Clinical signs, symptoms, perceptions, and impact on quality of life in patients suffering from peri-implant diseases: a university-representative cross-sectional study
Corresponding Author
Mario Romandini
Section of Graduate Periodontology, Faculty of Odontology, University Complutense, Madrid, Spain
Correspondence
Mario Romandini, Universidad Complutense de Madrid, Facultad de Odontología, Plaza Ramón y Cajal, 3, 28040 Madrid, Spain.
Email: [email protected]
Contribution: Conceptualization (lead), Data curation (lead), Formal analysis (lead), Funding acquisition (equal), Investigation (equal), Methodology (lead), Project administration (equal), Supervision (equal), Visualization (lead), Writing - original draft (lead)
Search for more papers by this authorCristina Lima
Section of Graduate Periodontology, Faculty of Odontology, University Complutense, Madrid, Spain
Contribution: Data curation (equal), Investigation (equal), Methodology (supporting), Writing - review & editing (equal)
Search for more papers by this authorIgnacio Pedrinaci
Section of Graduate Periodontology, Faculty of Odontology, University Complutense, Madrid, Spain
Contribution: Investigation (equal), Writing - review & editing (equal)
Search for more papers by this authorAna Araoz
Section of Graduate Periodontology, Faculty of Odontology, University Complutense, Madrid, Spain
Contribution: Data curation (equal), Investigation (equal), Writing - review & editing (equal)
Search for more papers by this authorMaria Costanza Soldini
Department of Periodontology, Universitat Internacional de Catalunya, Barcelona, Spain
Contribution: Data curation (supporting), Formal analysis (equal), Investigation (equal), Visualization (supporting), Writing - review & editing (equal)
Search for more papers by this authorMariano Sanz
Section of Graduate Periodontology, Faculty of Odontology, University Complutense, Madrid, Spain
ETEP (Etiology and Therapy of Periodontal and Peri-implant Diseases) Research Group, University Complutense, Madrid, Spain
Contribution: Funding acquisition (equal), Methodology (supporting), Project administration (equal), Resources (equal), Supervision (equal), Writing - review & editing (lead)
Search for more papers by this authorCorresponding Author
Mario Romandini
Section of Graduate Periodontology, Faculty of Odontology, University Complutense, Madrid, Spain
Correspondence
Mario Romandini, Universidad Complutense de Madrid, Facultad de Odontología, Plaza Ramón y Cajal, 3, 28040 Madrid, Spain.
Email: [email protected]
Contribution: Conceptualization (lead), Data curation (lead), Formal analysis (lead), Funding acquisition (equal), Investigation (equal), Methodology (lead), Project administration (equal), Supervision (equal), Visualization (lead), Writing - original draft (lead)
Search for more papers by this authorCristina Lima
Section of Graduate Periodontology, Faculty of Odontology, University Complutense, Madrid, Spain
Contribution: Data curation (equal), Investigation (equal), Methodology (supporting), Writing - review & editing (equal)
Search for more papers by this authorIgnacio Pedrinaci
Section of Graduate Periodontology, Faculty of Odontology, University Complutense, Madrid, Spain
Contribution: Investigation (equal), Writing - review & editing (equal)
Search for more papers by this authorAna Araoz
Section of Graduate Periodontology, Faculty of Odontology, University Complutense, Madrid, Spain
Contribution: Data curation (equal), Investigation (equal), Writing - review & editing (equal)
Search for more papers by this authorMaria Costanza Soldini
Department of Periodontology, Universitat Internacional de Catalunya, Barcelona, Spain
Contribution: Data curation (supporting), Formal analysis (equal), Investigation (equal), Visualization (supporting), Writing - review & editing (equal)
Search for more papers by this authorMariano Sanz
Section of Graduate Periodontology, Faculty of Odontology, University Complutense, Madrid, Spain
ETEP (Etiology and Therapy of Periodontal and Peri-implant Diseases) Research Group, University Complutense, Madrid, Spain
Contribution: Funding acquisition (equal), Methodology (supporting), Project administration (equal), Resources (equal), Supervision (equal), Writing - review & editing (lead)
Search for more papers by this authorAbstract
Objectives
To study the symptoms and perception reported by patients with peri-implant diseases, as well as their signs and their potential impact on the oral health quality of life.
Material and Methods
Two hundred and forty randomly selected patients were invited to participate. As part of the history assessment, the patient OHIP-14Sp was evaluated together with, for each implant, the patient perception regarding the peri-implant health status and the history of pain, spontaneous discomfort, bleeding, suppuration, swelling, and discomfort during brushing. As part of the clinical examination, the following potential signs of peri-implant diseases were collected: probing pocket depth (PPD), mucosal dehiscence (MD), extent of BoP, presence of SoP, and visual signs of redness and swelling. Those parameters were analyzed in relation to the actual peri-implant health diagnosis.
Results
Ninety-nine patients with a total of 458 dental implants were studied. Even in case of peri-implantitis, 88.9% of the implants were perceived by the patients as healthy. The total OHIP-14Sp sum score did not differ in relation to the peri-implant health diagnosis. Increased reports of spontaneous discomfort, bleeding, swelling, and discomfort during brushing were observed in presence of disease. However, only a minor proportion of implants with peri-implant diseases presented symptoms. PPD ≥ 6 mm was more frequent in diseased than in healthy implants (p < .01), while PPD ≥ 8 in pre-peri-implantitis/peri-implantitis than in healthy/mucositis implants (p < .01). Implants with peri-implantitis showed higher MD than implants without peri-implantitis (p < .01).
Conclusion
Peri-implant diseases are in most cases asymptomatic and not perceived by the patients. Despite being unable to accurately discriminate between peri-implant mucositis and peri-implantitis, PPD and MD resulted as the only two clinical signs associated with pre-peri-implantitis/peri-implantitis.
CONFLICT OF INTEREST
The authors declare no conflicts of interest related to this study.
Supporting Information
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| clr13683-sup-0001-AppendixS1.pdfPDF document, 87.2 KB | Appendix S1 |
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