Peri-implant disease in subjects with and without preventive maintenance: a 5-year follow-up

J Clin Periodontol. 2012 Feb;39(2):173-81. doi: 10.1111/j.1600-051X.2011.01819.x. Epub 2011 Nov 23.

Abstract

Aim: To determine the incidence of peri-implantitis in individuals with mucositis in a 5-year follow-up study.

Material and methods: A sample of 212 partially edentulous individuals, rehabilitated with dental implants, underwent periodontal and peri-implant clinical examinations in 2005 (baseline). Five years later, 80 individuals who had been diagnosed with mucositis in the baseline examination were re-examined. These individuals were divided into two groups: one group with preventive maintenance during the study period (GTP; n = 39), and another group without preventive maintenance (GNTP; n = 41). The following parameters were clinically evaluated: plaque index, bleeding on periodontal and peri-implant probing, periodontal and peri-implant probing depth, suppuration and peri-implant bone loss. The influence of biological and behavioural risk variables associated with the occurrence of peri-implantitis was analysed using univariate and multivariate logistic regression analyses.

Results: The incidence of peri-implantitis in the global sample was 31.2% (GNTP = 43.9% and GTP = 18.0%).

Conclusion: The absence of preventive maintenance in individuals with pre-existing peri-implant mucositis was associated with a high incidence of peri-implantitis. Clinical parameters, such as bleeding on peri-implant probing, periodontal probing depth and the presence of periodontitis were associated with a higher risk of developing peri-implantitis.

Publication types

  • Controlled Clinical Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Alveolar Bone Loss / epidemiology*
  • Alveolar Bone Loss / prevention & control
  • Brazil / epidemiology
  • Comorbidity
  • Dental Implants / statistics & numerical data*
  • Dental Prophylaxis / statistics & numerical data*
  • Female
  • Follow-Up Studies
  • Humans
  • Jaw, Edentulous, Partially / rehabilitation
  • Male
  • Middle Aged
  • Peri-Implantitis / epidemiology*
  • Peri-Implantitis / prevention & control
  • Periodontitis / epidemiology
  • Prevalence
  • Risk Factors
  • Stomatitis / epidemiology*
  • Survival Analysis
  • Treatment Outcome
  • Young Adult

Substances

  • Dental Implants