Long‐term impact of patients' compliance to peri‐implant maintenance therapy on the incidence of peri‐implant diseases: An 11‐year prospective follow‐up clinical study

Abstract

Objective: To prospectively evaluate the incidence of peri-implant diseases and the associated risk factors during 11 years of peri-implant maintenance therapy (PIMT). Material and Methods: A sample of 80 partially edentulous individuals rehabilitated with dental implants was invited to participate in a PIMT program (T1-prior to entering the PIMT program). After 11 years, 51 individuals remained regularly or irregularly adherent to PIMT (T2-last recall after 11 years) and were classified as regular (RC; n = 27) or irregular (IC; n = 24) compliers. Data of interest were analyzed using univariate and multivariate logistic regression analyses.Results: The incidence of peri-implant mucositis and peri-implantitis observed at T2 in the IC group (70.8% and 37.5%, respectively) were significantly higher than those observed in the RC group (37.0% and 11.1%, respectively). The incidence of periimplant diseases was mostly attributable to potentially modifiable risk factors, as such: RC group-PM (p = 0.013); IC group-high plaque index (p < 0.001), irregular compliance (p < 0.001), the presence of PM (p = 0.015) and periodontitis (p < 0.039). Conclusion:Regular compliance during PIMT had a strong effect in minimizing the incidence of peri-implant diseases. Increasing regular dental visits and improving oral hygiene would provide benefits for preventing peri-implant diseases.

Influence of the level of compliance with preventive maintenance therapy upon the prevalence of peri‐implant diseases

“…The EC presented a higher peri‐implantitis rate (17%) compared with RC (4%), and a 4.25× higher probability of being diagnosed with peri‐implantitis. Recently, Costa et al., in an 11‐year longitudinal study, demonstrated that EC (37%) are significantly more prone to develop peri‐implantitis when compared to RC (11%) 25 . Hence, our findings are consistent with previous observations.…”

“…Recently, Costa et al, in an 11-year longitudinal study, demonstrated that EC (37%) are significantly more prone to develop peri-implantitis when compared to RC (11%). 25 Hence, our findings are consistent with previous observations. In fact, the present study showed EC to be 4.5× more exposed to peri-implantitis compared to RC.…”

Fatores De Risco Associados as Doenças Peri-Implantares: Uma Revisão De Literatura

“…Diversos fatores e indicadores de risco são relatados na literatura, sendo o tabagismo e diabetes universalmente aceitos. Ainda existem controvérsias sobre as evidências relacionadas a síndrome metabólica, doença cardiovascular aterosclerótica, obesidade e doenças periimplantares (WANDA et al, 2019;ALHAKEEM, 2022;COSTA et al, 2022).…”

“…A adesão do paciente a um programa de terapia de manutenção e suporte é um fator de risco importante para manter a saúde do implante e está diretamente relacionada ao fator mais discutido como desencadeador da doença que é o acúmulo de biofilme. A falta de profilaxia regular resultou em aumento do risco de desenvolvimento de peri-implantite, segundo trabalhos recentes (COSTA et al, 2022;ATIEH et al, 2022).…”

“…parecem carecer de investigação científica meticulosa, até que sejam melhor compreendidas ou possam gerar menor controvérsia em relação à influência que elas exercem no índice de sobrevivência dos implantes osseointegrados. A numerosa gama de fatores de risco que podem estar associados à prevalência da peri-implantite podem incluir: histórico de doença periodontal pregressa, tabagismo, diabetes, fatores genéticos, obesidade, doenças cardiovasculares, sobrecarga oclusal, controle de placa deficiente, ausência de mucosa ceratinizada e características do implante, tal como o tipo de superfície (WANDA et al, 2019;ALHAKEEM, 2022;COSTA et al, 2022).…”