Peri-implantitis and maxillary sinus membrane thickening: a retrospective cohort study
Author
Pons, Ramón
Giralt-Hernando, Maria
Nart, José
de Tapia, Beatriz
Monje, Alberto
Publication date
2024ISSN
0905-7161
Abstract
Objective: The objective of this study is to investigate the association of peri-implantitis (PI) and sinus membrane thickening and to assess the resolution of membrane thickening following intervention (implant removal or peri-implantitis treatment) aimed at arresting PI. Materials and Methods: Forty-five patients with 61 implants in the posterior maxillary region were retrospectively included in the study. Twenty-four patients were diagnosed with peri-implantitis (PI) and 21 had peri-implant health (PH). Cone-beam computed tomography (CBCT) scans were evaluated to assess maxillary sinus characteristics, including membrane thickening, sinus occupancy and ostium patency. The CBCT scans taken 6 months after intervention aimed at arresting disease (implant removal or treatment of PI) in the PI group were also appraised and compared to baseline scans. Results: At baseline, all parameters evaluating membrane thickness disorders yielded significant differences between groups (p < .001). Patients with posterior maxillary implants diagnosed with PI were 7× more likely to present membrane thickening compatible with pathology when compared to patients with healthy implants (OR = 7.14; p = .005). Furthermore, the likelihood was 6x greater in implants diagnosed with PI to exhibit moderate membrane thickening (OR = 6.75, p = .001). The patients receiving interventions aimed at arresting PI experienced significant enhancement in all radiographic parameters related to the sinus cavity at the 6-month follow-up (p < .001), though these variations were similarly independent of whether treatment consisted of PI treatment or implant removal. Conclusions: Maxillary sinus membrane thickening and the permeability/obstruction of the ostium are frequently associated with the presence of PI in posterior implants. Interventions targeting disease resolution effectively reduce membrane thickness to levels compatible with maxillary sinus health.
Document Type
Article
Document version
Published version
Language
English
Subject (CDU)
616.3 - Pathology of the digestive system. Complaints of the alimentary canal
Keywords
Implants dentals
Diagnòstic per imatge
Sinusitis maxil·lar
Engrossiment de membrana
Periimplantitis
Implantes dentales
Diagnóstico por imagen
Sinusitis maxilar
Engrosamiento de membranas
Periimplantitis
Dental implants
Diagnostic imaging
Maxillary sinusitis
Membrane thickening
Peri-implantitis
Pages
14
Publisher
Wiley
Collection
35; 7
Is part of
Clinical Oral Implants Research
Citation
Pons, Ramón; Giralt-Hernando, Maria; Nart, José [et al.]. Peri-implantitis and maxillary sinus membrane thickening: a retrospective cohort study. Clinical Oral Implants Research, 2024, 35(7), p. 757-770. Disponible en: <https://onlinelibrary.wiley.com/doi/full/10.1111/clr.14282>. Fecha de acceso: 18 jul. 2024. DOI: 10.1111/clr.14282
This item appears in the following Collection(s)
- Odontologia [242]
Rights
© 2024 The Authors. Clinical Oral Implants Research published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproductionin any medium, provided the original work is properly cited and is not used for commercial purposes.
Except where otherwise noted, this item's license is described as https://creativecommons.org/licenses/by-nc/4.0/