Clinical outcomes and associated factors in the treatment of peri-implant mucositis, combining mechanical debridement and prosthesis modification: a 30-month follow-up prospective case series
Autor/a
de Tapia, Beatriz
Bonnin, Maria
Valles, Cristina
Mozas, Carla
Herrera, David
Sanz, Mariano
Nart, José
Fecha de publicación
2022ISSN
1600-051X
Resumen
Aim: To evaluate the clinical outcome and the associated factors of a treatment protocol for peri-implant mucositis. Materials and Methods: Patients were evaluated 30 months after a treatment protocol including professional mechanical debridement and modification of the prosthesis contours to improve access for biofilm control. Clinical performance was assessed by means of probing with an electronic pressure-calibrated periodontal probe. The possible impact of implant- and patient-level factors on the changes in peri-implant mucosal inflammation measured with the modified bleeding index (mBI) was evaluated. Results: Twenty patients and 61 implants were included in the analysis. At the final visit, 50% of the patients presented bleeding on probing, with a mean mBI of 0.22 (SD 0.27). The adjusted linear regression model showed a significant association between patient's compliance with supportive care visits (p = .006) and mucosal inflammation. Similarly, at the implant level, modified plaque index (p < .001) and an irregular use of interdental brushes (p = .017) had a significant impact on final mBI. Conclusions: Prosthesis modification when needed in association with non-surgical treatment may be an important intervention in the treatment of peri-implant mucositis. Compliance with supportive care visits and the regular use of inter-dental brushes were identified as important factors to achieve mucosal inflammation control.
Tipo de documento
Artículo
Versión del documento
Versión publicada
Lengua
English
Materias (CDU)
616.3 - Patología del aparato digestivo. Odontología
Palabras clave
Implant dental
Pròtesi dental
Tractament no quirúrgic
Mucositis periimplantària
Implante dental
Prótesis dental
Tratamiento no quirúrgico
Mucositis periimplantaria
Dental implants
Dental prosthesis
Non-surgical treatment
Peri-implant mucositis
Páginas
9
Publicado por
John Wiley & Sons
Publicado en
Journal of Clinical Periodontology
Citación
de Tapia, Beatriz; Bonnin, Maria; Valles, Cristina [et al.]. Clinical outcomes and associated factors in the treatment of peri-implant mucositis, combining mechanical debridement and prosthesis modification: a 30-month follow-up prospective case series. Journal of Clinical Periodontology, 2022, p. 1-9. Disponible en: <https://onlinelibrary.wiley.com/doi/10.1111/jcpe.13711>. Fecha de acceso: 3 nov. 2022. DOI: 10.1111/jcpe.13711
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This is an open access article under the terms of theCreative Commons Attribution-NonCommercial-NoDerivsLicense, which permits use and distribution in anymedium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.© 2022 The Authors.Journal of Clinical Periodontologypublished by John Wiley & Sons Ltd.
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