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J Clin Periodontol. 2017 Jul;44(7):749-755. doi: 10.1111/jcpe.12741. Epub 2017 Jun 23.

Discomfort/pain due to periodontal and peri-implant probing: Implant type and age.

Author information

1
Private practice, Vierkirchen, Germany.
2
Private practice, Bad Neustadt, Germany.
3
Deparment of Oral Surgery and Implantology, Center for Dentistry and Oral Medicine (Carolinum), Johann Wolfgang Goethe-University Frankfurt, Frankfurt, Germany.
4
Department of Periodontology, Center for Dentistry and Oral Medicine (Carolinum), Johann Wolfgang Goethe-University Frankfurt, Frankfurt, Germany.
5
Huerzeler/Zuhr, München, Germany.

Abstract

AIM:

There is evidence that patients experience more discomfort/pain after peri-implant probing than periodontal probing. However, there are several plausible factors to additionally influence this observation: e.g., implant type, age, smoking. Thus, this study was designed to compare discomfort/pain after periodontal and peri-implant probing in different implant types.

METHODS:

Two dentists recruited and examined 80 patients, each of them exhibiting a dental implant with a contralateral natural tooth. Only two types of implants were included. Periodontal and peri-implant probing depths (PPD) and probing attachment level (PAL) were assessed. Whether implant or tooth were measured first was randomly assigned. Immediately after probing patients scored discomfort/pain using a visual analogue scale (VAS).

RESULTS:

Eighty patients (median; lower/upper quartile: age 57; 47.5/65.5 years; 40 females, 11 smokers) were examined. With the exception of PPD and PAL at the deepest site as well as mean PPD (p < .05) clinical parameters (PAL, bleeding on probing, suppuration) were well balanced between implants and teeth. Peri-implant probing (VAS: 9.0; 5.0/17.0) caused significantly (p = .038) more discomfort/pain than periodontal probing (5.5; 2.0/13.5). This was confirmed by repeated measures analysis of variance adjusting for several factors (p = .011).

CONCLUSIONS:

Peri-implant probing caused significantly more discomfort/pain than periodontal probing.

KEYWORDS:

dental implants; discomfort/pain; peri-implant probing; periodontal probing; visual analogue scale

PMID:
28474783
DOI:
10.1111/jcpe.12741
[Indexed for MEDLINE]

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