Influence of keratinized mucosa on the surgical therapeutical outcomes of peri‐implantitis

Andrea Ravidà; Islam Saleh; Rafael Siqueira; Carlos Garaicoa‐Pazmiño; Muhammad H. A Saleh; Alberto Monje; Hom‐Lay Wang

doi:10.1111/jcpe.13250

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Influence of keratinized mucosa on the surgical therapeutical outcomes of peri‐implantitis

Journal article

Peer reviewed

Influence of keratinized mucosa on the surgical therapeutical outcomes of peri‐implantitis

Andrea Ravidà, Islam Saleh, Rafael Siqueira, Carlos Garaicoa‐Pazmiño, Muhammad H. A Saleh, Alberto Monje and Hom‐Lay Wang

Journal of clinical periodontology, Vol.47(4), pp.529-539

04/01/2020

DOI: 10.1111/jcpe.13250

PMID: 31912526

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Abstract

Aim To assess the impact of keratinized mucosa (KM) width around dental implants on surgical therapeutic outcomes when treating peri‐implantitis. Material and Methods Surgically treated peri‐implantitis implants were divided into two groups (KM width < 2 mm and ≥2 mm). Retrospective data were obtained after implant placement (T0) and the day of peri‐implantitis surgical treatment (T1). Patients were later recruited (≥1 year after T1) for clinical and radiographic examination (T2). Outcomes were analysed using generalized estimating equation (GEE) models. Results A total of 40 patients (68 implants) (average follow‐up: 52.4 ± 30.5 months) were included in this study. From T0 to T1, no differences were found between KM groups in terms of peri‐implant probing depths (PPD) and bleeding on probing (BOP). However, sites with <2 mm KM exhibited significantly higher suppuration (SUP) and lower marginal bone level (MBL) (p > .01). Between T1 and T2, no major differences were noted on PPD reduction, BOP and MBL changes between the two groups. GEE modelling demonstrated that MBL severity prior to surgical therapy was a better predictor for implant survival than KM width. Conclusion Surgical outcome in treating peri‐implantitis was influenced by the severity of bone loss present at the time of treatment and not by the presence of KM at the time of treatment.

dental implants

disease management

keratinized mucosa

peri‐implantitis

Details

Title: Subtitle: Influence of keratinized mucosa on the surgical therapeutical outcomes of peri‐implantitis
Creators: Andrea Ravidà - University of Michigan School of Dentistry
Islam Saleh - University of Michigan School of Dentistry
Rafael Siqueira - University of Michigan School of Dentistry
Carlos Garaicoa‐Pazmiño
Muhammad H. A Saleh - University of Louisville School of Dentistry
Alberto Monje - Universitat Internacional de Catalunya
Hom‐Lay Wang - University of Michigan School of Dentistry
Resource Type: Journal article
Publication Details: Journal of clinical periodontology, Vol.47(4), pp.529-539
DOI: 10.1111/jcpe.13250
PMID: 31912526
NLM abbreviation: J Clin Periodontol
ISSN: 0303-6979
eISSN: 1600-051X
Grant note: DOI: 10.13039/100007270, name: University of Michigan
Language: English
Date published: 04/01/2020
Academic Unit: Periodontics
Record Identifier: 9984130699702771

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