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Effectiveness of Implant Therapy Analyzed in a Swedish Population: Prevalence of Peri-implantitis

Artikel i vetenskaplig tidskrift
Författare Jan Derks
Dennis Schaller
Jan Håkansson
Jan Wennström
Cristiano Tomasi
Tord Berglundh
Publicerad i Journal of Dental Research
Volym 95
Nummer/häfte 1
Sidor 43-49
ISSN 0022-0345
Publiceringsår 2016
Publicerad vid Institutionen för odontologi
Sidor 43-49
Språk en
Länkar dx.doi.org/10.1177/0022034515608832
Ämnesord endosseous dental implantation, implant-supported dental prosthesis, adverse effects, multivariate, 14-year follow-up, bone loss, european workshop, clinical-research, consensus report, diseases, epidemiology, lesions, periodontology, 9-year, Dentistry, Oral Surgery & Medicine
Ämneskategorier Odontologi

Sammanfattning

Peri-implantitis is an inflammatory disease affecting soft and hard tissues surrounding dental implants. As the global number of individuals that undergo restorative therapy through dental implants increases, peri-implantitis is considered as a major and growing problem in dentistry. A randomly selected sample of 588 patients who all had received implant-supported therapy 9 y earlier was clinically and radiographically examined. Prevalence of peri-implantitis was assessed and risk indicators were identified by multilevel regression analysis. Forty-five percent of all patients presented with peri-implantitis (bleeding on probing/suppuration and bone loss >0.5 mm). Moderate/severe peri-implantitis (bleeding on probing/suppuration and bone loss >2 mm) was diagnosed in 14.5%. Patients with periodontitis and with >= 4 implants, as well as implants of certain brands and prosthetic therapy delivered by general practitioners, exhibited higher odds ratios for moderate/severe peri-implantitis. Similarly, higher odds ratios were identified for implants installed in the mandible and with crown restoration margins positioned <= 1.5 mm from the crestal bone at baseline. It is suggested that peri-implantitis is a common condition and that several patient-and implant-related factors influence the risk for moderate/severe peri-implantitis (ClinicalTrials.gov NCT01825772).

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