Lisa J A Heitz-Mayfield1. 1. Centre for Rural and Remote Oral Health, The University of Western Australia, 35 Stirling Highway, Crawley, WA 6009, Australia. heitz.mayfield@iinet.net.au
Abstract
BACKGROUND: Peri-implant diseases include peri-implant mucositis, describing an inflammatory lesion of the peri-implant mucosa, and peri-implantitis, which also includes loss of supporting bone. METHODS: A literature search of the Medline database (Ovid), up to 21 January 2008 was carried out using a systematic approach, in order to review the evidence for diagnosis and the risk indicators for peri-implant diseases. RESULTS: Experimental and clinical studies have identified various diagnostic criteria including probing parameters, radiographic assessment and peri-implant crevicular fluid and saliva analyses. Cross-sectional analyses have investigated potential risk indicators for peri-implant disease including poor oral hygiene, smoking, history of periodontitis, diabetes, genetic traits, alcohol consumption and implant surface. There is evidence that probing using a light force (0.25 N) does not damage the peri-implant tissues and that bleeding on probing (BOP) indicates presence of inflammation in the peri-implant mucosa. The probing depth, the presence of BOP, and suppuration should be assessed regularly for the diagnosis of peri-implant diseases. Radiographs are required to evaluate supporting bone levels around implants. The review identified strong evidence that poor oral hygiene, a history of periodontitis and cigarette smoking, are risk indicators for peri-implant disease. Future prospective studies are required to confirm these factors as true risk factors.
BACKGROUND: Peri-implant diseases include peri-implant mucositis, describing an inflammatory lesion of the peri-implant mucosa, and peri-implantitis, which also includes loss of supporting bone. METHODS: A literature search of the Medline database (Ovid), up to 21 January 2008 was carried out using a systematic approach, in order to review the evidence for diagnosis and the risk indicators for peri-implant diseases. RESULTS: Experimental and clinical studies have identified various diagnostic criteria including probing parameters, radiographic assessment and peri-implant crevicular fluid and saliva analyses. Cross-sectional analyses have investigated potential risk indicators for peri-implant disease including poor oral hygiene, smoking, history of periodontitis, diabetes, genetic traits, alcohol consumption and implant surface. There is evidence that probing using a light force (0.25 N) does not damage the peri-implant tissues and that bleeding on probing (BOP) indicates presence of inflammation in the peri-implant mucosa. The probing depth, the presence of BOP, and suppuration should be assessed regularly for the diagnosis of peri-implant diseases. Radiographs are required to evaluate supporting bone levels around implants. The review identified strong evidence that poor oral hygiene, a history of periodontitis and cigarette smoking, are risk indicators for peri-implant disease. Future prospective studies are required to confirm these factors as true risk factors.
Authors: Julia C Schmidt; Monika Astasov-Frauenhoffer; Irmgard Hauser-Gerspach; Jan-Philipp Schmidt; Tuomas Waltimo; Roland Weiger; Clemens Walter Journal: Clin Oral Investig Date: 2013-07-20 Impact factor: 3.573
Authors: Erica N Recker; Gustavo Avila-Ortiz; Carol L Fischer; Keyla Pagan-Rivera; Kim A Brogden; Deborah V Dawson; Satheesh Elangovan Journal: J Periodontol Date: 2014-09-30 Impact factor: 6.993
Authors: Lei Cheng; Hai-Yang Yu; Yao Wu; Chong-Yun Bao; Bang-Cheng Yang; Yi Man; Yao Sun; Xiao-Li Yan; Xue-Dong Zhou Journal: Hua Xi Kou Qiang Yi Xue Za Zhi Date: 2019-02-01