A Classification Proposal for Peri-Implant Mucositis and Peri-Implantitis: A Critical Update
Identifieur interne : 006503 ( Ncbi/Merge ); précédent : 006502; suivant : 006504A Classification Proposal for Peri-Implant Mucositis and Peri-Implantitis: A Critical Update
Auteurs : Javier Ata-Ali [Espagne] ; Fadi Ata-Ali [Espagne] ; Leticia Bagan [Espagne]Source :
- The Open Dentistry Journal [ 1874-2106 ] ; 2015.
Abstract
Definitions of peri-implant mucositis and peri-implantitis vary in the literature, and no clear criteria have been established for the diagnosis and treatment of such disorders. This study proposes a classification for peri-implant mucositis and peri-implantitis based on the severity of the disease, using a combination of peri-implant clinical and radiological parameters to classify severity into several stages (Stage 0A and 0B = peri-implant mucositis, and Stage I to IV = periimplantitis). Following a review of the literature on the subject and justification of the proposed peri-implant disease classification, the latter aims to facilitate professional communication and data collection for research and community health studies.
Url:
DOI: 10.2174/1874210601509010393
PubMed: 26966463
PubMed Central: 4758051
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<author><name sortKey="Ata Ali, Fadi" sort="Ata Ali, Fadi" uniqKey="Ata Ali F" first="Fadi" last="Ata-Ali">Fadi Ata-Ali</name>
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<front><div type="abstract" xml:lang="en"><p>Definitions of peri-implant mucositis and peri-implantitis vary in the literature, and no clear criteria have been
established for the diagnosis and treatment of such disorders. This study proposes a classification for peri-implant mucositis
and peri-implantitis based on the severity of the disease, using a combination of peri-implant clinical and radiological
parameters to classify severity into several stages (Stage 0A and 0B = peri-implant mucositis, and Stage I to IV = periimplantitis).
Following a review of the literature on the subject and justification of the proposed peri-implant disease classification,
the latter aims to facilitate professional communication and data collection for research and community health
studies.</p>
</div>
</front>
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<pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Open Dent J</journal-id>
<journal-id journal-id-type="iso-abbrev">Open Dent J</journal-id>
<journal-id journal-id-type="publisher-id">TODENTJ</journal-id>
<journal-title-group><journal-title>The Open Dentistry Journal</journal-title>
</journal-title-group>
<issn pub-type="epub">1874-2106</issn>
<publisher><publisher-name>Bentham Science Publishers</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">26966463</article-id>
<article-id pub-id-type="pmc">4758051</article-id>
<article-id pub-id-type="publisher-id">TODENTJ-9-393</article-id>
<article-id pub-id-type="doi">10.2174/1874210601509010393</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>A Classification Proposal for Peri-Implant Mucositis and Peri-Implantitis: A Critical Update</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Ata-Ali</surname>
<given-names>Javier</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
<xref ref-type="corresp" rid="cor1">*</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ata-Ali</surname>
<given-names>Fadi</given-names>
</name>
<xref ref-type="aff" rid="aff2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Bagan</surname>
<given-names>Leticia</given-names>
</name>
<xref ref-type="aff" rid="aff3">3</xref>
</contrib>
</contrib-group>
<aff id="aff1"><label>1</label>
Public Dental Health Service, Arnau de Vilanova Hospital, European University of Valencia, Spain</aff>
<aff id="aff2"><label>2</label>
Valencia University Medical and Dental School, Spain</aff>
<aff id="aff3"><label>3</label>
Department of Oral Medicine, Valencia University Medical and Dental School, Spain</aff>
<author-notes><corresp id="cor1"><label>*</label>
Address correspondence to this author at the Public Dental Health Service. Arnau de Vilanova Hospital, c/ San Clemente 12, 46015-Valencia (Spain); Tel: +0034963868501;
E-mail: <email xlink:href="javiataali@hotmail.com">javiataali@hotmail.com</email>
</corresp>
</author-notes>
<pub-date pub-type="epub"><day>11</day>
<month>12</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="collection"><year>2015</year>
</pub-date>
<volume>9</volume>
<fpage>393</fpage>
<lpage>395</lpage>
<history><date date-type="received"><day>25</day>
<month>12</month>
<year>2014</year>
</date>
<date date-type="rev-recd"><day>17</day>
<month>8</month>
<year>2015</year>
</date>
<date date-type="accepted"><day>12</day>
<month>10</month>
<year>2015</year>
</date>
</history>
<permissions><copyright-statement>© Ata-Ali <italic>et al.</italic>
; Licensee <italic>Bentham Open.</italic>
</copyright-statement>
<copyright-year>2015</copyright-year>
<copyright-holder>Ata-Ali</copyright-holder>
<license license-type="open-access" xlink:href="https://creativecommons.org/licenses/by/4.0/legalcode"><license-p>This is an open access articles licensed under the terms of the Creative Commons Attribution-Non-Commercial 4.0 International Public License (CC BY-NC 4.0) (<uri xlink:type="simple" xlink:href="https://creativecommons.org/licenses/by-nc/4.0/legalcode">https://creativecommons.org/licenses/by-nc/4.0/legalcode</uri>
), which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided that the work is properly cited.</license-p>
</license>
</permissions>
<abstract><p>Definitions of peri-implant mucositis and peri-implantitis vary in the literature, and no clear criteria have been
established for the diagnosis and treatment of such disorders. This study proposes a classification for peri-implant mucositis
and peri-implantitis based on the severity of the disease, using a combination of peri-implant clinical and radiological
parameters to classify severity into several stages (Stage 0A and 0B = peri-implant mucositis, and Stage I to IV = periimplantitis).
Following a review of the literature on the subject and justification of the proposed peri-implant disease classification,
the latter aims to facilitate professional communication and data collection for research and community health
studies.</p>
</abstract>
<kwd-group><title>Keywords:</title>
<kwd>Classification</kwd>
<kwd>dental implant</kwd>
<kwd>disease</kwd>
<kwd>peri-implant mucositis</kwd>
<kwd>peri-implantitis</kwd>
<kwd>peri-implant.</kwd>
</kwd-group>
</article-meta>
</front>
<floats-group><table-wrap id="T1" position="float"><label>Table 1.</label>
<caption><p>Proposed classification of peri-implant mucositis.</p>
</caption>
<table frame="border" rules="all" width="100%"><thead><tr><th align="center" rowspan="1" colspan="1">Staging</th>
<th align="center" rowspan="1" colspan="1">Definition</th>
</tr>
</thead>
<tbody><tr><td align="center" rowspan="1" colspan="1">Stage 0A</td>
<td align="center" rowspan="1" colspan="1">PPD ≤ 4 mm and BoP and/or SUP, with no signs of loss of supporting bone following initial bone remodeling during healing</td>
</tr>
<tr><td align="center" rowspan="1" colspan="1">Stage 0B</td>
<td align="center" rowspan="1" colspan="1">PPD > 4 mm and BoP and/or SUP, with no signs of loss of supporting bone following initial bone remodeling during healing</td>
</tr>
</tbody>
</table>
<table-wrap-foot><fn id="T1F1"><p>PPD = probing pocket depth; BoP = bleeding on probing; SUP = suppuration</p>
</fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="T2" position="float"><label>Table 2.</label>
<caption><p>Proposed classification of peri-implantitis.</p>
</caption>
<table frame="border" rules="all" width="100%"><thead><tr><th align="center" rowspan="1" colspan="1">Staging</th>
<th align="center" rowspan="1" colspan="1">Definition</th>
</tr>
</thead>
<tbody><tr><td align="center" rowspan="1" colspan="1">Stage I</td>
<td align="center" rowspan="1" colspan="1">BoP and/or SUP and bone loss ≤ 3 mm beyond biological bone remodeling</td>
</tr>
<tr><td align="center" rowspan="1" colspan="1">Stage II</td>
<td align="center" rowspan="1" colspan="1">BoP and/or SUP and bone loss > 3 mm and < 5 mm beyond biological bone remodeling</td>
</tr>
<tr><td align="center" rowspan="1" colspan="1">Stage III</td>
<td align="center" rowspan="1" colspan="1">BoP and/or SUP and bone loss ≥ 5 mm beyond biological bone remodeling</td>
</tr>
<tr><td align="center" rowspan="1" colspan="1">Stage IV</td>
<td align="center" rowspan="1" colspan="1">BoP and/or SUP and bone loss ≥ 50% of the implant length<xref ref-type="table-fn" rid="T2F1">*</xref>
beyond biological bone remodeling</td>
</tr>
</tbody>
</table>
<table-wrap-foot><fn id="T2F1"><p>BoP = bleeding on probing; SUP = suppuration </p>
<p>* Depending on implant length, if peri-implantitis can be classified as simultaneously corresponding to more than one stage, the most advanced stage should be chosen.</p>
</fn>
</table-wrap-foot>
</table-wrap>
</floats-group>
</pmc>
<affiliations><list><country><li>Espagne</li>
</country>
</list>
<tree><country name="Espagne"><noRegion><name sortKey="Ata Ali, Javier" sort="Ata Ali, Javier" uniqKey="Ata Ali J" first="Javier" last="Ata-Ali">Javier Ata-Ali</name>
</noRegion>
<name sortKey="Ata Ali, Fadi" sort="Ata Ali, Fadi" uniqKey="Ata Ali F" first="Fadi" last="Ata-Ali">Fadi Ata-Ali</name>
<name sortKey="Bagan, Leticia" sort="Bagan, Leticia" uniqKey="Bagan L" first="Leticia" last="Bagan">Leticia Bagan</name>
</country>
</tree>
</affiliations>
</record>
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