Changes of clinical parameters at implants: a retrospective comparison of implants versus natural teeth over 5 years of supportive periodontal therapy

Objectives To compare clinical parameters of implants versus natural teeth over a period of 5 years during supportive periodontal therapy (SPT). Material and Methods A total of 421 SPT patients were screened for implants (I) and corresponding control teeth (C). Data (patient level [P]: sex, age, smo...

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Hauptverfasser: Sonnenschein, Sarah K. (VerfasserIn) , Kohnen, Rebecca (VerfasserIn) , Ciardo, Antonio (VerfasserIn) , Ziegler, Philipp (VerfasserIn) , Seide, Svenja (VerfasserIn) , Kim, Ti-Sun (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 31 March 2020
In: Clinical oral implants research
Year: 2020, Jahrgang: 31, Heft: 7, Pages: 646-654
ISSN:1600-0501
DOI:10.1111/clr.13601
Online-Zugang:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1111/clr.13601
Verlag, lizenzpflichtig, Volltext: https://onlinelibrary.wiley.com/doi/abs/10.1111/clr.13601
Volltext
Verfasserangaben:Sarah K. Sonnenschein, Rebecca Kohnen, Antonio Ciardo, Philipp Ziegler, Svenja Seide, Ti-Sun Kim

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520 |a Objectives To compare clinical parameters of implants versus natural teeth over a period of 5 years during supportive periodontal therapy (SPT). Material and Methods A total of 421 SPT patients were screened for implants (I) and corresponding control teeth (C). Data (patient level [P]: sex, age, smoking status, systemic diseases, adherence, oral hygiene indices, mean probing depth [PD]P, bleeding on probing [BOP]P, periodontal risk profile; implant/control tooth level [I/C]: PDI/C, BOPI/C; site level at implants [SITE]: position, dental arch, aspect, BOPSITE) were assessed at the first SPT session where the implant was probed (T1) and 5 years later (T2). The influence of patient and implant/control-related factors on PDI/C/BOPI/C was tested (linear mixed model) as well as the influence of site-specific factors on the PDSITE change (multilevel regression). Results A total of 70 patients (151 implants) were included. Mean PDI was 2.75 ± 0.85 mm (T1) and 2.87 ± 0.79 mm (T2). Mean PDC was 2.42 ± 0.66 mm (T1) and 2.49 ± 0.71 mm (T2). BOPI increased from 8.62 ± 15.01% (T1) to 24.06 ± 26.79% (T2) and BOPC from 9.97 ± 17.78% (T1) to 15.52 ± 22.69% (T2). The differences between implants and controls were significant for BOP (p = .0032). At T2, BOPI/C was associated with periodontal risk (p = .0351). The site-specific analysis revealed an association of BOPSITE at T1 with the progression of PDSITE (p = .0058). Conclusions Probing depths of implants and controls seem to change similarly during SPT but retention of inflammation-free conditions at implants appears to be more difficult compared to natural teeth. Patients with a high-risk profile appear to have an increased susceptibility for BOP around implants, and BOP at implants seems to be a predictor for further PD increase. 
650 4 |a implant maintenance 
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