Periodontal Disease Clinical Trial
Official title:
Influence of Maintenance Therapy on Peri-implant Disease
In the field of periodontics, periodontal support therapy has proven to be essential in
preventing the incidence or recurrence of periodontal diseases. The protocol is designed
according to the risk profile of a patient. For example, in the presence of the history of
periodontal therapy, subgingival microbiota containing large numbers of spirochetes and
mobile rods can recolonize pockets 4-8 weeks after scaling. Similarly, routine maintenance
of dental implants has been recommended to prudently avoid peri-implant inflammation,
Indeed, the understanding of the nature of the tissue around the implant and its pattern of
disease would be important to consider, even surpassing importance. Recently, a systematic
review by our group has identified the importance of maintenance therapy around implants
because it can help prevent about 3 times patient-level frequency peri-implantitis.
Henceforth, our primary goal was to study the influence in a cross-sectional study of the
frequency of peri-implantitis patients according to their post-implant placement and
corresponding prosthesis visits supportive peri-implant maintenance. As such, it will be
shown:
1. What are the local and systemic factors affecting the appearance of peri-implantitis
2. The ideal frequency of supportive peri-implant maintenance in patients who do not
develop peri-implant disease
3. What is the population of patients who come to supportive peri-implant maintenance
after placement of dental implants
Cross-sectional analysis that will include consecutive patients with dental implants (> 250)
with at least 36 months depending upon placement of the prosthesis. a cross-sectional study
calling patients to whom implants have placed them in two private practices (CICOM, Badajoz
and Nart Clinica Dental, Barcelona, Spain) in the last 36 month to conduct clinical and
radiographic study was performed. This procedure is justified because of the high frequency
of peri-implant disease (30%) and since there is no predictable and effective treatment,
only prevention can improve the success rate and functionality.
- Clinical examination
A previously examiner (AN) calibrated perform all clinical measurements. The following
clinical parameters were measured at six sites per implant (mesiobuccal, buccal,
distobuccal, distolingual, lingual and mesiolingual):
1. Presence of plaque is recorded as 0 (no) or 1 (presence)
2. Degree of gingival redness recorded as 0 (no) or 1 (presence)
3. Depth bag measured from the gingival margin to the base of the bag in mm;
4. clinical attachment level (CAL) by the number of exposed threads measured
5. Bleeding on probing (BOP) recorded as 0 (no) or 1 (presence)
6. Discharge is recorded as 0 (no) or 1 (presence)
7. keratinized gingiva (mm)
- Radiographic parameters A previously calibrated examiner perform radiographic
measurement from the neck of the implant in the mesial and distal aspect of the
implants using a digitized periapical. The software used for measurements will be
ImageJ (approved by the American National Institute for Research - 'NIH')
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