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Results : Mucositis, peri-implantitis, and survival and success rates of oxide-coated implants in patients treated for periodontitis 3- to 6-year results of a case-series study [1]

Results : Mucositis, peri-implantitis, and survival and success rates of oxide-coated implants in patients treated for periodontitis 3- to 6-year results of a case-series study [1]

author: Reiner Mengel, Theresa Heim, Miriam Thne-Mhling | publisher: drg. Andreas Tjandra, Sp. Perio, FISID

All 29 subjects were examined over the period of 3 to 6 years (Table 2). For the duration of the observation period, all the remaining teeth were periodontally healthy, with PDs ≤ 3 mm and negative BOP. All subjects were non-smokers, had excellent oral hygiene, attended the follow-up examinations on a regular basis, and had no systemic disease.

In total, four implants (3.1%) were lost during the observation period. In a GAP subject (male), one implant (left upper first bicuspid) was removed during second-stage surgery because of mobility. In two GCP subjects (one male and one female), two implants with single crowns (right upper first bicuspid and left lower first molar) were removed after 53 and 68 months due to peri-implantitis. One implant with a single crown (right lower first molar) of a GCP subject (female) fractured 27 months after loading. The implant survival rate was 96.2% in GAP subjects and 97.1% in GCP subjects.

Nine subjects (31.0%) showed mucositis in 15 implants (11.6%) (Table 3). Three GAP subjects displayed mucositis in seven implants (28.0%), compared to eight implants (7.7%) in six GCP subjects. In more than 70% of the implants, a mucositis was first diagnosed after 3 years of loading.

In the multivariate implant-related analyses, the risk of mucositis was higher in GAP subjects (OR = 4.672 with p = 0.012) and in females (OR = 5.267 with p = 0.016).

The uni- and multivariate patient-related analyses did not show significant differences. All other clinical parameters were found to be non-significant in both the implant- and patient-related analyses.

Seven subjects (24.1%) with 21 implants (16.3%) showed peri-implantitis (Table 4). Three GAP subjects displayed peri-implantitis in 8 implants (32.0%) compared to 13 implants (12.5%) in four GCP subjects. In about 60% of the implants, a peri-implantitis was first diagnosed after 3 years of loading.

In the multivariate implant-related analyses, the risk of peri-implantitis was higher in the maxilla (OR = 15.680 with p = 0.001) and implants >10 mm (OR = 9.555 with p = 0.001). All other clinical parameters were found to be non-significant.

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