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Factors related to peri‐implantitis – a retrospective study

Identifieur interne : 003C68 ( Istex/Corpus ); précédent : 003C67; suivant : 003C69

Factors related to peri‐implantitis – a retrospective study

Auteurs : Stefan Renvert ; Ahmad Aghazadeh ; Hadar Hallström ; Gösta Rutger Persson

Source :

RBID : ISTEX:7AC133A9EE24077E1E3D2C2ECA99B0036C84ABE5

Abstract

Retrospectively, we assessed the likelihood that peri‐implantitis was associated with a history of systemic disease, periodontitis, and smoking habits.

Url:
DOI: 10.1111/clr.12208

Links to Exploration step

ISTEX:7AC133A9EE24077E1E3D2C2ECA99B0036C84ABE5

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Objectives
<p>Retrospectively, we assessed the likelihood that peri‐implantitis was associated with a history of systemic disease, periodontitis, and smoking habits.</p>
Methods
<p>Data on probing pocket depth (
<hi rend="fc">PPD</hi>
), bleeding on probing (
<hi rend="fc">BOP</hi>
), and radiographic bone levels were obtained from individuals with dental implants. Peri‐implantitis was defined as described by Sanz & Chapple 2012. Control individuals had healthy conditions or peri‐implant mucositis. Information on past history of periodontitis, systemic diseases, and on smoking habits was obtained.</p>
Results
<p>One hundred and seventy‐two individuals had peri‐implantitis (mean age: 68.2 years,
<hi rend="fc">SD</hi>
 ± 8.7), and 98 individuals (mean age: 44.7 years,
<hi rend="fc">SD</hi>
 ± 15.9) had implant health/peri‐implant mucositis. The mean difference in bone level at implants between groups was 3.5 mm (
<hi rend="fc">SE</hi>
mean ± 0.4, 95%
<hi rend="fc">CI</hi>
: 2.8, 4.3,
<hi rend="italic">P</hi>
 < 0.001). A history of cardiovascular disease was found in 27.3% of individuals with peri‐implantitis and in 3.0% of individuals in the implant health/peri‐implant mucositis group. When adjusting for age, smoking, and gender, odds ratio (
<hi rend="fc">OR</hi>
) of having peri‐implantitis and a history of cardiovascular disease was 8.7 (95%
<hi rend="fc">CI</hi>
: 1.9, 40.3
<hi rend="italic">P</hi>
 < 0.006), and odds ratio of having a history of periodontitis was 4.5 (95%
<hi rend="fc">CI</hi>
2.1, 9.7,
<hi rend="italic">P</hi>
 < 0.001). Smoking or gender did not significantly contribute to the outcome.</p>
Conclusions
<p>In relation to a diagnosis of peri‐implantitis, a high likelihood of comorbidity was expressed by a history of periodontitis and a history of cardiovascular disease.</p>
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<title type="main">Factors related to peri‐implantitis – a retrospective study</title>
<title type="shortAuthors">Renvert et al</title>
</titleGroup>
<creators>
<creator affiliationRef="#clr12208-aff-0001 #clr12208-aff-0002 #clr12208-aff-0003" creatorRole="author" corresponding="yes" xml:id="clr12208-cr-0001">
<personName>
<givenNames>Stefan</givenNames>
<familyName>Renvert</familyName>
</personName>
</creator>
<creator affiliationRef="#clr12208-aff-0004" creatorRole="author" xml:id="clr12208-cr-0002">
<personName>
<givenNames>Ahmad</givenNames>
<familyName>Aghazadeh</familyName>
</personName>
</creator>
<creator affiliationRef="#clr12208-aff-0005" creatorRole="author" xml:id="clr12208-cr-0003">
<personName>
<givenNames>Hadar</givenNames>
<familyName>Hallström</familyName>
</personName>
</creator>
<creator affiliationRef="#clr12208-aff-0001 #clr12208-aff-0006 #clr12208-aff-0007" creatorRole="author" xml:id="clr12208-cr-0004">
<personName>
<givenNames>Gösta Rutger</givenNames>
<familyName>Persson</familyName>
</personName>
</creator>
</creators>
<affiliationGroup>
<affiliation countryCode="SE" type="organization" xml:id="clr12208-aff-0001">
<orgDiv>Department of Oral Sciences</orgDiv>
<orgName>Kristianstad University</orgName>
<address>
<city>Kristianstad</city>
<country>Sweden</country>
</address>
</affiliation>
<affiliation countryCode="IE" type="organization" xml:id="clr12208-aff-0002">
<orgDiv>School of Dental Sciences</orgDiv>
<orgName>Trinity College</orgName>
<address>
<city>Dublin</city>
<country>Ireland</country>
</address>
</affiliation>
<affiliation countryCode="SE" type="organization" xml:id="clr12208-aff-0003">
<orgName>Blekinge Institute of Technology</orgName>
<address>
<city>Karlskrona</city>
<country>Sweden</country>
</address>
</affiliation>
<affiliation countryCode="SE" type="organization" xml:id="clr12208-aff-0004">
<orgName>Uppsala Käkkirurgiska Centrum</orgName>
<address>
<city>Uppsala</city>
<country>Sweden</country>
</address>
</affiliation>
<affiliation countryCode="SE" type="organization" xml:id="clr12208-aff-0005">
<orgDiv>Department of Periodontology</orgDiv>
<orgDiv>Maxillofacial Unit</orgDiv>
<orgName>Hospital of Halland</orgName>
<address>
<city>Halmstad</city>
<country>Sweden</country>
</address>
</affiliation>
<affiliation countryCode="US" type="organization" xml:id="clr12208-aff-0006">
<orgDiv>Departments of Periodontics and Oral Medicine</orgDiv>
<orgName>University of Washington</orgName>
<address>
<city>Seattle</city>
<countryPart>WA</countryPart>
<country>USA</country>
</address>
</affiliation>
<affiliation countryCode="CH" type="organization" xml:id="clr12208-aff-0007">
<orgDiv>Department of Periodontology</orgDiv>
<orgName>University of Bern</orgName>
<address>
<city>Bern</city>
<country>Switzerland</country>
</address>
</affiliation>
</affiliationGroup>
<keywordGroup type="author">
<keyword xml:id="clr12208-kwd-0001">peri‐implantitis</keyword>
<keyword xml:id="clr12208-kwd-0002">periodontitis</keyword>
<keyword xml:id="clr12208-kwd-0003">risk assessment</keyword>
<keyword xml:id="clr12208-kwd-0004">smoking</keyword>
<keyword xml:id="clr12208-kwd-0005">systemic disease</keyword>
</keywordGroup>
<fundingInfo>
<fundingAgency>The University of Kristianstad</fundingAgency>
</fundingInfo>
<fundingInfo>
<fundingAgency>Public Dental Health Service</fundingAgency>
</fundingInfo>
<fundingInfo>
<fundingAgency>Region Halland</fundingAgency>
</fundingInfo>
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<abstract type="main" xml:id="clr12208-abs-0001">
<title type="main">Abstract</title>
<section xml:id="clr12208-sec-0001">
<title type="main">Objectives</title>
<p>Retrospectively, we assessed the likelihood that peri‐implantitis was associated with a history of systemic disease, periodontitis, and smoking habits.</p>
</section>
<section xml:id="clr12208-sec-0002">
<title type="main">Methods</title>
<p>Data on probing pocket depth (
<fc>PPD</fc>
), bleeding on probing (
<fc>BOP</fc>
), and radiographic bone levels were obtained from individuals with dental implants. Peri‐implantitis was defined as described by Sanz & Chapple 2012. Control individuals had healthy conditions or peri‐implant mucositis. Information on past history of periodontitis, systemic diseases, and on smoking habits was obtained.</p>
</section>
<section xml:id="clr12208-sec-0003">
<title type="main">Results</title>
<p>One hundred and seventy‐two individuals had peri‐implantitis (mean age: 68.2 years,
<fc>SD</fc>
 ± 8.7), and 98 individuals (mean age: 44.7 years,
<fc>SD</fc>
 ± 15.9) had implant health/peri‐implant mucositis. The mean difference in bone level at implants between groups was 3.5 mm (
<fc>SE</fc>
mean ± 0.4, 95%
<fc>CI</fc>
: 2.8, 4.3,
<i>P</i>
 < 0.001). A history of cardiovascular disease was found in 27.3% of individuals with peri‐implantitis and in 3.0% of individuals in the implant health/peri‐implant mucositis group. When adjusting for age, smoking, and gender, odds ratio (
<fc>OR</fc>
) of having peri‐implantitis and a history of cardiovascular disease was 8.7 (95%
<fc>CI</fc>
: 1.9, 40.3
<i>P</i>
 < 0.006), and odds ratio of having a history of periodontitis was 4.5 (95%
<fc>CI</fc>
2.1, 9.7,
<i>P</i>
 < 0.001). Smoking or gender did not significantly contribute to the outcome.</p>
</section>
<section xml:id="clr12208-sec-0004">
<title type="main">Conclusions</title>
<p>In relation to a diagnosis of peri‐implantitis, a high likelihood of comorbidity was expressed by a history of periodontitis and a history of cardiovascular disease.</p>
</section>
</abstract>
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<affiliation>Department of Oral Sciences, Kristianstad University, Kristianstad, Sweden</affiliation>
<affiliation>School of Dental Sciences, Trinity College, Dublin, Ireland</affiliation>
<affiliation>Blekinge Institute of Technology, Karlskrona, Sweden</affiliation>
<affiliation>Department of Oral SciencesKristianstad UniversitySE‐29188 Kristianstad, SwedenTel.: +46 44 204090Fax: +46 44 128590e‐mail:</affiliation>
<affiliation>E-mail: stefan.renvert@hkr.se</affiliation>
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<affiliation>Uppsala Käkkirurgiska Centrum, Uppsala, Sweden</affiliation>
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<affiliation>Department of Oral Sciences, Kristianstad University, Kristianstad, Sweden</affiliation>
<affiliation>Departments of Periodontics and Oral Medicine, University of Washington, Seattle, WA, USA</affiliation>
<affiliation>Department of Periodontology, University of Bern, Bern, Switzerland</affiliation>
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<abstract>Retrospectively, we assessed the likelihood that peri‐implantitis was associated with a history of systemic disease, periodontitis, and smoking habits.</abstract>
<abstract>Data on probing pocket depth (PPD), bleeding on probing (BOP), and radiographic bone levels were obtained from individuals with dental implants. Peri‐implantitis was defined as described by Sanz & Chapple 2012. Control individuals had healthy conditions or peri‐implant mucositis. Information on past history of periodontitis, systemic diseases, and on smoking habits was obtained.</abstract>
<abstract>One hundred and seventy‐two individuals had peri‐implantitis (mean age: 68.2 years, SD ± 8.7), and 98 individuals (mean age: 44.7 years, SD ± 15.9) had implant health/peri‐implant mucositis. The mean difference in bone level at implants between groups was 3.5 mm (SE mean ± 0.4, 95% CI: 2.8, 4.3, P < 0.001). A history of cardiovascular disease was found in 27.3% of individuals with peri‐implantitis and in 3.0% of individuals in the implant health/peri‐implant mucositis group. When adjusting for age, smoking, and gender, odds ratio (OR) of having peri‐implantitis and a history of cardiovascular disease was 8.7 (95% CI: 1.9, 40.3 P < 0.006), and odds ratio of having a history of periodontitis was 4.5 (95% CI 2.1, 9.7, P < 0.001). Smoking or gender did not significantly contribute to the outcome.</abstract>
<abstract>In relation to a diagnosis of peri‐implantitis, a high likelihood of comorbidity was expressed by a history of periodontitis and a history of cardiovascular disease.</abstract>
<note type="funding">The University of Kristianstad</note>
<note type="funding">Public Dental Health Service</note>
<note type="funding">Region Halland</note>
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<topic>periodontitis</topic>
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