Implant Patient Compliance Varies by Periodontal Treatment History.


Zeza, B; Pilloni, A; Tatakis, DN; Mariotti, A; Tanna, GD; Mongardini, C; (2017) Implant Patient Compliance Varies by Periodontal Treatment History. Journal of periodontology. pp. 1-13. ISSN 0022-3492 DOI: https://doi.org/10.1902/jop.2017.160528

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Abstract

This retrospective study aimed to assess the compliance to supportive periodontal therapy (SPT) of implant treated patients with different periodontitis history and the possible influence of their compliance on peri-implant marginal bone level. Dental records of 106 patients treated with at least one dental implant were reviewed. A single operator who did not provide care to the patients recorded the following during the first year of implant function (first year of follow-up), during the first 5 years of follow-up and during the entire follow-up duration: (a) number of recalls; (b) compliance, calculated from registered attendance; (c) periodontal disease history; (d) peri-implant radiographic bone level from most recent examination; and (e) clinical parameters: probing pocket depth (PPD) and bleeding on probing (BOP). Clinical and radiographic parameters were assessed at site level and analyzed for possible associations between them and with demographic parameters. The collected data were based on 156 implants with an average of 6.5 ±3.4 (1-13) years in function. Patients with periodontitis history (P) demonstrated greater compliance than patients without periodontitis history (NP), during the two longer follow-up times. Over time, the majority of patients demonstrated partial compliance (71-80% of patients). Periimplant bone level averaged 0.9±1.1 mm, without significant association with compliance level; however, positive periodontitis history and more years in function were significantly associated with greater periimplant bone loss. Implant patients partially comply with scheduled SPT, regardless of periodontitis history. Periodontally treated patients demonstrated better compliance than those without prior periodontal therapy experiences.

Item Type: Article
Faculty and Department: Faculty of Epidemiology and Population Health > Dept of Infectious Disease Epidemiology
PubMed ID: 28598288
URI: http://researchonline.lshtm.ac.uk/id/eprint/3962235

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