Approaches to peri-implant discomfort
Keywords:
dental implants, oral hygiene, peri-implantitis, osseointegration, patient satisfactionAbstract
Dental implants have become a routine component of daily dental practice. At the same time, they can cause discomfort, rampant destruction of oral health, or expensive surgical replacement of a failed implant. Early detection of marginal bone loss is vital for treatment planning and implant prognosis. These are designed to best fit various bone types and fail due to many reasons. Understanding the patient's challenges and expectations through honesty is an important part of the treatment, whose success will not only depend on the members of the implantology or technical team, but also on the patient's care when performing their daily hygiene. For this reason, a bibliographic search was carried out in the MEDLINE and PubMed databases on peri-implant discomfort, consulting 30 bibliographical references from the last 5 years.
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References
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2. Caton JG, Armitage G, Berglundh T, et al. A new classification scheme for periodontal and peri-implant diseases and conditions - Introduction and key changes from the 1999 classification. J Clin Periodontol. 2018;45(S20). DOI: 10.1111/jcpe.12935.
3. Berglundh T, Armitage G, Araujo MG, et al. 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 Clin Periodontol. 2018;45(S20):S286-91. DOI: 10.1111/jcpe.12957.
4. Sanz M, Herrera D, Kebschull M, et al. Treatment of stage I-III periodontitis-The EFP S3 level clinical practice guideline. J Clin Periodontol. 2020;47(S22):4-60. DOI: 10.1111/jcpe.13290.
5. Heitz-Mayfield LJA, Heitz F, Lang NP. Implant Disease Risk Assessment IDRA-a tool for preventing peri-implant disease. Clin Oral Implants Res. 2020;31(4):397-403. DOI: 10.1111/clr.13585.
6. Barootchi S, Wang HL. Peri-implant diseases: Current understanding and management. Int J Oral Implantol (Berl). 2021;14(3):263-82. Citado en PubMed; PMID: 34415128.
7. Ravidà A, Galli M, Siqueira R, et al. Diagnosis of peri-implant status after peri-implantitis surgical treatment: Proposal of a new classification. J Periodontol. 2020;91(12):1553-61. DOI: 10.1002/JPER.20-0124.
8. Kormas I, Pedercini C, Pedercini A, et al. Peri-Implant Diseases: Diagnosis, Clinical, Histological, Microbiological Characteristics and Treatment Strategies. A Narrative Review. Antibiotics (Basel). 2020;9(11):835. DOI: 10.3390/antibiotics9110835.
9. Crome M, Adam K, Flohr M, et al. Application of the inverted classroom model in the teaching module “new classification of periodontal and peri-implant diseases and conditions” during the COVID-19 pandemic. GMS J Med Educ. 2021;38(5). DOI: 10.3205/zma001485.
10. Lopes GDRS, Feitosa ACR, Suaid FF, et al. Evaluation of peri-implant condition in periodontally compromised patients. J Indian Prosthodont Soc. 2019;19(4):283-9. DOI: 10.4103/jips.jips_197_19.
11. Song D, Shujaat S, de Faria Vasconcelos K, et al. Diagnostic accuracy of CBCT versus intraoral imaging for assessment of peri-implant bone defects. BMC Med Imaging. 2021;21(1):23. DOI: 10.1186/s12880-021-00557-9.
12. Babay N, Alshehri F, Al Rowis R. Majors highlights of the new 2017 classification of periodontal and peri-implant diseases and conditions. Saudi Dent J [Internet]. 2019 [citado 07/01/2023];31(3):303-5. Disponible en: https://www.sciencedirect.com/science/article/pii/S1013905219304377?via%3Dihub
13. Li Y, Yu HJ, Qiu LX. [Clinical classification and treatment decision of implant fracture]. Journal of Peking University [Internet]. 2022 [citado 07/01/2023];54(1):126-33. Disponible en: https://europepmc.org/article/MED/35165479
14. Onclin P, Slot W, Vissink A, et al. Incidence of peri-implant mucositis and peri-implantitis in patients with a maxillary overdenture: A sub-analysis of two prospective studies with a 10-year follow-up period. Clin Implant Dent Relat Res. 2022;24(2):188-95. DOI: 10.1111/cid.13071.
15. Decker AM, Kapila YL, Wang HL. The psychobiological links between chronic stress-related diseases, periodontal/peri-implant diseases, and wound healing. Periodontol 2000. 2021;87(1):94-106. DOI: 10.1111/prd.12381.
16. Wang QQ, Dai R, Cao CY, et al. One-time versus repeated abutment connection for platform-switched implant: A systematic review and meta-analysis. PLoS One. 2017;12(10):e0186385. DOI: 10.1371/journal.pone.0186385.
17. Katic Z, Jukic T, Stubljar D. Effects of Osteotomy Lengths on the Temperature Rise of the Crestal Bone During Implant Site Preparation. Implant Dent [Internet]. 2018 [citado 07/01/2023];27(2):213-20. Disponible en: https://journals.lww.com/implantdent/fulltext/2018/04000/effects_of_osteotomy_lengths_on_the_temperature.11.aspx
18. Pérez-Pevida E, Chávarri-Prado D, Diéguez-Pereira M, et al. Consequences of Peri-Implant Bone Loss in the Occlusal Load Transfer to the Supporting Bone in terms of Magnitude of Stress, Strain, and Stress Distribution: A Finite Element Analysis. Biomed Res Int. 2021;2021:3087071. DOI: 10.1155/2021/3087071.
19. Chang HC, Chang CH, Li HY, et al. Biomechanical analysis of the press-fit effect in a conical Morse taper implant system by using an in vitro experimental test and finite element analysis. J Prosthet Dent [Internet]. 2022 [citado 07/02/2023];127(4):601-8. Disponible en: https://www.thejpd.org/article/S0022-3913(20)30693-4/fulltext
20. Yao KT, Chen CS, Cheng CK, et al. Optimization of the Conical Angle Design in Conical Implant-Abutment Connections: A Pilot Study Based on the Finite Element Method. J Oral Implantol. 2018;44(1):26-35. DOI: 10.1563/aaid-joi-D-17-00149.
21. Weigl P, Trimpou G, Lorenz J, et al. Prefabricated taper crowns for the retention of implant superstructures: Three-year results of a prospective clinical trial. J Prosthet Dent [Internet]. 2019 [citado 07/02/2023];121(4):618-22. Disponible en: https://www.thejpd.org/article/S0022-3913(18)30581-X/fulltext
22. Naenni N, Lim HC, Papageorgiou SN, et al. Efficacy of lateral bone augmentation prior to implant placement: A systematic review and meta-analysis. J Clin Periodontol. 2019;46(S21):287-306. DOI: 10.1111/jcpe.13052.
23. Dutta SR, Passi D, Singh P, et al. Risks and complications associated with dental implant failure: Critical update. Natl J Maxillofac Surg. 2020;11(1):14-9. DOI: 10.4103/njms.NJMS_75_16.
24. Klinge B, Klinge A, Bertl K, et al. Peri-implant diseases. Eur J Oral Sci. 2018;126(S1):88-94. DOI: 10.1111/eos.12529.
25. Cheung MC, Hopcraft MS, Darby IB. Patient-reported oral hygiene and implant outcomes in general dental practice. Aust Dent J. 2021;66(1):49-60. DOI: 10.1111/adj.12806.
26. Kwon T, Wang CW, Salem DM, et al. Nonsurgical and surgical management of biologic complications around dental implants: peri-implant mucositis and peri-implantitis. Quintessence Int. 2020;51(10):810-20. DOI: 10.3290/j.qi.a44813.
27. Patel RM. Dental Implants for Patients with Periodontitis. Prim Dent J. 2020;8(4):54-61. DOI: 10.1308/205016820828463898.
28. Al-Sabbagh M, Shaddox LM. Is Peri-Implantitis Curable? Dent Clin North Am [Internet]. 2019 [citado 07/02/2023];63(3):547-66. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0011853219300151?via%3Dihub
29. Sailer I, Karasan D, Todorovic A, et al. Prosthetic failures in dental implant therapy. Periodontol 2000. 2022;88(1):130-44. DOI: 10.1111/prd.12416.
30. Rösing CK, Fiorini T, Haas AN, et al. The impact of maintenance on peri-implant health. Braz Oral Res. 2019;33(S1):e074. DOI: 10.1590/1807-3107bor-2019.vol33.0074.
2. Caton JG, Armitage G, Berglundh T, et al. A new classification scheme for periodontal and peri-implant diseases and conditions - Introduction and key changes from the 1999 classification. J Clin Periodontol. 2018;45(S20). DOI: 10.1111/jcpe.12935.
3. Berglundh T, Armitage G, Araujo MG, et al. 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 Clin Periodontol. 2018;45(S20):S286-91. DOI: 10.1111/jcpe.12957.
4. Sanz M, Herrera D, Kebschull M, et al. Treatment of stage I-III periodontitis-The EFP S3 level clinical practice guideline. J Clin Periodontol. 2020;47(S22):4-60. DOI: 10.1111/jcpe.13290.
5. Heitz-Mayfield LJA, Heitz F, Lang NP. Implant Disease Risk Assessment IDRA-a tool for preventing peri-implant disease. Clin Oral Implants Res. 2020;31(4):397-403. DOI: 10.1111/clr.13585.
6. Barootchi S, Wang HL. Peri-implant diseases: Current understanding and management. Int J Oral Implantol (Berl). 2021;14(3):263-82. Citado en PubMed; PMID: 34415128.
7. Ravidà A, Galli M, Siqueira R, et al. Diagnosis of peri-implant status after peri-implantitis surgical treatment: Proposal of a new classification. J Periodontol. 2020;91(12):1553-61. DOI: 10.1002/JPER.20-0124.
8. Kormas I, Pedercini C, Pedercini A, et al. Peri-Implant Diseases: Diagnosis, Clinical, Histological, Microbiological Characteristics and Treatment Strategies. A Narrative Review. Antibiotics (Basel). 2020;9(11):835. DOI: 10.3390/antibiotics9110835.
9. Crome M, Adam K, Flohr M, et al. Application of the inverted classroom model in the teaching module “new classification of periodontal and peri-implant diseases and conditions” during the COVID-19 pandemic. GMS J Med Educ. 2021;38(5). DOI: 10.3205/zma001485.
10. Lopes GDRS, Feitosa ACR, Suaid FF, et al. Evaluation of peri-implant condition in periodontally compromised patients. J Indian Prosthodont Soc. 2019;19(4):283-9. DOI: 10.4103/jips.jips_197_19.
11. Song D, Shujaat S, de Faria Vasconcelos K, et al. Diagnostic accuracy of CBCT versus intraoral imaging for assessment of peri-implant bone defects. BMC Med Imaging. 2021;21(1):23. DOI: 10.1186/s12880-021-00557-9.
12. Babay N, Alshehri F, Al Rowis R. Majors highlights of the new 2017 classification of periodontal and peri-implant diseases and conditions. Saudi Dent J [Internet]. 2019 [citado 07/01/2023];31(3):303-5. Disponible en: https://www.sciencedirect.com/science/article/pii/S1013905219304377?via%3Dihub
13. Li Y, Yu HJ, Qiu LX. [Clinical classification and treatment decision of implant fracture]. Journal of Peking University [Internet]. 2022 [citado 07/01/2023];54(1):126-33. Disponible en: https://europepmc.org/article/MED/35165479
14. Onclin P, Slot W, Vissink A, et al. Incidence of peri-implant mucositis and peri-implantitis in patients with a maxillary overdenture: A sub-analysis of two prospective studies with a 10-year follow-up period. Clin Implant Dent Relat Res. 2022;24(2):188-95. DOI: 10.1111/cid.13071.
15. Decker AM, Kapila YL, Wang HL. The psychobiological links between chronic stress-related diseases, periodontal/peri-implant diseases, and wound healing. Periodontol 2000. 2021;87(1):94-106. DOI: 10.1111/prd.12381.
16. Wang QQ, Dai R, Cao CY, et al. One-time versus repeated abutment connection for platform-switched implant: A systematic review and meta-analysis. PLoS One. 2017;12(10):e0186385. DOI: 10.1371/journal.pone.0186385.
17. Katic Z, Jukic T, Stubljar D. Effects of Osteotomy Lengths on the Temperature Rise of the Crestal Bone During Implant Site Preparation. Implant Dent [Internet]. 2018 [citado 07/01/2023];27(2):213-20. Disponible en: https://journals.lww.com/implantdent/fulltext/2018/04000/effects_of_osteotomy_lengths_on_the_temperature.11.aspx
18. Pérez-Pevida E, Chávarri-Prado D, Diéguez-Pereira M, et al. Consequences of Peri-Implant Bone Loss in the Occlusal Load Transfer to the Supporting Bone in terms of Magnitude of Stress, Strain, and Stress Distribution: A Finite Element Analysis. Biomed Res Int. 2021;2021:3087071. DOI: 10.1155/2021/3087071.
19. Chang HC, Chang CH, Li HY, et al. Biomechanical analysis of the press-fit effect in a conical Morse taper implant system by using an in vitro experimental test and finite element analysis. J Prosthet Dent [Internet]. 2022 [citado 07/02/2023];127(4):601-8. Disponible en: https://www.thejpd.org/article/S0022-3913(20)30693-4/fulltext
20. Yao KT, Chen CS, Cheng CK, et al. Optimization of the Conical Angle Design in Conical Implant-Abutment Connections: A Pilot Study Based on the Finite Element Method. J Oral Implantol. 2018;44(1):26-35. DOI: 10.1563/aaid-joi-D-17-00149.
21. Weigl P, Trimpou G, Lorenz J, et al. Prefabricated taper crowns for the retention of implant superstructures: Three-year results of a prospective clinical trial. J Prosthet Dent [Internet]. 2019 [citado 07/02/2023];121(4):618-22. Disponible en: https://www.thejpd.org/article/S0022-3913(18)30581-X/fulltext
22. Naenni N, Lim HC, Papageorgiou SN, et al. Efficacy of lateral bone augmentation prior to implant placement: A systematic review and meta-analysis. J Clin Periodontol. 2019;46(S21):287-306. DOI: 10.1111/jcpe.13052.
23. Dutta SR, Passi D, Singh P, et al. Risks and complications associated with dental implant failure: Critical update. Natl J Maxillofac Surg. 2020;11(1):14-9. DOI: 10.4103/njms.NJMS_75_16.
24. Klinge B, Klinge A, Bertl K, et al. Peri-implant diseases. Eur J Oral Sci. 2018;126(S1):88-94. DOI: 10.1111/eos.12529.
25. Cheung MC, Hopcraft MS, Darby IB. Patient-reported oral hygiene and implant outcomes in general dental practice. Aust Dent J. 2021;66(1):49-60. DOI: 10.1111/adj.12806.
26. Kwon T, Wang CW, Salem DM, et al. Nonsurgical and surgical management of biologic complications around dental implants: peri-implant mucositis and peri-implantitis. Quintessence Int. 2020;51(10):810-20. DOI: 10.3290/j.qi.a44813.
27. Patel RM. Dental Implants for Patients with Periodontitis. Prim Dent J. 2020;8(4):54-61. DOI: 10.1308/205016820828463898.
28. Al-Sabbagh M, Shaddox LM. Is Peri-Implantitis Curable? Dent Clin North Am [Internet]. 2019 [citado 07/02/2023];63(3):547-66. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0011853219300151?via%3Dihub
29. Sailer I, Karasan D, Todorovic A, et al. Prosthetic failures in dental implant therapy. Periodontol 2000. 2022;88(1):130-44. DOI: 10.1111/prd.12416.
30. Rösing CK, Fiorini T, Haas AN, et al. The impact of maintenance on peri-implant health. Braz Oral Res. 2019;33(S1):e074. DOI: 10.1590/1807-3107bor-2019.vol33.0074.
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2024-02-02
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Falcón-Guerrero BE, Enriquez-Quispe RR. Approaches to peri-implant discomfort. Rev Méd Electrón [Internet]. 2024 Feb. 2 [cited 2025 Jan. 23];46:e5203. Available from: https://revmedicaelectronica.sld.cu/index.php/rme/article/view/5203
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