Peri-Implantitis and Peri-implant Mucositis
Conditions
Keywords
food impaction, proximal contact loss, Implant supported prosthesis, Dentition defect, risk factors
Brief summary
In this study, we collected and analysed the review results of 100 patients over 18 years of age who received implant fixed restorations in the Department of Stomatology of the First Hospital of Nanjing, China. The aim was to investigate the incidence of loss of contact between implant restorations and adjacent teeth and its influencing factors. Our findings may provide better insights for treatment planning and prevention of PCL.
Detailed description
Food impaction is a common complication after implant-supported restorations. Several studies have reported that more than 40%-66.9% of patients feel food impaction between the implant restoration and adjacent natural teeth. The most common cause of food impaction after implant restoration is the proximal contact loss(PCL), which has been reported to occur in 34% to 65% of cases. The location of PCL creates discomfort and leads to gingival inflammation and even peri-implant bone resorption, which ultimately leads to loosening of the implant. In our long-term clinical observation, not all final restorations suffer from PCL. The occurrence of PCL may be related to a number of factors such as age, gender, functional time, and so on. However, the literature addressing this issue is still limited. In this study, we collected and analysed the review results of selected patients who underwent implant-supported restorations in the First Hospital of Nanjing, China, to investigate the incidence of PCL between the implant restorations and the adjacent teeth adjacent , and the factors influencing it. Our findings may provide better insights for treatment planning and prevention of PCL.
Interventions
BEHAVIORALplaque index assessment, periodontal probing, Bleeding on probing (BOP), Prosthetic adjacency check, initial occlusal contact, maximum occlusal contact, and filling of the cusps.
oral panoramic radiograph
Sponsors
Nanjing First Hospital, Nanjing Medical University
Study design
Observational model
CASE_ONLY
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* (1) Patients over the age of 18, can fully understand the nature of the proposed and be able to sign a consent form. * (2) patients who underwent dental implant surgery and delivered prostheses for more than 3 months in Nanjing First Hospital.
Exclusion criteria
* (1) The implant site or adjacent teeth were severely injured and the adjacent teeth were extracted; * (2) the same quadrant orthodontic or splint treatment; * (3) the prostheses have been removed due to failure or need further treatment; * (4) implant-supported prostheses in both mesial and distal sites; * (5) the adjacent teeth were directly or indirectly fixed with the implant-supported prosthesis; * (6) patients with missing clinical records of PD, PCR and BOP. * (7) The prosthetic prosthesis with implant-supported prosthesis was delivered for less than 3 months in Nanjing First Hospital.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| the proximal contact surface was adjusted by a dental floss (Reach waxed dental floss from Johnson & Johnson, standard thickness) | Patients with implant-supported prostheses reviewed 3 months after delivery were eligible for inclusion in this study. | The degree of proximal contact loss(PCL) was evaluated with a dental floss passing through the contact areas and classified as: (a) tight: sufficient resistance to the passage of the floss; (b) loose: insufficient resistance to the passage of the floss; and (c) open: contact: no resistance to the passage of the floss. The presence of an open or loose contact was classified as PCL. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| oral panoramic radiograph | Patients with implant-supported prostheses reviewed 3 months after delivery were eligible for inclusion in this study. | Using the radiograph analysis software's measuring function, the amount of alveolar bone resorption of the implant as well as adjacent teeth was evaluated. (a)The original bone height was measured as the distance between the enamel-cemental junction and the root apex (or the implant neck edge and the implant base). (b)The existing bone height was measured as the distance between the top of the alveolar ridge to the root apex. (c) The height of alveolar bone resorption was calculated by subtracting the original bone height from the existing bone height. |
| Bausch Arti-Fol R metallic Shimstock-Film | Patients with implant-supported prostheses reviewed 3 months after delivery were eligible for inclusion in this study. | (a) Initial occlusal contact: Bausch articulating paper was applied to the restoration's occlusal surface, the patient was told to close their mouth slowly, the teeth just gently touched, and they opened their mouth right away. The paper was then removed, and the restoration's occlusal surface was examined to see if it had left a red mark. (b) Final occlusal contact: If the patient's restoration and opposing jaw teeth do not make contact during the initial occlusion, place the Bausch articulating paper on the restoration's occlusal surface, ask them to clench their teeth, and then have them open their mouth, take the paper out, and check to see if the implant's occlusal surface has any marks on it. |
Countries
China
Contacts
Primary ContactXin Wu, Master
Backup ContactJiaping Wang
Outcome results
None listed