Peri-implantitis and maxillary sinus membrane thickening: A retrospective cohort study

IF 4.8 1区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Clinical Oral Implants Research Pub Date : 2024-05-15 DOI:10.1111/clr.14282

Ramón Pons, Maria Giralt-Hernando, José Nart, Beatriz de Tapia, Federico Hernández-Alfaro, Alberto Monje

{"title":"Peri-implantitis and maxillary sinus membrane thickening: A retrospective cohort study","authors":"Ramón Pons, Maria Giralt-Hernando, José Nart, Beatriz de Tapia, Federico Hernández-Alfaro, Alberto Monje","doi":"10.1111/clr.14282","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Objective</h3>\n \n <p>The objective of this study is to investigate the association of peri-implantitis (PI) and sinus membrane thickening and to assess the resolution of membrane thickening following intervention (implant removal or peri-implantitis treatment) aimed at arresting PI.</p>\n </section>\n \n <section>\n \n <h3> Materials and Methods</h3>\n \n <p>Forty-five patients with 61 implants in the posterior maxillary region were retrospectively included in the study. Twenty-four patients were diagnosed with peri-implantitis (PI) and 21 had peri-implant health (PH). Cone-beam computed tomography (CBCT) scans were evaluated to assess maxillary sinus characteristics, including membrane thickening, sinus occupancy and ostium patency. The CBCT scans taken 6 months after intervention aimed at arresting disease (implant removal or treatment of PI) in the PI group were also appraised and compared to baseline scans.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>At baseline, all parameters evaluating membrane thickness disorders yielded significant differences between groups (<i>p</i> < .001). Patients with posterior maxillary implants diagnosed with PI were 7× more likely to present membrane thickening compatible with pathology when compared to patients with healthy implants (OR = 7.14; <i>p</i> = .005). Furthermore, the likelihood was 6x greater in implants diagnosed with PI to exhibit moderate membrane thickening (OR = 6.75, <i>p</i> = .001). The patients receiving interventions aimed at arresting PI experienced significant enhancement in all radiographic parameters related to the sinus cavity at the 6-month follow-up (<i>p</i> < .001), though these variations were similarly independent of whether treatment consisted of PI treatment or implant removal.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>Maxillary sinus membrane thickening and the permeability/obstruction of the ostium are frequently associated with the presence of PI in posterior implants. Interventions targeting disease resolution effectively reduce membrane thickness to levels compatible with maxillary sinus health.</p>\n </section>\n </div>","PeriodicalId":10455,"journal":{"name":"Clinical Oral Implants Research","volume":"35 7","pages":"757-770"},"PeriodicalIF":4.8000,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/clr.14282","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Oral Implants Research","FirstCategoryId":"5","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/clr.14282","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}

引用次数: 0

Abstract

Objective

The objective of this study is to investigate the association of peri-implantitis (PI) and sinus membrane thickening and to assess the resolution of membrane thickening following intervention (implant removal or peri-implantitis treatment) aimed at arresting PI.

Materials and Methods

Forty-five patients with 61 implants in the posterior maxillary region were retrospectively included in the study. Twenty-four patients were diagnosed with peri-implantitis (PI) and 21 had peri-implant health (PH). Cone-beam computed tomography (CBCT) scans were evaluated to assess maxillary sinus characteristics, including membrane thickening, sinus occupancy and ostium patency. The CBCT scans taken 6 months after intervention aimed at arresting disease (implant removal or treatment of PI) in the PI group were also appraised and compared to baseline scans.

Results

At baseline, all parameters evaluating membrane thickness disorders yielded significant differences between groups (p < .001). Patients with posterior maxillary implants diagnosed with PI were 7× more likely to present membrane thickening compatible with pathology when compared to patients with healthy implants (OR = 7.14; p = .005). Furthermore, the likelihood was 6x greater in implants diagnosed with PI to exhibit moderate membrane thickening (OR = 6.75, p = .001). The patients receiving interventions aimed at arresting PI experienced significant enhancement in all radiographic parameters related to the sinus cavity at the 6-month follow-up (p < .001), though these variations were similarly independent of whether treatment consisted of PI treatment or implant removal.

Conclusions

Maxillary sinus membrane thickening and the permeability/obstruction of the ostium are frequently associated with the presence of PI in posterior implants. Interventions targeting disease resolution effectively reduce membrane thickness to levels compatible with maxillary sinus health.

Abstract Image

查看原文本刊更多论文

种植体周围炎与上颌窦膜增厚：回顾性队列研究

研究目的本研究的目的是调查种植体周围炎（PI）与窦膜增厚之间的关系，并评估旨在阻止 PI 的干预措施（拔除种植体或治疗种植体周围炎）后窦膜增厚的缓解情况：本研究回顾性地纳入了 45 名在上颌后部植入 61 个种植体的患者。24名患者被诊断为种植体周围炎（PI），21名患者为种植体周围健康（PH）。对锥形束计算机断层扫描（CBCT）进行了评估，以评估上颌窦的特征，包括窦膜增厚、窦占位和窦口通畅。此外，还评估了PI组患者在采取旨在遏制疾病的干预措施（拔除种植体或治疗PI）6个月后的CBCT扫描结果，并与基线扫描结果进行了比较：结果：基线扫描时，所有评估膜厚度紊乱的参数在各组之间均存在显著差异（P上颌窦膜增厚和骨膜的通透性/阻塞经常与后牙种植体中存在 PI 有关。以解决疾病为目标的干预措施能有效地将膜厚度降低到与上颌窦健康相适应的水平。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Clinical Oral Implants Research 医学-工程：生物医学

CiteScore

7.70

自引率

11.60%

发文量

149

审稿时长

3 months

期刊介绍： Clinical Oral Implants Research conveys scientific progress in the field of implant dentistry and its related areas to clinicians, teachers and researchers concerned with the application of this information for the benefit of patients in need of oral implants. The journal addresses itself to clinicians, general practitioners, periodontists, oral and maxillofacial surgeons and prosthodontists, as well as to teachers, academicians and scholars involved in the education of professionals and in the scientific promotion of the field of implant dentistry.