Influence of Peri-Implant Soft Tissue Condition and Plaque Accumulation on Peri-Implantitis: a Systematic Review
Objectives: To systematically examine influence of soft tissue condition and plaque accumulation around dental implants on peri-implantitis development. Material and Methods: An electronic literature search was conducted of two databases - MEDLINE (Ovid) and EMBASE from 2011 to 2016. Sequential s...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Stilus Optimus
2016-09-01
|
| Series: | eJournal of Oral Maxillofacial Research |
| Subjects: | |
| Online Access: | http://www.ejomr.org/JOMR/archives/2016/3/e2/v7n3e2ht.htm |
| _version_ | 1818480249635078144 |
|---|---|
| author | Mindaugas Pranskunas Lukas Poskevicius Gintaras Juodzbalys Ricardas Kubilius Ryo Jimbo |
| author_facet | Mindaugas Pranskunas Lukas Poskevicius Gintaras Juodzbalys Ricardas Kubilius Ryo Jimbo |
| author_sort | Mindaugas Pranskunas |
| collection | DOAJ |
| description | Objectives: To systematically examine influence of soft tissue condition and plaque accumulation around dental implants on peri-implantitis development.
Material and Methods: An electronic literature search was conducted of two databases - MEDLINE (Ovid) and EMBASE from 2011 to 2016. Sequential screenings at the title, abstract, and full-text levels were performed. Clinical human studies in the English language that had reported soft tissue condition or plaque accumulation influence on peri-implantitis development were included. The resulting articles were independently subjected to clear inclusion and exclusion criteria by two reviewers as follows.
Results: The search resulted in 8 articles meeting the inclusion criteria. These studies reported gingival index, plaque index, pocket depth, bleeding on probing/modified bleeding index for sites with “adequate” (≥ 2 mm) and “inadequate” (< 2 mm) width of keratinized mucosa. Results demonstrated that the amount of keratinized mucosa has little influence on soft-tissue inflammation in the presence of good oral hygiene. However, suboptimal oral hygiene due to difficulty in access for plaque control in the areas of minimal keratinized mucosa may lead to greater tissue damage.
Conclusions: In cases with insufficient keratinized gingiva in the vicinity of implants, the insufficiency does not necessarily mediate adverse effects on the hygiene management and soft tissue health condition. Nonetheless, the risk of the increase of gingival index, plaque index, pocket depth, bleeding on probing/modified bleeding index is present. Therefore, the presence of an appropriate amount of keratinized gingiva is required. |
| first_indexed | 2024-12-10T11:20:54Z |
| format | Article |
| id | doaj.art-a61f79ec82874cd880aba5d1f9d69725 |
| institution | Directory Open Access Journal |
| issn | 2029-283X |
| language | English |
| last_indexed | 2024-12-10T11:20:54Z |
| publishDate | 2016-09-01 |
| publisher | Stilus Optimus |
| record_format | Article |
| series | eJournal of Oral Maxillofacial Research |
| spelling | doaj.art-a61f79ec82874cd880aba5d1f9d697252022-12-22T01:50:56ZengStilus OptimuseJournal of Oral Maxillofacial Research2029-283X2016-09-0173e210.5037/jomr.2016.7302Influence of Peri-Implant Soft Tissue Condition and Plaque Accumulation on Peri-Implantitis: a Systematic ReviewMindaugas PranskunasLukas PoskeviciusGintaras JuodzbalysRicardas KubiliusRyo JimboObjectives: To systematically examine influence of soft tissue condition and plaque accumulation around dental implants on peri-implantitis development. Material and Methods: An electronic literature search was conducted of two databases - MEDLINE (Ovid) and EMBASE from 2011 to 2016. Sequential screenings at the title, abstract, and full-text levels were performed. Clinical human studies in the English language that had reported soft tissue condition or plaque accumulation influence on peri-implantitis development were included. The resulting articles were independently subjected to clear inclusion and exclusion criteria by two reviewers as follows. Results: The search resulted in 8 articles meeting the inclusion criteria. These studies reported gingival index, plaque index, pocket depth, bleeding on probing/modified bleeding index for sites with “adequate” (≥ 2 mm) and “inadequate” (< 2 mm) width of keratinized mucosa. Results demonstrated that the amount of keratinized mucosa has little influence on soft-tissue inflammation in the presence of good oral hygiene. However, suboptimal oral hygiene due to difficulty in access for plaque control in the areas of minimal keratinized mucosa may lead to greater tissue damage. Conclusions: In cases with insufficient keratinized gingiva in the vicinity of implants, the insufficiency does not necessarily mediate adverse effects on the hygiene management and soft tissue health condition. Nonetheless, the risk of the increase of gingival index, plaque index, pocket depth, bleeding on probing/modified bleeding index is present. Therefore, the presence of an appropriate amount of keratinized gingiva is required.http://www.ejomr.org/JOMR/archives/2016/3/e2/v7n3e2ht.htmdental implantsdental plaquegingivaperi-implantitisrisk factors |
| spellingShingle | Mindaugas Pranskunas Lukas Poskevicius Gintaras Juodzbalys Ricardas Kubilius Ryo Jimbo Influence of Peri-Implant Soft Tissue Condition and Plaque Accumulation on Peri-Implantitis: a Systematic Review eJournal of Oral Maxillofacial Research dental implants dental plaque gingiva peri-implantitis risk factors |
| title | Influence of Peri-Implant Soft Tissue Condition and Plaque Accumulation on Peri-Implantitis: a Systematic Review |
| title_full | Influence of Peri-Implant Soft Tissue Condition and Plaque Accumulation on Peri-Implantitis: a Systematic Review |
| title_fullStr | Influence of Peri-Implant Soft Tissue Condition and Plaque Accumulation on Peri-Implantitis: a Systematic Review |
| title_full_unstemmed | Influence of Peri-Implant Soft Tissue Condition and Plaque Accumulation on Peri-Implantitis: a Systematic Review |
| title_short | Influence of Peri-Implant Soft Tissue Condition and Plaque Accumulation on Peri-Implantitis: a Systematic Review |
| title_sort | influence of peri implant soft tissue condition and plaque accumulation on peri implantitis a systematic review |
| topic | dental implants dental plaque gingiva peri-implantitis risk factors |
| url | http://www.ejomr.org/JOMR/archives/2016/3/e2/v7n3e2ht.htm |
| work_keys_str_mv | AT mindaugaspranskunas influenceofperiimplantsofttissueconditionandplaqueaccumulationonperiimplantitisasystematicreview AT lukasposkevicius influenceofperiimplantsofttissueconditionandplaqueaccumulationonperiimplantitisasystematicreview AT gintarasjuodzbalys influenceofperiimplantsofttissueconditionandplaqueaccumulationonperiimplantitisasystematicreview AT ricardaskubilius influenceofperiimplantsofttissueconditionandplaqueaccumulationonperiimplantitisasystematicreview AT ryojimbo influenceofperiimplantsofttissueconditionandplaqueaccumulationonperiimplantitisasystematicreview |