Frecuencia de enfermedades perimplantares y sus factores asociados
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sep 19, 2022
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Antecedentes: La identificación de los factores de riesgo y posibles asociaciones biológicas y biomecánicas durante el desarrollo de la enfermedad perimplantar tienen como propósito contribuir a prevenir su ocurrencia. Objetivo: Determinar la frecuencia de las enfermedades perimplantares y posibles asociaciones con potenciales factores de riesgo. Métodos: Se realizó un estudio transversal retrospectivo en 75 pacientes con 318 implantes que se colocaron entre 2008 y 2015. Se recolectaron datos demográficos, clínicos y radiológicos requeridos para el diagnóstico de las enfermedades perimplantares a partir de la historia clínica y el examen físico en los pacientes que asistieron a control durante el tiempo de estudio. Resultados: La frecuencia total de las enfermedades perimplantares fue de 81,33 %. La frecuencia de mucositis perimplantar y perimplantitis fue del 74,7 % y 34,7 %, respectivamente. La frecuencia de mucositis perimplantar por implantes fue del 55,7 %, en tanto que la de perimplantitis por implantes fue del 20,7 %. La historia de enfermedad periodontal previa y actual y el tabaquismo parecen estar relacionados con la presencia de esta patología. Conclusiones: La frecuencia total de las enfermedades perimplantares fue de 81,33 % en los pacientes evaluados. La periodontitis como antecedente o enfermedad actual y la ausencia de una terapia de mantenimiento de apoyo parecen ser factores asociados al desarrollo y progreso de estas patologías.
Keywords
epidemiología, enfermedad perimplantar, enfermedad peri-implantar, factores de riesgo, implante dental, implantología, mucositis perimplantar, mucositis peri-implantar, odontología, perimplantitis, peri-implantitisdental implant, dentistry, epidemiology, implantology, peri-implant disease, peri-implant mucositis, peri-implantitis, risk factorsdoença peri-implantar, epidemiologia, fatores de risco, implante dentário, implantologia, mucosite peri-implantar, odontologia, periimplantite, peri-implantite
References
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2. Mayta-Tovalino F, Mendoza-Martiarena Y, Romero-Tapia P, Álvarez-Paucar M, Gálvez-Calla L, Calderón-Sánchez J, Bolaños-Cardenas R, Diaz-Sarabia A. An 11-Year Retrospective Research Study of the Predictive Factors of Peri-Implantitis and Implant Failure: Analytic-Multicentric Study of 1279 Implants in Peru. Int J Dent. 2019 Jun 24; 2019: 3527872. https://doi.org/10.1155/2019/3527872
3. Albrektsson T, Zarb G, Worthington P, Eriksson AR. The long-term efficacy of currently used dental implants: a review and proposed criteria of success. Int J Oral Maxillofac Implants. 1986 Summer; 1(1): 11-25
4. Smith DE, Zarb GA. Criteria for success of osseointegrated endosseous implants. J Prosthet Dent. 1989 Nov; 62(5): 567-572. https://doi.org/10.1016/0022-3913(89)90081-4
5. Fragkioudakis I, Tseleki G, Doufexi AE, Sakellari D. Current Concepts on the Pathogenesis of Peri-implantitis: A Narrative Review. Eur J Dent. 2021 May; 15(2): 379-387. https://doi.org/10.1055/s-0040-1721903
6. Lindhe J, Meyle J; Group D of European Workshop on Periodontology. Peri-implant diseases: Consensus Report of the Sixth European Workshop on Periodontology. J Clin Periodontol. 2008 Sep; 35(8Suppl): 282-285. https://doi.org/10.1111/j.1600-051X.2008.01283.x
7. Smeets R, Henningsen A, Jung O, Heiland M, Hammächer C, Stein JM. Definition, etiology, prevention and treatment of peri-implantitis--a review. Head Face Med. 2014 Sep 3; 10: 34. https://doi.org/10.1186/1746-160X-10-34
8. Kormas I, Pedercini C, Pedercini A, Raptopoulos M, Alassy H, Wolff LF. Peri-Implant Diseases: Diagnosis, Clinical, Histological, Microbiological Characteristics and Treatment Strategies. A Narrative Review. Antibiotics (Basel). 2020 Nov 22; 9(11): 835. /10.3390/antibiotics9110835
9. Araujo MG, Lindhe J. Peri-implant health. J Periodontol. 2018 Jun; 89 Suppl 1: S249-S256. https://doi.org/10.1002/JPER.16-0424
10. Berglundh T, Armitage G, Araujo MG, Avila-Ortiz G, Blanco J, Camargo PM, Chen S, Cochran D, Derks J, Figuero E, Hämmerle CHF, Heitz-Mayfield LJA, Huynh-Ba G, Iacono V, Koo KT, Lambert F, McCauley L, Quirynen M, Renvert S, Salvi GE, Schwarz F, Tarnow D, Tomasi C, Wang HL, Zitzmann N. Peri-implant diseases and conditions: Consensus report of workgroup 4 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J Periodontol. 2018 Jun; 89 Suppl 1: S313-S318. https://doi.org/10.1002/JPER.17-0739
11. Schwarz F, Derks J, Monje A, Wang HL. Peri-implantitis. J Periodontol. 2018 Jun; 89 Suppl 1: S267-S290. https://doi.org/10.1002/JPER.16-0350
12. Linkevicius T, Puisys A, Vindasiute E, Linkeviciene L, Apse P. Does residual cement around implant-supported restorations cause peri-implant disease? A retrospective case analysis. Clin Oral Implants Res. 2013 Nov; 24(11): 1179-1184. https://doi.org/10.1111/j.1600-0501.2012.02570.x
13. Derks J, Tomasi C. Peri-implant health and disease. A systematic review of current epidemiology. J Clin Periodontol. 2015 Apr; 42 Suppl 16: S158-71. https://doi.org/10.1111/jcpe.12334
14. Atieh MA, Alsabeeha NH, Faggion CM Jr, Duncan WJ. The frequency of peri-implant diseases: a systematic review and meta-analysis. J Periodontol. 2013 Nov; 84(11): 1586-1598. https://doi.org/10.1902/jop.2012.120592
15. Aguirre-Zorzano LA, Estefanía-Fresco R, Telletxea O, Bravo M. Prevalence of peri-implant inflammatory disease in patients with a history of periodontal disease who receive supportive periodontal therapy. Clin Oral Implants Res. 2015 Nov; 26(11): 1338-1344. https://doi.org/10.1111/clr.12462
16. Derks J, Schaller D, Håkansson J, Wennström JL, Tomasi C, Berglundh T. Effectiveness of Implant Therapy Analyzed in a Swedish Population: Prevalence of Peri-implantitis. J Dent Res. 2016 Jan; 95(1): 43-49. https://doi.org/10.1177/0022034515608832
17. Ogata Y, Nakayama Y, Tatsumi J, Kubota T, Sato S, Nishida T, Takeuchi Y, Onitsuka T, Sakagami R, Nozaki T, Murakami S, Matsubara N, Tanaka M, Yoshino T, Ota J, Nakagawa T, Ishihara Y, Ito T, Saito A, Yamaki K, Matsuzaki E, Hidaka T, Sasaki D, Yaegashi T, Yasuda T, Shibutani T, Noguchi K, Araki H, Ikumi N, Aoyama Y, Kogai H, Nemoto K, Deguchi S, Takiguchi T, Yamamoto M, Inokuchi K, Ito T, Kado T, Furuichi Y, Kanazashi M, Gomi K, Takagi Y, Kubokawa K, Yoshinari N, Hasegawa Y, Hirose T, Sase T, Arita H, Kodama T, Shin K, Izumi Y, Yoshie H. Prevalence and risk factors for peri-implant diseases in Japanese adult dental patients. J Oral Sci. 2017 Mar 31; 59(1): 1-11. https://doi.org/10.2334/josnusd.16-0027
18. Romandini M, Lima C, Pedrinaci I, Araoz A, Soldini MC, Sanz M. Prevalence and risk/protective indicators of peri-implant diseases: A university-representative cross-sectional study. Clin Oral Implants Res. 2021 Jan; 32(1): 112-122. https://doi.org/10.1111/clr.13684
19. Duque AD, Aristizabal AG, Londoño S, Castro L, Alvarez LG. Prevalence of peri-implant disease on platform switching implants: a cross-sectional pilot study. Braz Oral Res. 2016; 30: S1806-83242016000100204. https://doi.org/10.1590/1807-3107BOR-2016.vol30.0005
20. Karoussis IK, Salvi GE, Heitz-Mayfield LJ, Brägger U, Hämmerle CH, Lang NP. Long-term implant prognosis in patients with and without a history of chronic periodontitis: a 10-year prospective cohort study of the ITI Dental Implant System. Clin Oral Implants Res. 2003 Jun; 14(3): 329-339. https://doi.org/10.1034/j.1600-0501.000.00934.x
21. Lindquist LW, Carlsson GE, Jemt T. A prospective 15-year follow-up study of mandibular fixed prostheses supported by osseointegrated implants. Clinical results and marginal bone loss. Clin Oral Implants Res. 1996 Dec; 7(4): 329-336. https://doi.org/10.1034/j.1600-0501.1996.070405.x
22. Kungsadalpipob K, Supanimitkul K, Manopattanasoontorn S, Sophon N, Tangsathian T, Arunyanak SP. The lack of keratinized mucosa is associated with poor peri-implant tissue health: a cross-sectional study. Int J Implant Dent. 2020 Jul 16; 6(1): 28. https://doi.org/10.1186/s40729-020-00227-5
23. de Araújo Nobre MA, Maló P. The influence of rehabilitation characteristics in the incidence of peri-implant pathology: a case-control study. J Prosthodont. 2014 Jan; 23(1): 21-30. https://doi.org/10.1111/jopr.12114
24. Monje A, Wang HL, Nart J. Association of Preventive Maintenance Therapy Compliance and Peri-Implant Diseases: A Cross-Sectional Study. J Periodontol. 2017 Oct; 88(10): 1030-1041. https://doi.org/10.1902/jop.2017.170135
25. Ferreira CF, Buttendorf AR, de Souza JG, Dalago H, Guenther SF, Bianchini MA. Prevalence of Peri-implant Diseases: Analyses of Associated Factors. Eur J Prosthodont Restor Dent. 2015 Dec; 23(4): 199-206.
26. Daubert DM, Weinstein BF, Bordin S, Leroux BG, Flemming TF. Prevalence and predictive factors for peri-implant disease and implant failure: a cross-sectional analysis. J Periodontol. 2015 Mar; 86(3): 337-347. https://doi.org/10.1902/jop.2014.140438
27. Nyman S, Lindhe J, Rosling B. Periodontal surgery in plaque-infected dentitions. J Clin Periodontol. 1977 Nov; 4(4): 240-249. https://doi.org/10.1111/j.1600-051x.1977.tb01896.x
28. Ramfjord SP. Maintenance care for treated periodontitis patients. J Clin Periodontol. 1987 Sep; 14(8): 433-437. https://doi.org/10.1111/j.1600-051x.1987.tb02247.x
29. Salamanca E, Lin JC, Tsai CY, Hsu YS, Huang HM, Teng NC, Wang PD, Feng SW, Chen MS, Chang WJ. Dental Implant Surrounding Marginal Bone Level Evaluation: Platform Switching versus Platform Matching-One-Year Retrospective Study. Biomed Res Int. 2017; 2017: 7191534. https://doi.org/10.1155/2017/7191534
30. Nayak R, Devanna R, Dharamsi AM, Shetty J, Mokashi R, Malhotra S. Crestal Bone Loss around Dental Implants: Platform Switching vs Platform Matching-A Retrospective Study. J Contemp Dent Pract. 2018 May 1; 19(5): 574-578.
31. Schmitt CM, Nogueira-Filho G, Tenenbaum HC, Lai JY, Brito C, Döring H, Nonhoff J. Performance of conical abutment (Morse Taper) connection implants: a systematic review. J Biomed Mater Res A. 2014 Feb; 102(2): 552-574. https://doi.org/10.1002/jbm.a.34709
32. Caricasulo R, Malchiodi L, Ghensi P, Fantozzi G, Cucchi A. The influence of implant-abutment connection to peri-implant bone loss: A systematic review and meta-analysis. Clin Implant Dent Relat Res. 2018 Aug; 20(4): 653-664. https://doi.org/10.1111/cid.12620
2. Mayta-Tovalino F, Mendoza-Martiarena Y, Romero-Tapia P, Álvarez-Paucar M, Gálvez-Calla L, Calderón-Sánchez J, Bolaños-Cardenas R, Diaz-Sarabia A. An 11-Year Retrospective Research Study of the Predictive Factors of Peri-Implantitis and Implant Failure: Analytic-Multicentric Study of 1279 Implants in Peru. Int J Dent. 2019 Jun 24; 2019: 3527872. https://doi.org/10.1155/2019/3527872
3. Albrektsson T, Zarb G, Worthington P, Eriksson AR. The long-term efficacy of currently used dental implants: a review and proposed criteria of success. Int J Oral Maxillofac Implants. 1986 Summer; 1(1): 11-25
4. Smith DE, Zarb GA. Criteria for success of osseointegrated endosseous implants. J Prosthet Dent. 1989 Nov; 62(5): 567-572. https://doi.org/10.1016/0022-3913(89)90081-4
5. Fragkioudakis I, Tseleki G, Doufexi AE, Sakellari D. Current Concepts on the Pathogenesis of Peri-implantitis: A Narrative Review. Eur J Dent. 2021 May; 15(2): 379-387. https://doi.org/10.1055/s-0040-1721903
6. Lindhe J, Meyle J; Group D of European Workshop on Periodontology. Peri-implant diseases: Consensus Report of the Sixth European Workshop on Periodontology. J Clin Periodontol. 2008 Sep; 35(8Suppl): 282-285. https://doi.org/10.1111/j.1600-051X.2008.01283.x
7. Smeets R, Henningsen A, Jung O, Heiland M, Hammächer C, Stein JM. Definition, etiology, prevention and treatment of peri-implantitis--a review. Head Face Med. 2014 Sep 3; 10: 34. https://doi.org/10.1186/1746-160X-10-34
8. Kormas I, Pedercini C, Pedercini A, Raptopoulos M, Alassy H, Wolff LF. Peri-Implant Diseases: Diagnosis, Clinical, Histological, Microbiological Characteristics and Treatment Strategies. A Narrative Review. Antibiotics (Basel). 2020 Nov 22; 9(11): 835. /10.3390/antibiotics9110835
9. Araujo MG, Lindhe J. Peri-implant health. J Periodontol. 2018 Jun; 89 Suppl 1: S249-S256. https://doi.org/10.1002/JPER.16-0424
10. Berglundh T, Armitage G, Araujo MG, Avila-Ortiz G, Blanco J, Camargo PM, Chen S, Cochran D, Derks J, Figuero E, Hämmerle CHF, Heitz-Mayfield LJA, Huynh-Ba G, Iacono V, Koo KT, Lambert F, McCauley L, Quirynen M, Renvert S, Salvi GE, Schwarz F, Tarnow D, Tomasi C, Wang HL, Zitzmann N. Peri-implant diseases and conditions: Consensus report of workgroup 4 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J Periodontol. 2018 Jun; 89 Suppl 1: S313-S318. https://doi.org/10.1002/JPER.17-0739
11. Schwarz F, Derks J, Monje A, Wang HL. Peri-implantitis. J Periodontol. 2018 Jun; 89 Suppl 1: S267-S290. https://doi.org/10.1002/JPER.16-0350
12. Linkevicius T, Puisys A, Vindasiute E, Linkeviciene L, Apse P. Does residual cement around implant-supported restorations cause peri-implant disease? A retrospective case analysis. Clin Oral Implants Res. 2013 Nov; 24(11): 1179-1184. https://doi.org/10.1111/j.1600-0501.2012.02570.x
13. Derks J, Tomasi C. Peri-implant health and disease. A systematic review of current epidemiology. J Clin Periodontol. 2015 Apr; 42 Suppl 16: S158-71. https://doi.org/10.1111/jcpe.12334
14. Atieh MA, Alsabeeha NH, Faggion CM Jr, Duncan WJ. The frequency of peri-implant diseases: a systematic review and meta-analysis. J Periodontol. 2013 Nov; 84(11): 1586-1598. https://doi.org/10.1902/jop.2012.120592
15. Aguirre-Zorzano LA, Estefanía-Fresco R, Telletxea O, Bravo M. Prevalence of peri-implant inflammatory disease in patients with a history of periodontal disease who receive supportive periodontal therapy. Clin Oral Implants Res. 2015 Nov; 26(11): 1338-1344. https://doi.org/10.1111/clr.12462
16. Derks J, Schaller D, Håkansson J, Wennström JL, Tomasi C, Berglundh T. Effectiveness of Implant Therapy Analyzed in a Swedish Population: Prevalence of Peri-implantitis. J Dent Res. 2016 Jan; 95(1): 43-49. https://doi.org/10.1177/0022034515608832
17. Ogata Y, Nakayama Y, Tatsumi J, Kubota T, Sato S, Nishida T, Takeuchi Y, Onitsuka T, Sakagami R, Nozaki T, Murakami S, Matsubara N, Tanaka M, Yoshino T, Ota J, Nakagawa T, Ishihara Y, Ito T, Saito A, Yamaki K, Matsuzaki E, Hidaka T, Sasaki D, Yaegashi T, Yasuda T, Shibutani T, Noguchi K, Araki H, Ikumi N, Aoyama Y, Kogai H, Nemoto K, Deguchi S, Takiguchi T, Yamamoto M, Inokuchi K, Ito T, Kado T, Furuichi Y, Kanazashi M, Gomi K, Takagi Y, Kubokawa K, Yoshinari N, Hasegawa Y, Hirose T, Sase T, Arita H, Kodama T, Shin K, Izumi Y, Yoshie H. Prevalence and risk factors for peri-implant diseases in Japanese adult dental patients. J Oral Sci. 2017 Mar 31; 59(1): 1-11. https://doi.org/10.2334/josnusd.16-0027
18. Romandini M, Lima C, Pedrinaci I, Araoz A, Soldini MC, Sanz M. Prevalence and risk/protective indicators of peri-implant diseases: A university-representative cross-sectional study. Clin Oral Implants Res. 2021 Jan; 32(1): 112-122. https://doi.org/10.1111/clr.13684
19. Duque AD, Aristizabal AG, Londoño S, Castro L, Alvarez LG. Prevalence of peri-implant disease on platform switching implants: a cross-sectional pilot study. Braz Oral Res. 2016; 30: S1806-83242016000100204. https://doi.org/10.1590/1807-3107BOR-2016.vol30.0005
20. Karoussis IK, Salvi GE, Heitz-Mayfield LJ, Brägger U, Hämmerle CH, Lang NP. Long-term implant prognosis in patients with and without a history of chronic periodontitis: a 10-year prospective cohort study of the ITI Dental Implant System. Clin Oral Implants Res. 2003 Jun; 14(3): 329-339. https://doi.org/10.1034/j.1600-0501.000.00934.x
21. Lindquist LW, Carlsson GE, Jemt T. A prospective 15-year follow-up study of mandibular fixed prostheses supported by osseointegrated implants. Clinical results and marginal bone loss. Clin Oral Implants Res. 1996 Dec; 7(4): 329-336. https://doi.org/10.1034/j.1600-0501.1996.070405.x
22. Kungsadalpipob K, Supanimitkul K, Manopattanasoontorn S, Sophon N, Tangsathian T, Arunyanak SP. The lack of keratinized mucosa is associated with poor peri-implant tissue health: a cross-sectional study. Int J Implant Dent. 2020 Jul 16; 6(1): 28. https://doi.org/10.1186/s40729-020-00227-5
23. de Araújo Nobre MA, Maló P. The influence of rehabilitation characteristics in the incidence of peri-implant pathology: a case-control study. J Prosthodont. 2014 Jan; 23(1): 21-30. https://doi.org/10.1111/jopr.12114
24. Monje A, Wang HL, Nart J. Association of Preventive Maintenance Therapy Compliance and Peri-Implant Diseases: A Cross-Sectional Study. J Periodontol. 2017 Oct; 88(10): 1030-1041. https://doi.org/10.1902/jop.2017.170135
25. Ferreira CF, Buttendorf AR, de Souza JG, Dalago H, Guenther SF, Bianchini MA. Prevalence of Peri-implant Diseases: Analyses of Associated Factors. Eur J Prosthodont Restor Dent. 2015 Dec; 23(4): 199-206.
26. Daubert DM, Weinstein BF, Bordin S, Leroux BG, Flemming TF. Prevalence and predictive factors for peri-implant disease and implant failure: a cross-sectional analysis. J Periodontol. 2015 Mar; 86(3): 337-347. https://doi.org/10.1902/jop.2014.140438
27. Nyman S, Lindhe J, Rosling B. Periodontal surgery in plaque-infected dentitions. J Clin Periodontol. 1977 Nov; 4(4): 240-249. https://doi.org/10.1111/j.1600-051x.1977.tb01896.x
28. Ramfjord SP. Maintenance care for treated periodontitis patients. J Clin Periodontol. 1987 Sep; 14(8): 433-437. https://doi.org/10.1111/j.1600-051x.1987.tb02247.x
29. Salamanca E, Lin JC, Tsai CY, Hsu YS, Huang HM, Teng NC, Wang PD, Feng SW, Chen MS, Chang WJ. Dental Implant Surrounding Marginal Bone Level Evaluation: Platform Switching versus Platform Matching-One-Year Retrospective Study. Biomed Res Int. 2017; 2017: 7191534. https://doi.org/10.1155/2017/7191534
30. Nayak R, Devanna R, Dharamsi AM, Shetty J, Mokashi R, Malhotra S. Crestal Bone Loss around Dental Implants: Platform Switching vs Platform Matching-A Retrospective Study. J Contemp Dent Pract. 2018 May 1; 19(5): 574-578.
31. Schmitt CM, Nogueira-Filho G, Tenenbaum HC, Lai JY, Brito C, Döring H, Nonhoff J. Performance of conical abutment (Morse Taper) connection implants: a systematic review. J Biomed Mater Res A. 2014 Feb; 102(2): 552-574. https://doi.org/10.1002/jbm.a.34709
32. Caricasulo R, Malchiodi L, Ghensi P, Fantozzi G, Cucchi A. The influence of implant-abutment connection to peri-implant bone loss: A systematic review and meta-analysis. Clin Implant Dent Relat Res. 2018 Aug; 20(4): 653-664. https://doi.org/10.1111/cid.12620
Cómo citar
Dueñas-Villamil, R. E., Rivera-Picado, S., Rosa-Ulloa, N. G., Fernández-Gutiérrez, J. M., Gazel-Gazel, E., Pérez-Barrantes, M., & Rodríguez-Ciodaro, A. (2022). Frecuencia de enfermedades perimplantares y sus factores asociados. Universitas Odontologica, 41. https://doi.org/10.11144/Javeriana.uo41.fpdf
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Salud Pública y Epidemiología Oral
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