Analysis of risk indicators for prevalence of peri-implant diseases in Turkish population

Abstract Background The aim of this cross-sectional study was (1) to determine the prevalence of peri-implant mucositis and peri-implantitis and (2) to reveal the risk indicators associated with peri-implant diseases. The second point was to investigate the role of keratinized mucosa on peri-implant...

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Main Authors: Sadiye Gunpinar, Bilge Meraci, Mert Karas
Format: Article
Language:English
Published: SpringerOpen 2020-05-01
Series:International Journal of Implant Dentistry
Subjects:
Online Access:http://link.springer.com/article/10.1186/s40729-020-00215-9
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author Sadiye Gunpinar
Bilge Meraci
Mert Karas
author_facet Sadiye Gunpinar
Bilge Meraci
Mert Karas
author_sort Sadiye Gunpinar
collection DOAJ
description Abstract Background The aim of this cross-sectional study was (1) to determine the prevalence of peri-implant mucositis and peri-implantitis and (2) to reveal the risk indicators associated with peri-implant diseases. The second point was to investigate the role of keratinized mucosa on peri-implant health. Materials and methods Three hundred and eighty-two subjects who were treated with 1415 dental implants between 2011–2017 were clinically evaluated. Patients’ medical and dental history, as well as implant details, were recorded. Peri-implant examination included probing pocket depth (PPD), bleeding on probing (BoP), plaque index (PI), gingival index (GI), and keratinized tissue width. Furthermore, the patient (sex, age, and smoking) and implant/prosthesis-related factors (surface characteristic, time in function, design of prosthesis etc.) were evaluated. Implants were classified into three groups: healthy, peri-implant mucositis, and peri-implantitis. Uni- and multi-variate regression analyses were utilized for statistics. Results 41.1% (n = 157) and 36.9% (n = 84) of patients had mucositis and peri-implantitis, respectively. 53.6% (n = 758) of implants (95%CI 80.2–90.4) had mucositis, and 21.7% (n = 307) had peri-implantitis. Patients with a maintenance < 2/year (OR = 2.576), having periodontitis (OR = 3.342) and higher PI (OR = 3.046) had significant associations with the development of peri-implant mucositis. Significant ORs were determined for peri-implantitis with patients having maintenance < 2/year (OR = 2.048), having number of implants ≥ 4 (OR = 2.103), diagnosed with periodontitis (OR = 3.295), and higher PI (OR = 7.055). Keratinized tissue width < 2 mm (ORs = 5389/8.013), PPD (ORs = 1.570/8.338), PI (ORs = 6.726/5.205), and BoP (ORs = 3.645/4.353) independent variables were significantly associated with both peri-implant mucositis and peri-implantitis at implant level, respectively. Conclusions Within the limits of this study, the prevalence of mucositis and peri-implantitis was shown to be high in Turkish population. Furthermore, increased risk for peri-implantitis was identified in patients having maintenance < 2/year, presence of periodontitis, poor plaque control, and having number of implants ≥ 4. Less keratinized tissue (< 2 mm), PPD, and BoP were also risk indicators for peri-implantitis development.
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spelling doaj.art-26c16bbdf896443eb4a73f13432c7c6d2022-12-21T19:02:09ZengSpringerOpenInternational Journal of Implant Dentistry2198-40342020-05-01611910.1186/s40729-020-00215-9Analysis of risk indicators for prevalence of peri-implant diseases in Turkish populationSadiye Gunpinar0Bilge Meraci1Mert Karas2Department of Periodontology, Faculty of Dentistry, Bolu Abant Izzet Baysal UniversityDepartment of Periodontology, Faculty of Dentistry, Bolu Abant Izzet Baysal UniversityDepartment of Periodontology, Faculty of Dentistry, Bolu Abant Izzet Baysal UniversityAbstract Background The aim of this cross-sectional study was (1) to determine the prevalence of peri-implant mucositis and peri-implantitis and (2) to reveal the risk indicators associated with peri-implant diseases. The second point was to investigate the role of keratinized mucosa on peri-implant health. Materials and methods Three hundred and eighty-two subjects who were treated with 1415 dental implants between 2011–2017 were clinically evaluated. Patients’ medical and dental history, as well as implant details, were recorded. Peri-implant examination included probing pocket depth (PPD), bleeding on probing (BoP), plaque index (PI), gingival index (GI), and keratinized tissue width. Furthermore, the patient (sex, age, and smoking) and implant/prosthesis-related factors (surface characteristic, time in function, design of prosthesis etc.) were evaluated. Implants were classified into three groups: healthy, peri-implant mucositis, and peri-implantitis. Uni- and multi-variate regression analyses were utilized for statistics. Results 41.1% (n = 157) and 36.9% (n = 84) of patients had mucositis and peri-implantitis, respectively. 53.6% (n = 758) of implants (95%CI 80.2–90.4) had mucositis, and 21.7% (n = 307) had peri-implantitis. Patients with a maintenance < 2/year (OR = 2.576), having periodontitis (OR = 3.342) and higher PI (OR = 3.046) had significant associations with the development of peri-implant mucositis. Significant ORs were determined for peri-implantitis with patients having maintenance < 2/year (OR = 2.048), having number of implants ≥ 4 (OR = 2.103), diagnosed with periodontitis (OR = 3.295), and higher PI (OR = 7.055). Keratinized tissue width < 2 mm (ORs = 5389/8.013), PPD (ORs = 1.570/8.338), PI (ORs = 6.726/5.205), and BoP (ORs = 3.645/4.353) independent variables were significantly associated with both peri-implant mucositis and peri-implantitis at implant level, respectively. Conclusions Within the limits of this study, the prevalence of mucositis and peri-implantitis was shown to be high in Turkish population. Furthermore, increased risk for peri-implantitis was identified in patients having maintenance < 2/year, presence of periodontitis, poor plaque control, and having number of implants ≥ 4. Less keratinized tissue (< 2 mm), PPD, and BoP were also risk indicators for peri-implantitis development.http://link.springer.com/article/10.1186/s40729-020-00215-9Peri-implant diseasesPeri-implant mucositisPeri-implantitisKeratinized mucosaPrevalenceRisk indicators
spellingShingle Sadiye Gunpinar
Bilge Meraci
Mert Karas
Analysis of risk indicators for prevalence of peri-implant diseases in Turkish population
International Journal of Implant Dentistry
Peri-implant diseases
Peri-implant mucositis
Peri-implantitis
Keratinized mucosa
Prevalence
Risk indicators
title Analysis of risk indicators for prevalence of peri-implant diseases in Turkish population
title_full Analysis of risk indicators for prevalence of peri-implant diseases in Turkish population
title_fullStr Analysis of risk indicators for prevalence of peri-implant diseases in Turkish population
title_full_unstemmed Analysis of risk indicators for prevalence of peri-implant diseases in Turkish population
title_short Analysis of risk indicators for prevalence of peri-implant diseases in Turkish population
title_sort analysis of risk indicators for prevalence of peri implant diseases in turkish population
topic Peri-implant diseases
Peri-implant mucositis
Peri-implantitis
Keratinized mucosa
Prevalence
Risk indicators
url http://link.springer.com/article/10.1186/s40729-020-00215-9
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AT mertkaras analysisofriskindicatorsforprevalenceofperiimplantdiseasesinturkishpopulation