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
Author
de Tapia, Beatriz
Bonnin, Maria
Valles, Cristina
Mozas, Carla
Herrera, David
Sanz, Mariano
Nart, José
Publication date
2022ISSN
1600-051X
Abstract
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.
Document Type
Article
Document version
Published version
Language
English
Subject (CDU)
616.3 - Pathology of the digestive system. Complaints of the alimentary canal
Keywords
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
Pages
9
Publisher
John Wiley & Sons
Is part of
Journal of Clinical Periodontology
Citation
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
Link to the related item
This item appears in the following Collection(s)
- Odontologia [248]
Rights
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.
Except where otherwise noted, this item's license is described as https://creativecommons.org/licenses/by-nc-nd/4.0/