Abstract：
OBJECTIVE: To longitudinally assess the prevalence of peri-implant health, peri-implant mucositis and peri-implantitis in a cohort of patients with and without history of periodontitis over a 20-year period.
METHODS: Eighty-four patients who attended a specialist private periodontal practice were evaluated prospectively 10 and 20 years after prosthesis delivery. Following successful completion of periodontal/implant therapy, patients (172 implants) were enrolled on an individualised supportive periodontal care programme. Clinical and radiographic parameters were collected to assess the prevalence of peri-implant health and diseases. Prevalence of peri-implantitis and peri-implant mucositis was calculated based on the case definition set out in 2018. A multilevel logistic regression analysis was conducted to assess potential risk or protective factors.
RESULTS: The analysis was performed on 22 periodontally healthy and 62 periodontally compromised patients rehabilitated with 39 and 130 implants, respectively. The 10-year prevalence of peri-implant health, peri-implant mucositis and peri-implantitis was 21.4%, 67.9% and 10.6%, respectively, whereas the 20-year prevalence was 29.8%, 47.6% and 33.3%, respectively. Non-compliant periodontally compromised patients showed a statistically significantly increased risk at 20 years of both peri-implant mucositis (odds ratio 11.1; 95% confidence interval 1.8-68.6) and peri-implantitis (bone loss and probing depth) (odds ratio 14.3; 95% confidence interval 1.8-32.9). High full-mouth plaque and bleeding scores were associated with higher odds of both peri-implant mucositis and peri-implantitis.
CONCLUSIONS: Peri-implant diseases were prevalent in patients rehabilitated with dental implants and followed up for a period of 20 years. History of periodontal disease and a lack of compliance with a tailored supportive periodontal care programme were identified as risk factors for peri-implant diseases.
METHODS: Eighty-four patients who attended a specialist private periodontal practice were evaluated prospectively 10 and 20 years after prosthesis delivery. Following successful completion of periodontal/implant therapy, patients (172 implants) were enrolled on an individualised supportive periodontal care programme. Clinical and radiographic parameters were collected to assess the prevalence of peri-implant health and diseases. Prevalence of peri-implantitis and peri-implant mucositis was calculated based on the case definition set out in 2018. A multilevel logistic regression analysis was conducted to assess potential risk or protective factors.
RESULTS: The analysis was performed on 22 periodontally healthy and 62 periodontally compromised patients rehabilitated with 39 and 130 implants, respectively. The 10-year prevalence of peri-implant health, peri-implant mucositis and peri-implantitis was 21.4%, 67.9% and 10.6%, respectively, whereas the 20-year prevalence was 29.8%, 47.6% and 33.3%, respectively. Non-compliant periodontally compromised patients showed a statistically significantly increased risk at 20 years of both peri-implant mucositis (odds ratio 11.1; 95% confidence interval 1.8-68.6) and peri-implantitis (bone loss and probing depth) (odds ratio 14.3; 95% confidence interval 1.8-32.9). High full-mouth plaque and bleeding scores were associated with higher odds of both peri-implant mucositis and peri-implantitis.
CONCLUSIONS: Peri-implant diseases were prevalent in patients rehabilitated with dental implants and followed up for a period of 20 years. History of periodontal disease and a lack of compliance with a tailored supportive periodontal care programme were identified as risk factors for peri-implant diseases.
摘要：
目的：纵向评估种植体周围健康的患病率，在20年内有和没有牙周炎病史的患者队列中，种植体周围粘膜炎和种植体周围炎。
方法：84名参加专业私人牙周实践的患者在植入假体后10年和20年进行了前瞻性评估。成功完成牙周/种植治疗后，患者(172例种植体)参加了个体化的牙周支持性护理计划.收集临床和影像学参数以评估种植体周围健康和疾病的患病率。种植体周围炎和种植体周围粘膜炎的患病率是根据2018年提出的病例定义计算的。进行了多水平logistic回归分析以评估潜在的风险或保护因素。
结果：对22例牙周健康患者和62例牙周受损患者进行了分析，这些患者接受了39和130种植入物的修复，分别。种植体周围健康的10年患病率，种植体周围黏膜炎和种植体周围炎占21.4%，67.9%和10.6%，分别,而20年患病率为29.8%，47.6%和33.3%，分别。不顺从性牙周受损的患者在20年的种植体周围粘膜炎（比值比11.1；95％置信区间1.8-68.6）和种植体周围炎（骨质流失和探查深度）（比值比14.3；95％置信区间1.8-32.9）的风险均有统计学上的显着增加。高的全口斑块和出血评分与较高的种植体周围黏膜炎和种植体周围炎的几率相关。
结论：种植体周围疾病在修复牙种植体并随访20年的患者中普遍存在。牙周疾病史和缺乏对量身定制的支持性牙周护理计划的依从性被确定为种植体周围疾病的危险因素。
方法：84名参加专业私人牙周实践的患者在植入假体后10年和20年进行了前瞻性评估。成功完成牙周/种植治疗后，患者(172例种植体)参加了个体化的牙周支持性护理计划.收集临床和影像学参数以评估种植体周围健康和疾病的患病率。种植体周围炎和种植体周围粘膜炎的患病率是根据2018年提出的病例定义计算的。进行了多水平logistic回归分析以评估潜在的风险或保护因素。
结果：对22例牙周健康患者和62例牙周受损患者进行了分析，这些患者接受了39和130种植入物的修复，分别。种植体周围健康的10年患病率，种植体周围黏膜炎和种植体周围炎占21.4%，67.9%和10.6%，分别,而20年患病率为29.8%，47.6%和33.3%，分别。不顺从性牙周受损的患者在20年的种植体周围粘膜炎（比值比11.1；95％置信区间1.8-68.6）和种植体周围炎（骨质流失和探查深度）（比值比14.3；95％置信区间1.8-32.9）的风险均有统计学上的显着增加。高的全口斑块和出血评分与较高的种植体周围黏膜炎和种植体周围炎的几率相关。
结论：种植体周围疾病在修复牙种植体并随访20年的患者中普遍存在。牙周疾病史和缺乏对量身定制的支持性牙周护理计划的依从性被确定为种植体周围疾病的危险因素。
