A retrospective cohort study of risk factors for prevalence of implant biological complications

doi:10.19439/j.sjos.2023.01.013

Abstract

Abstract: PURPOSE: To analyze the risk factors of biological complications after implant-fixed denture restoration. METHODS: Seven hundred and twenty-five implants were placed between March 2012 and March 2016. Follow-up period was 5 to 9 years. The implant mucosal index (IMI) and implant marginal bone loss (MBL) were measured at 3 months-1 year, 2-3 years, 4-5 years, 6-7 years and 8-9 years after restoration. The prevalence and risk factors of peri-implantitis and mucositis were analyzed. SPSS 28.0 software package was used to analyze the date. RESULTS: The implant survival rate of 5 years was 98.7%. The prevalence of mucositis and peri-implantitis were 37.5% and 8.3% at 8 to 9 years. Smoking, periodontitis, narrow diameter, rough neck , anterior location, bone augmentation caused higher prevalence of peri-implantitis or mucositis (P<0.05). CONCLUSIONS: Smoking, periodontitis, implant diameter, implant design, implant location and bone augmentation are the risk factors of implant biological complications.

Key words: Mucositis, Peri-implantitis, Risk factor

CLC Number:

R782.1

XU Xiao-qian, LI Lei. A retrospective cohort study of risk factors for prevalence of implant biological complications[J]. Shanghai Journal of Stomatology, 2023, 32(1): 69-74.

References

[1] Pjetursson BE, Asgeirsson AG, Zwahlen M, et al.Improvements in implant dentistry over the last decade: comparison of survival and complication rates in older and newer publications[J]. Int J Oral Maxillofac Implants, 2014, 29(Suppl): 308-324.
[2] Derks J, Tomasi C.Peri-implant health and disease. a systematic review of current epidemiology[J]. J Clin Periodontol, 2015, 42(Suppl 16): S158-171.
[3] Rokaya D, Srimaneepong V, Wisitrasameewon W, et al.Peri-implantitis update: risk indicators, diagnosis, and treatment[J]. Eur J Dent, 2020, 14(4): 672-682.
[4] French D,Grandin HM,Ofec R.Retrospective cohort study of 4 591 dental implants: analysis of risk indicators for bone loss and prevalence of peri-implant mucositis and peri-implantitis[J]. J Periodontol, 2019, 90(7): 691-700.
[5] 孟焕新. 2018年牙周病和种植体周病国际新分类简介[J].中华口腔医学杂志, 2019, 54(2): 73-78.
[6] Berglundh T, Armitage G, Araujo MG, 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]. J Clin Periodontol, 2018, 45(Suppl 20): S286-S291.
[7] 李维婷,朴牧子,李慧, 等. 种植体周围疾病发病率及危险因素的研究[J]. 口腔医学研究, 2017, 33(7): 758-761.
[8] 芮茜, 张志宏, 刘红红, 等. 牙周炎与非牙周炎患者进行牙种植同期GBR术后种植体周围骨吸收量对比[J]. 临床口腔医学杂志, 2018, 34(8): 485-488.
[9] Ibañez C, Catena A, Galindo-Moreno P, et al.Relationship between long-term marginal bone loss and bone quality, implant width, and surface[J]. Int J Oral Maxillofac Implants, 2016, 31(2): 398-405.
[10] Anitua E, Tapia R, Luzuriage F, et al.Influence of implant length, diameter, and geometry on stress distribution: a finite element analysis[J]. Int J Periodontics Restorative Sent, 2010, 30(1): 89-95.
[11] Wada M, Mameno T, Otsuki M, et al.Prevalence and risk indicators for peri-implant diseases: a literature review[J]. Jpn Dent Sci Rev, 2021, 57: 78-84.
[12] Song X, Li L, Guo HQ, et al.Impact of implant location on the prevalence of peri-implantitis: a systematic review and meta- analysis[J]. J Dent, 2020, 103: 103490
[13] 张停停, 胡晓菁, 袁林璐. 种植体植入15年内种植体周围炎和种植周黏膜炎发生率调查[J]. 上海口腔医学, 2021, 30(3): 292-296.
[14] Roccuzzo A, Stähli A, Monje A, et al.Peri-implantitis: a clinical update on prevalence and surgical treatment outcomes[J]. J Clin Med, 2021, 10(5): 1107-1119.

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