EdenteV2, Main, Exploration, bibRecord, 005794

Five-year evaluation of the influence of keratinized mucosa on peri-implant soft-tissue health and stability around implants supporting full-arch mandibular fixed prostheses

Identifieur interne : 005794 ( Main/Exploration ); précédent : 005793; suivant : 005795

Five-year evaluation of the influence of keratinized mucosa on peri-implant soft-tissue health and stability around implants supporting full-arch mandibular fixed prostheses

Auteurs : Alexander René Schrott ; Monik Jimenez ; Jae-Woong Hwang ; Joseph Fiorellini ; Hans-Peter Weber

Source :

Clinical oral implants research [ 0905-7161 ] ; 2009.

RBID : PMC:4928380

Descripteurs français

KwdFr :
- Adaptation physiologique, Adulte, Adulte d'âge moyen, Enquêtes de santé dentaire, Femelle, Humains, Hygiène buccodentaire, Implants dentaires (effets indésirables), Kératines (physiologie), Mandibule, Muqueuse de la bouche (anatomopathologie), Mâchoire édentée (rééducation et réadaptation), Mâle, Plaque dentaire (), Plaque dentaire (étiologie), Prothèse dentaire complète inférieure, Prothèse dentaire implanto-portée, Récession gingivale (anatomopathologie), Résultat thérapeutique, Statistique non paramétrique, Sujet âgé, Études longitudinales, Études prospectives.
MESH :
- anatomopathologie : Muqueuse de la bouche, Récession gingivale.
- effets indésirables : Implants dentaires.
- physiologie : Kératines.
- rééducation et réadaptation : Mâchoire édentée.
- étiologie : Plaque dentaire.
- Adaptation physiologique, Adulte, Adulte d'âge moyen, Enquêtes de santé dentaire, Femelle, Humains, Hygiène buccodentaire, Mandibule, Mâle, Plaque dentaire, Prothèse dentaire complète inférieure, Prothèse dentaire implanto-portée, Résultat thérapeutique, Statistique non paramétrique, Sujet âgé, Études longitudinales, Études prospectives.

English descriptors

KwdEn :
- Adaptation, Physiological, Adult, Aged, Dental Health Surveys, Dental Implants (adverse effects), Dental Plaque (etiology), Dental Plaque (prevention & control), Dental Prosthesis, Implant-Supported, Denture, Complete, Lower, Female, Gingival Recession (pathology), Humans, Jaw, Edentulous (rehabilitation), Keratins (physiology), Longitudinal Studies, Male, Mandible, Middle Aged, Mouth Mucosa (pathology), Oral Hygiene, Prospective Studies, Statistics, Nonparametric, Treatment Outcome.
MESH :
- chemical , adverse effects : Dental Implants.
- etiology : Dental Plaque.
- pathology : Gingival Recession, Mouth Mucosa.
- chemical , physiology : Keratins.
- prevention & control : Dental Plaque.
- rehabilitation : Jaw, Edentulous.
- Adaptation, Physiological, Adult, Aged, Dental Health Surveys, Dental Prosthesis, Implant-Supported, Denture, Complete, Lower, Female, Humans, Longitudinal Studies, Male, Mandible, Middle Aged, Oral Hygiene, Prospective Studies, Statistics, Nonparametric, Treatment Outcome.

Abstract

Background

The question of the importance of keratinized mucosa around dental implants for the prevention of peri-implant disease could not be answered in the relevant literature so far.

Objective

To investigate the influence of peri-implant keratinized mucosa on long-term peri-implant soft-tissue health and stability over a period of 5 years.

Material and methods

A total of 386 mandibular dental implants were placed in 73 completely edentulous patients, and subsequently restored with fixed full-arch prostheses. At prosthesis delivery (baseline) and after 3, 6, 12, 18, 24, 36, 48 and 60 months, modified plaque index (mPlI), modified sulcus bleeding index (mBI), distance between implant shoulder and mucosal margin (DIM) and width of peri-implant keratinized mucosa (KM) were recorded. Statistical analysis included multivariate logistic regression, multivariate ordinal logistic regression, generalized estimating equations and Bonferroni’s correction.

Results

Fifty-eight patients with 307 implants completed the 5-year study. Statistically significantly higher plaque accumulation on lingual sites (mean mPlI 0.67, SD 0.85), bleeding tendencies on lingual sites (mean mBI 0.22, SD 0.53) and larger soft-tissue recession on buccal sites (mean DIM − 0.69 mm, SD 1.11 mm) were found when the width of KM was <2 mm, compared to sites with ≥2 mm of KM (mean mPlI 0.40, SD 0.68, P = 0.001; mean mBI 0.13, SD 0.41, P < 0.01; mean DIM − 0.08 mm, SD 0.86 mm, P < 0.001). The width of keratinized mucosa had no effect on bleeding tendency or plaque accumulation on buccal sites (P > 0.05).

Conclusion

In patients exercising good oral hygiene and receiving regular implant maintenance therapy, implants with a reduced width of < 2 mm of peri-implant keratinized mucosa were more prone to lingual plaque accumulation and bleeding as well as buccal soft-tissue recession over a period of 5 years.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4928380

DOI: 10.1111/j.1600-0501.2009.01795.x
PubMed: 19719741
PubMed Central: 4928380

Affiliations:

Le document en format XML

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<term>Adult</term>
<term>Aged</term>
<term>Dental Health Surveys</term>
<term>Dental Implants (adverse effects)</term>
<term>Dental Plaque (etiology)</term>
<term>Dental Plaque (prevention & control)</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture, Complete, Lower</term>
<term>Female</term>
<term>Gingival Recession (pathology)</term>
<term>Humans</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Keratins (physiology)</term>
<term>Longitudinal Studies</term>
<term>Male</term>
<term>Mandible</term>
<term>Middle Aged</term>
<term>Mouth Mucosa (pathology)</term>
<term>Oral Hygiene</term>
<term>Prospective Studies</term>
<term>Statistics, Nonparametric</term>
<term>Treatment Outcome</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Enquêtes de santé dentaire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Hygiène buccodentaire</term>
<term>Implants dentaires (effets indésirables)</term>
<term>Kératines (physiologie)</term>
<term>Mandibule</term>
<term>Muqueuse de la bouche (anatomopathologie)</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Plaque dentaire ()</term>
<term>Plaque dentaire (étiologie)</term>
<term>Prothèse dentaire complète inférieure</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Récession gingivale (anatomopathologie)</term>
<term>Résultat thérapeutique</term>
<term>Statistique non paramétrique</term>
<term>Sujet âgé</term>
<term>Études longitudinales</term>
<term>Études prospectives</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="adverse effects" xml:lang="en"><term>Dental Implants</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Muqueuse de la bouche</term>
<term>Récession gingivale</term>
</keywords>
<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Implants dentaires</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Dental Plaque</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Gingival Recession</term>
<term>Mouth Mucosa</term>
</keywords>
<keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Kératines</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="physiology" xml:lang="en"><term>Keratins</term>
</keywords>
<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Dental Plaque</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Jaw, Edentulous</term>
</keywords>
<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Mâchoire édentée</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Plaque dentaire</term>
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<keywords scheme="MESH" xml:lang="en"><term>Adaptation, Physiological</term>
<term>Adult</term>
<term>Aged</term>
<term>Dental Health Surveys</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture, Complete, Lower</term>
<term>Female</term>
<term>Humans</term>
<term>Longitudinal Studies</term>
<term>Male</term>
<term>Mandible</term>
<term>Middle Aged</term>
<term>Oral Hygiene</term>
<term>Prospective Studies</term>
<term>Statistics, Nonparametric</term>
<term>Treatment Outcome</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Enquêtes de santé dentaire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Hygiène buccodentaire</term>
<term>Mandibule</term>
<term>Mâle</term>
<term>Plaque dentaire</term>
<term>Prothèse dentaire complète inférieure</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Résultat thérapeutique</term>
<term>Statistique non paramétrique</term>
<term>Sujet âgé</term>
<term>Études longitudinales</term>
<term>Études prospectives</term>
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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Background</title>
<p id="P1">The question of the importance of keratinized mucosa around dental implants for the prevention of peri-implant disease could not be answered in the relevant literature so far.</p>
</sec>
<sec id="S2"><title>Objective</title>
<p id="P2">To investigate the influence of peri-implant keratinized mucosa on long-term peri-implant soft-tissue health and stability over a period of 5 years.</p>
</sec>
<sec id="S3"><title>Material and methods</title>
<p id="P3">A total of 386 mandibular dental implants were placed in 73 completely edentulous patients, and subsequently restored with fixed full-arch prostheses. At prosthesis delivery (baseline) and after 3, 6, 12, 18, 24, 36, 48 and 60 months, modified plaque index (mPlI), modified sulcus bleeding index (mBI), distance between implant shoulder and mucosal margin (DIM) and width of peri-implant keratinized mucosa (KM) were recorded. Statistical analysis included multivariate logistic regression, multivariate ordinal logistic regression, generalized estimating equations and Bonferroni’s correction.</p>
</sec>
<sec id="S4"><title>Results</title>
<p id="P4">Fifty-eight patients with 307 implants completed the 5-year study. Statistically significantly higher plaque accumulation on lingual sites (mean mPlI 0.67, SD 0.85), bleeding tendencies on lingual sites (mean mBI 0.22, SD 0.53) and larger soft-tissue recession on buccal sites (mean DIM − 0.69 mm, SD 1.11 mm) were found when the width of KM was <2 mm, compared to sites with ≥2 mm of KM (mean mPlI 0.40, SD 0.68, <italic>P</italic>
 = 0.001; mean mBI 0.13, SD 0.41, <italic>P</italic>
 < 0.01; mean DIM − 0.08 mm, SD 0.86 mm, <italic>P</italic>
 < 0.001). The width of keratinized mucosa had no effect on bleeding tendency or plaque accumulation on buccal sites (<italic>P</italic>
 > 0.05).</p>
</sec>
<sec id="S5"><title>Conclusion</title>
<p id="P5">In patients exercising good oral hygiene and receiving regular implant maintenance therapy, implants with a reduced width of < 2 mm of peri-implant keratinized mucosa were more prone to lingual plaque accumulation and bleeding as well as buccal soft-tissue recession over a period of 5 years.</p>
</sec>
</div>
</front>
</TEI>
<affiliations><list></list>
<tree><noCountry><name sortKey="Fiorellini, Joseph" sort="Fiorellini, Joseph" uniqKey="Fiorellini J" first="Joseph" last="Fiorellini">Joseph Fiorellini</name>
<name sortKey="Hwang, Jae Woong" sort="Hwang, Jae Woong" uniqKey="Hwang J" first="Jae-Woong" last="Hwang">Jae-Woong Hwang</name>
<name sortKey="Jimenez, Monik" sort="Jimenez, Monik" uniqKey="Jimenez M" first="Monik" last="Jimenez">Monik Jimenez</name>
<name sortKey="Schrott, Alexander Rene" sort="Schrott, Alexander Rene" uniqKey="Schrott A" first="Alexander René" last="Schrott">Alexander René Schrott</name>
<name sortKey="Weber, Hans Peter" sort="Weber, Hans Peter" uniqKey="Weber H" first="Hans-Peter" last="Weber">Hans-Peter Weber</name>
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Serveur d'exploration sur le patient édenté

Five-year evaluation of the influence of keratinized mucosa on peri-implant soft-tissue health and stability around implants supporting full-arch mandibular fixed prostheses

Five-year evaluation of the influence of keratinized mucosa on peri-implant soft-tissue health and stability around implants supporting full-arch mandibular fixed prostheses

Source :

Descripteurs français

English descriptors

Abstract

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