Javi Vilarrasa1, Marta Peña1, Laura Gumbau2, Alberto Monje1,3, José Nart1. 1. Department of Periodontology, Universitat Internacional de Catalunya, Barcelona, Spain. 2. Faculty of Dentistry, Universitat Internacional de Catalunya, Barcelona, Spain. 3. Department of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, MI, USA.
Abstract
BACKGROUND: A study was made of the prevalence, co-occurrence and association among caries, nutritional habits and peri-implant disease, with an analysis of the influence of other patient and implant factors upon peri-implant disease. MATERIAL AND METHODS: The included subjects underwent a clinical examination and were asked to complete a questionnaire. Demographic data and potential lifestyle/behavioral variables were collected. Clinical and radiographic assessment allowed calculation of the decayed, missing and filled teeth (DMFT) index and peri-implant diagnosis. Uni- and multivariate multinomial logistic regression analyses were applied to identify predictors of peri-implant disease. RESULTS: A total of 169 patients with 311 implants were studied. At patient level, 92.2% of the subjects presented at least one carious lesion, while 22.5% and 56.2% were diagnosed with peri-implantitis and mucositis, respectively. Those patients with more than two caries had a higher risk of mucositis (OR = 3.33). Statistically significant associations for peri-implantitis included full mouth periodontal indexes, sugar-rich diets, keratinized mucosa width, number of missing teeth and interproximal untreated caries or fillings adjacent to implants. CONCLUSION: High caries risk profiles and mucositis/peri-implantitis tended to accumulate within subjects. A sugar-enriched diet and untreated caries or fillings adjacent to implant sites may be further considered as risk indicators of peri-implantitis. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.
BACKGROUND: A study was made of the prevalence, co-occurrence and association among caries, nutritional habits and peri-implant disease, with an analysis of the influence of other patient and implant factors upon peri-implant disease. MATERIAL AND METHODS: The included subjects underwent a clinical examination and were asked to complete a questionnaire. Demographic data and potential lifestyle/behavioral variables were collected. Clinical and radiographic assessment allowed calculation of the decayed, missing and filled teeth (DMFT) index and peri-implant diagnosis. Uni- and multivariate multinomial logistic regression analyses were applied to identify predictors of peri-implant disease. RESULTS: A total of 169 patients with 311 implants were studied. At patient level, 92.2% of the subjects presented at least one carious lesion, while 22.5% and 56.2% were diagnosed with peri-implantitis and mucositis, respectively. Those patients with more than two caries had a higher risk of mucositis (OR = 3.33). Statistically significant associations for peri-implantitis included full mouth periodontal indexes, sugar-rich diets, keratinized mucosa width, number of missing teeth and interproximal untreated caries or fillings adjacent to implants. CONCLUSION: High caries risk profiles and mucositis/peri-implantitis tended to accumulate within subjects. A sugar-enriched diet and untreated caries or fillings adjacent to implant sites may be further considered as risk indicators of peri-implantitis. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.
Authors: Johan Peter Woelber; Christian Tennert; Simon Fabian Ernst; Kirstin Vach; Petra Ratka-Krüger; Hartmut Bertz; Paul Urbain Journal: Nutrients Date: 2021-11-25 Impact factor: 5.717