Prevalence of Peri-Implant Diseases in Computer-Guided Implant Sites: A Cross-Sectional Study

IF 3.7 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Clinical Implant Dentistry and Related Research Pub Date : 2025-06-11 DOI:10.1111/cid.70061

Praewvanit Asavanamuang, Piyarat Sirirattanagool, Shruti Jain, Lorenzo Tavelli, Matthew Finkelman, Yash Brahmbhatt, Maria Elisa Galarraga-Vinueza

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Abstract

Objective

The present cross-sectional study aimed to determine the prevalence and the risk indicators associated with peri-implant diseases (PIDs) in patients who were subjected to computer-guided implant surgery.

Methods

Patients that were treated and screened during regular maintenance visits at one university center were enrolled in this cross-sectional study. Implants were diagnosed into the categories of peri-implant health, peri-implant mucositis, or peri-implantitis according to the 2017 World Workshop established case definitions. Bivariate and multivariable analyzes were conducted to identify local parameters and patient characteristics as associated risk indicators with PIDs, bleeding on probing (BOP) and marginal bone level (MBL) change.

Results

A total of 115 patients with 417 implants were evaluated during a regular maintenance visit at one university center. Peri-implant mucositis and peri-implantitis prevalence in digitally-guided implant sites were 67.8% and 9.6% at the patient level, respectively. Former and active smokers, active or a history of periodontitis, implant loading time, plaque index (PI), and absence of soft tissue graft were significantly associated with peri-implantitis. Bruxism, gastrointestinal (GI) disorders, and type of oral hygiene aid (OHI) displayed a significant association with peri-implant MBL changes.

Conclusion

The prevalence of peri-implant diseases in digitally-guided implant sites was comparable for mucositis and appeared lower for peri-implantitis when compared to previous outcomes with nondigital guided implant placement. Notably, patient-related factors and local clinical characteristics such as smoking, periodontitis, higher PI scores, and implant loading time were significantly associated with the occurrence of PIDs, while soft tissue grafting had a protective effect.

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计算机引导种植体周围疾病的流行：一项横断面研究

目的探讨计算机引导下种植体手术患者种植体周围疾病（pid）的患病率及相关危险指标。方法在一所大学中心进行定期维护访问期间接受治疗和筛查的患者纳入本横断面研究。根据2017年世界研讨会建立的病例定义，种植体被诊断为种植体周围健康、种植体周围粘膜炎或种植体周围炎。进行了双变量和多变量分析，以确定局部参数和患者特征作为与pid、探查出血（BOP）和边缘骨水平（MBL）变化相关的风险指标。结果在一所大学中心对115名患者共417颗种植体进行了定期维护访问。数字引导种植体部位的种植体周围黏膜炎和种植体周围炎患病率分别为67.8%和9.6%。前吸烟者和活跃吸烟者、活跃牙周炎史、种植体加载时间、菌斑指数（PI）和缺乏软组织移植物与种植体周围炎显著相关。磨牙症、胃肠道疾病和口腔卫生辅助设备类型与种植体周围MBL变化有显著相关性。结论：与非数字引导种植体放置的结果相比，在数字引导种植体位置的种植体周围疾病的患病率与粘膜炎相当，并且种植体周围疾病的患病率较低。值得注意的是，吸烟、牙周炎、PI评分较高、种植体加载时间等患者相关因素和局部临床特征与pip的发生显著相关，而软组织移植具有保护作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Implant Dentistry and Related Research 医学-牙科与口腔外科

CiteScore

6.00

自引率

13.90%

发文量

103

审稿时长

4-8 weeks

期刊介绍： The goal of Clinical Implant Dentistry and Related Research is to advance the scientific and technical aspects relating to dental implants and related scientific subjects. Dissemination of new and evolving information related to dental implants and the related science is the primary goal of our journal. The range of topics covered by the journals will include but be not limited to: New scientific developments relating to bone Implant surfaces and their relationship to the surrounding tissues Computer aided implant designs Computer aided prosthetic designs Immediate implant loading Immediate implant placement Materials relating to bone induction and conduction New surgical methods relating to implant placement New materials and methods relating to implant restorations Methods for determining implant stability A primary focus of the journal is publication of evidenced based articles evaluating to new dental implants, techniques and multicenter studies evaluating these treatments. In addition basic science research relating to wound healing and osseointegration will be an important focus for the journal.