Cognitive and Emotional Peri-Implant Diseases Perception in a Cohort of Periodontitis Patients: A University-Based Cross-Sectional Study

IF 6.8 1区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Clinical Periodontology Pub Date : 2025-08-18 DOI:10.1111/jcpe.70011

Isabella De Rubertis, Adriano Fratini, Alice Ferrari, Raffaele Mirra, Nicola Discepoli

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引用次数: 0

Abstract

Background and Aim

Patients' disease perception plays a fundamental role in adherence to therapy and participation in long-term maintenance programmes. This cross-sectional study aimed to assess the cognitive and emotional representation of peri-implant diseases (PIDs) in a cohort of patients with periodontitis.

Methods

Patients diagnosed with both periodontitis and PIDs were enrolled. Psychometric evaluation was conducted using the Brief Illness Perception Questionnaire (Brief-IPQ) and the Oral Health Impact Profile-14. Differences were analysed based on disease severity, and a multivariate logistic regression model was applied to explore associations between patient and implant-level variables and illness perception.

Results

A total of 148 patients (459 implants) were included. Patients exhibited low perception of PIDs, with no differences between peri-implant mucositis and peri-implantitis. However, participants with both peri-implantitis and stage III/IV periodontitis presented with significantly higher Brief-IPQ scores. Having ≥ 3 implants and a history of periodontitis treatment were associated with a 4.16-fold and 6.58-fold increase, respectively, in the odds of a higher Brief-IPQ score.

Conclusions

The cognitive and emotional representation of PIDs was found to be low among patients with both periodontitis and PIDs, but appeared to increase in more advanced clinical profiles. A higher number of implants and prior periodontal treatment were associated with greater disease representation.

Trial Registration: The study protocol was approved by the University Hospital of Siena Ethics Committee (Siena, Italy) (Sezione Area vasta Toscana Sud Est, no. 25906), and it was registered on Clinicaltrials.gov (registration number: NCT06383351)

Abstract Image

查看原文本刊更多论文

牙周炎患者的认知和情绪对种植周疾病的感知：一项基于大学的横断面研究。

背景和目的：患者的疾病感知在坚持治疗和参与长期维持计划中起着根本作用。本横断面研究旨在评估牙周炎患者对种植体周围疾病（pid）的认知和情感表现。方法：纳入诊断为牙周炎和PIDs的患者。心理测量评估采用简要疾病感知问卷（Brief- ipq）和口腔健康影响概况-14进行。根据疾病严重程度分析差异，并应用多变量logistic回归模型探讨患者和植入物水平变量与疾病感知之间的关系。结果：共纳入148例患者（459颗种植体）。患者表现出较低的pid感知，种植体周围粘膜炎和种植体周围炎之间没有差异。然而，同时患有种植周炎和III/IV期牙周炎的受试者的Brief-IPQ得分明显更高。种植体≥3颗且有牙周炎治疗史的患者Brief-IPQ评分升高的几率分别增加4.16倍和6.58倍。结论：在牙周炎和PIDs患者中，PIDs的认知和情感表征较低，但在更高级的临床资料中似乎有所增加。种植体数量越多，先前的牙周治疗越多，疾病表现越明显。试验注册：研究方案由锡耶纳大学医院伦理委员会（锡耶纳，意大利）（Sezione Area vasta Toscana Sud Est, no. 5）批准。25906)，并在Clinicaltrials.gov上注册（注册号：NCT06383351）。

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来源期刊

Journal of Clinical Periodontology 医学-牙科与口腔外科

CiteScore

13.30

自引率

10.40%

发文量

175

审稿时长

3-8 weeks

期刊介绍： Journal of Clinical Periodontology was founded by the British, Dutch, French, German, Scandinavian, and Swiss Societies of Periodontology. The aim of the Journal of Clinical Periodontology is to provide the platform for exchange of scientific and clinical progress in the field of Periodontology and allied disciplines, and to do so at the highest possible level. The Journal also aims to facilitate the application of new scientific knowledge to the daily practice of the concerned disciplines and addresses both practicing clinicians and academics. The Journal is the official publication of the European Federation of Periodontology but wishes to retain its international scope. The Journal publishes original contributions of high scientific merit in the fields of periodontology and implant dentistry. Its scope encompasses the physiology and pathology of the periodontium, the tissue integration of dental implants, the biology and the modulation of periodontal and alveolar bone healing and regeneration, diagnosis, epidemiology, prevention and therapy of periodontal disease, the clinical aspects of tooth replacement with dental implants, and the comprehensive rehabilitation of the periodontal patient. Review articles by experts on new developments in basic and applied periodontal science and associated dental disciplines, advances in periodontal or implant techniques and procedures, and case reports which illustrate important new information are also welcome.