Clinical signs, symptoms, perceptions, and impact on quality of life in patients suffering from peri-implant diseases: a university-representative cross-sectional study

doi:10.1111/clr.13683

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AutoresMario Romandini, Cristina Lima, Ignacio Pedrinaci, Ana Araoz, Maria Costanza Soldini, Mariano Sanz

Por qué importa

Este estudio transversal, realizado en una universidad, investiga los signos clínicos, síntomas percibidos por los pacientes y el impacto en su calidad de vida asociado a las enfermedades periimplantarias. Se analizaron parámetros clínicos como la profundidad de sondaje y la dehiscencia mucosa, correlacionándolos con el estado de salud periimplantario diagnosticado. Los hallazgos resaltan que la mayoría de los implantes con periimplantitis son asintomáticos y no son percibidos como problemáticos por los pacientes, a pesar de la presencia de signos clínicos objetivos. La profundidad de sondaje y la dehiscencia mucosa se identifican como los únicos indicadores clínicos asociados a las fases avanzadas de la enfermedad periimplantaria. Esta información subraya la importancia de la evaluación clínica rigurosa y regular por parte del profesional, independientemente de la sintomatología referida por el paciente, para la detección temprana y el manejo de estas patologías.

Abstract original

Objectives To study the symptoms and perception reported by patients with peri‐implant diseases, as well as their signs and their potential impact on the oral health quality of life. Material and Methods Two hundred and forty randomly selected patients were invited to participate. As part of the history assessment, the patient OHIP‐14Sp was evaluated together with, for each implant, the patient perception regarding the peri‐implant health status and the history of pain, spontaneous discomfort, bleeding, suppuration, swelling, and discomfort during brushing. As part of the clinical examination, the following potential signs of peri‐implant diseases were collected: probing pocket depth (PPD), mucosal dehiscence (MD), extent of BoP, presence of SoP, and visual signs of redness and swelling. Those parameters were analyzed in relation to the actual peri‐implant health diagnosis. Results Ninety‐nine patients with a total of 458 dental implants were studied. Even in case of peri‐implantitis, 88.9% of the implants were perceived by the patients as healthy. The total OHIP‐14Sp sum score did not differ in relation to the peri‐implant health diagnosis. Increased reports of spontaneous discomfort, bleeding, swelling, and discomfort during brushing were observed in presence of disease. However, only a minor proportion of implants with peri‐implant diseases presented symptoms. PPD ≥ 6 mm was more frequent in diseased than in healthy implants ( p < .01), while PPD ≥ 8 in pre‐peri‐implantitis/peri‐implantitis than in healthy/mucositis implants ( p < .01). Implants with peri‐implantitis showed higher MD than implants without peri‐implantitis ( p < .01). Conclusion Peri‐implant diseases are in most cases asymptomatic and not perceived by the patients. Despite being unable to accurately discriminate between peri‐implant mucositis and peri‐implantitis, PPD and MD resulted as the only two clinical signs associated with pre‐peri‐implantitis/peri‐implantitis.

Leer texto completo ↗DOI · 10.1111/clr.13683

Autor Doctor&Cols

Ignacio Pedrinaci Peñalver
Cirugía Oral e Implantología

Cómo citar

Romandini M, Lima C, Pedrinaci I, Araoz A, Soldini MC, Sanz M. Clinical signs, symptoms, perceptions, and impact on quality of life in patients suffering from peri-implant diseases: a university-representative cross-sectional study. Clinical Oral Implants Research. 2021. doi:10.1111/clr.13683