1st European Workshop on Periodontology. London: Quintessence Publishing; p.:365-369. 1994.
ALBREKTSSON, T. et al. The long-term efficacy of currently used dental implants: a review and proposed criteria of success. Int J Oral Maxillofac Implants. Jan 1; v. 1, n. 1, p.:11-25. 1986.
ALLEN, P. F., LOCKER, D. Do item weights matter? An assessment using the oral health impact profile. Community Dent Health. Sep 1; v. 14, n. 3, p.:133-8. 1997.
ATIEH, M.A. et al. The frequency of peri implant diseases: a systematic review and meta analysis. Journal of periodontology. Nov; v. 84, n. 11, p.: 1586-98. 2013
BUSER, D. 10 year survival and success rates of 511 titanium implants with a sandblasted and acid etched surface: a retrospective study in 303 partially edentulous patients. Clin Implant Dent Relat Res. Dec; v. 14, n. 6, p.: 839-51. 2012
CHRCANOVIC, B. R., Albrektsson T, Wennerberg A. Periodontally compromised vs. periodontally healthy patients and dental implants: a systematic review and meta-analysis. Journal of dentistry. 2014 Dec 1;42(12):1509-27.
Cohen RE. Position paper: periodontal maintenance. J Periodontol. 2003 Sep 1;74(9):1395-401.
COSTA, F.O. et al. Ocorrência e Fatores de Risco às Doenças Periimplantares. In: Napoleão (Ed.). Periodontia para todos: da prevenção ao implante. São Paulo. Ocorrência e Fatores de Risco às Doenças Periimplantares, p. 44-57; 2013.
DALAGO, H. R. et al. Risk indicators for Peri-implantitis. A cross-sectional study with 916 implants. Clin Oral Implants Res. Feb; v. 28, n. 2, p.: 144-150. 2017.
DE SOUZA, J. G. et al. Impact of local and systemic factors on additional Peri-implant bone loss. Quintessence Int. May; v. 44, n. 5, p.: 415-24. 2013.
FERREIRA, S. D. et al. Prevalence and risk variables for peri implant disease in Brazilian subjects. J Clin Periodontol. Dec; v. 33, n. 12, p.: 929-35. 2006.
FRANSSON, C. WENNSTRÖM, J., BERGLUNDH, T. Clinical characteristics at implants with a history of progressive bone loss. Clin Oral Implants Res. Feb; v. 19, n. 2, p.: 142-7. 2008.
JEPSEN, S. et al. Primary prevention of peri implantitis: Managing peri implant mucositis. J Clin Periodontol. Apr; v. 42: S1, p.: 52-7. 2015.
KAROUSSIS, I. K., et al. Association between periodontal and peri implant conditions: a 10 year prospective study. Clin Oral Implants Res. Feb; v. 15, n. 1, p.: 1-7. 2004.
KLOKKEVOLD, P. R., HAN, T. J. How do smoking, diabetes, and periodontitis affect outcomes of implant treatment?. Int J Oral Maxillofac Implants. Nov 2; v. 22, n. 7, p.: 173202. 2007.
LINDHE, J., MEYLE, J. Group D of the European Workshop on Periodontology. Peri implant diseases: consensus report of the sixth European workshop on periodontology. J Clin Periodontol. Sep; v. 35, n. 8, p.:282-5. 2008.
MACHION, L. et al. A influência do sexo e da idade na prevalência de bolsas periodontais. Pesq Odont Bras.; v. 14, n. 1, p.: 33-7. 2000
MARRONE, A. et al. Prevalence and risk factors for peri implant disease in Belgian adults. Clin Oral Implants Res. 2013 Aug;24(8):934-40.
MOMBELLI, A. et al. The microbiota associated with successful or failing osseointegrated titanium implants. Oral Microbiology Immunol. 1987 Dec;2(4):145-51.
MONTERO, J. et al. Oral health-related quality of life of a consecutive sample of Spanish dental patients. Med Oral Patol Oral Cir Bucal. Sep 1; v. 16, n. 6, p.: e810-5. 2011.
MUÑOZ GIRALDO, V. et al. Prevalence of Peri-implant Disease According to Periodontal Probing Depth and Bleeding on Probing: A Systematic Review and Meta-Analysis. Int J Oral Maxillof Implants. Jul 1; v.33, n. 4. 2018
PIMENTEL, S. P. et al. Occurrence of peri implant diseases and risk indicators at the patient and implant levels: multilevel cross sectional study. J Periodontol. Sep; v. 89, n. 9, p.: 1091-100. 2018.
RENVERT, S., QUIRYNEN, M. Risk indicators for peri-implantitis. A narrative review. Clin. Oral Impl. Res.; v. 26 (Suppl. 11), p.: 15–44. 2015.
SANZ, M., CHAPPLE, I. L.; Working Group 4 of the VIII European Workshop on Periodontology. Clinical research on peri-implant diseases: consensus report of Working Group 4. J Clin Periodontol. Feb; v. 39, n. Suppl 12, p.: 202-6. 2012.
SCHROTT, A R. Five year evaluation of the influence of keratinized mucosa on peri implant soft tissue health and stability around implants supporting full arch mandibular fixed prostheses. Clin Oral Implants Res. Oct; v. 20, n. 10, p.:1170-7. 2009.
STEFFENS, J. P., MARCANTONIO, R. A. Classificação das doenças e condições periodontais e peri-implantares 2018: guia prático e pontos-chave. Rev Odontol UNESP. Jul; v. 47, p.: 189-97. 2018. doi.org/10.1590/1807-2577.04704
TOMASI, C., DERKS, J. Clinical research of peri-implant diseases quality of reporting, case definitions and methods to study incidence, prevalence and risk factors of periimplant diseases. J Clin Periodontol. Feb; v. 39, n. 12, p.: 207-23. 2012.
TONETTI, M. S. et al. Primary and secondary prevention of periodontal and peri-implant diseases: Introduction to, and objectives of the 11th European Workshop on Periodontology consensus conference. J Clin Periodontol. Apr; v. 42, n. Suppl 16, p.: S1-4. 2015.
VAN DYKE, T. E. The impact of genotypes and immune reactivity on peri-implant inflammation: Identification and therapeutic use of anti-inflammatory drugs and immunomodulators. Eur J Oral Implantol. v. 5, Suppl, p.: S51-60. 2012.
XIA, H. et al. The effect of platform switching on stress in peri-implant bone in a codition of marginal bone resorption: a tree-dimensional finite element analysis. Int J Oral Maxillofac Implants. May- Jun; v. 28, n. 3, p.: e 122-7. 2013.
ZITZMANN, N.U., BERGLUNDH, T. Definition and prevalence of peri implant diseases. J Clin Periodontol. Sep; v. 35, p.: 286-91. 2008.
