A Cross-Sectional Study of Peri-Implant Diseases in a Random Norwegian Population: Prevalence, Risk Indicators, and Clinical Validation of Patient-Reported Outcomes.

IF 4.8 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE
Erik Klepsland Mauland, Karoline Sørensen, Naomi Østergren Aarbu, Anders Verket, Stig Aanerød Ellingsen, Vibeke Hervik Bull, Roya Torabi Gaarden, Stein Atle Lie, Dagmar Fosså Bunæs
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Abstract

Objectives: The primary aim of this study was to investigate the prevalence of peri-implant diseases in a randomly selected Norwegian population. The secondary aims were to explore risk indicators for peri-implant diseases and to validate self-reported outcome measures from a survey with clinical parameters.

Material and methods: Patients (n = 3083) rehabilitated with dental implants in 2014 were mailed a questionnaire and invited to a clinical examination. A randomly selected subset of responders underwent a clinical examination (n = 242). Full mouth clinical and radiographic examinations were conducted. Multiple logistic regression was used to assess patient-related risk indicators for peri-implantitis. Self-reported data were compared with data from the clinical examination using Spearman correlation and binary logistic regression.

Results: The prevalence of peri-implantitis was 17.0% at patient level and 8.6% at implant level, according to the 2018 classification. Risk indicators for peri-implantitis included smoking and periodontitis in the adjusted model. The correlation was strong (r = 0.91, p < 0.001) between number of self-reported implants and clinical counts, whereas self-reported peri-implant inflammation was associated with peri-implantitis (OR 6.4 [95% CI 3.0, 13.7]).

Conclusions: Smoking and periodontitis were identified as key risk indicators for peri-implantitis. Questionnaire data rendered clinically valid estimates of implant number, and self-reported peri-implant inflammation was associated with clinical peri-implantitis.

挪威随机人群植入前疾病横断面研究:发病率、风险指标和患者报告结果的临床验证。
研究目的本研究的主要目的是调查随机抽取的挪威人口中种植体周围疾病的发病率。次要目的是探索种植体周围疾病的风险指标,并通过临床参数验证调查中的自我报告结果:向2014年接受种植牙修复的患者(n = 3083)邮寄调查问卷,并邀请他们接受临床检查。随机抽取的一部分受访者接受了临床检查(n = 242)。进行了全口临床和放射检查。采用多元逻辑回归评估患者相关的种植体周围炎风险指标。使用斯皮尔曼相关性和二元逻辑回归法将自我报告数据与临床检查数据进行比较:根据2018年的分类,患者层面的种植体周围炎发病率为17.0%,种植体层面的发病率为8.6%。在调整模型中,种植体周围炎的风险指标包括吸烟和牙周炎。相关性很强(r = 0.91,p 结论:吸烟和牙周炎被确定为种植体周围炎的主要风险指标。问卷数据提供了临床上有效的种植体数量估算,自我报告的种植体周围炎与临床种植体周围炎相关。
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来源期刊
Clinical Oral Implants Research
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.
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