Petrovski, Mihajlo and Papakoca, Kiro (2020) Correlation of periodontal status of the adjacent teeth to implants and peri-implantitis. Knowledge – International Journal. pp. 645-649. ISSN 2545-4439
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KIJ, Vol. 40.4-CORRELATION OF THE PERIODONTAL STATUS OF THE ADJACENT TEETH TO IMPLANTS AND PERI-IMPLANTITIS.pdf Download (542kB) | Preview |
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Abstract
There is a strong similarity between chronic periodontitis and peri-implantitis. Both periodontitis and peri-implantitis are caused by a bacterial infection by microorganisms located in the dental biofilms. Also these two conditions show similar clinical features such as soft tissue inflammation and alveolar bone defects on the teeth or dental implants. Peri-implantitis is defined as infection around the body or the apex of the implant followed by alveolar bone loss around the implant. This inflammatory process if not treated could lead to the complete loss of the implant-supported prosthodontic restoration. These clinical features are similar for the chronic periodontitis. Clinically, the inflammatory process in peri-implantitis and in chronic periodontitis can be presented as bleeding on probing, deepened periodontal pockets and periodontal suppuration. But there is one importance difference- the inflammation of the peri-implant tissues develops faster than that of the periodontal tissue. It is caused because the attachment between the implant body and the gingiva is weaker than the tissue connections of the gingiva to the natural teeth. Chronic periodontitis determines the longevity of dental implants. It has been observed that in patients with periodontitis, there are more chances of developing of peri-implantitis. Patients need to be aware that if satisfactory periodontal status is not achieved, dental implants and their longevity may be compromised. And also in patients with peri-implantitis there is bigger chance for higher incidence and prevalence of chronic periodontitis. The main aim of this research was to determine the correlation between peri-implantitis and periodontitis in adjacent teeth to implants. Material and method: This study was conducted on 23 patients with 29 dental implants placed in the period from January 2015 to December 2018. In this retrospective study, all implants were placed by one oral surgeon. Patients were divided into two groups- Group I (12 dental implants) with peri-implantitis and Group II (17 dental implant) without peri- implantitis. On every dental implant, probing depth was measured to determine the
presence of peri-implantits. Except around all 29 implant sites, 29 adjacent teeth and 29 contralateral teeth were
examined. On every tooth probing depth (PD) and clinical attachment loss (CAL) were measured. Results: The
results showed that there is not significant difference among the periodontal measurements on the adjacent and
contra lateral teeth. Probing depth was 4.38 ± 0.37 in group I and 2.99± 0.41 in group II around adjacent teeth
(significant P>0.0001). Probing depth around contra lateral teeth was significant (P>0.0001) in group I (4.14 ± 0.44)
and group II (3.35 ± 0.34). Clinical attachment loss in group I and II on adjacent and contra lateral teeth were not significant (p= 0.97 and p=0.28). Conclusion: The presence of peri-implantitis, the tooth location especially if it is adjacent to the dental implants and the examining site are significantly associated with the periodontal
measurements of the remaining teeth. But risk factors for periodontal diseases need to be evaluated, especially when
implants are placed. Therefore, maintaining a satisfactory oral hygiene around implants is extremely important for
their longevity. This is especially true in the period after implant placement, in the stage of maintaining of achieved results and of course in the assessment of the success of the implant therapy itself.
Keywords: chronic peridontitis, peri-implanitis, clinical attachment loss, periodontal depth
| Item Type: | Article |
|---|---|
| Subjects: | Medical and Health Sciences > Clinical medicine Medical and Health Sciences > Health sciences Medical and Health Sciences > Other medical sciences |
| Divisions: | Faculty of Medical Science |
| Depositing User: | Mihajlo Petrovski |
| Date Deposited: | 13 Jul 2020 14:27 |
| Last Modified: | 13 Jul 2020 14:27 |
| URI: | https://eprints.ugd.edu.mk/id/eprint/24202 |
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