Frequency of peri-implant diseases and associated factors
Frequency of peri-implant diseases and associated factors
复制标题
DOI：
10.1111/clr.12944
复制
发表时间：
2017-10-01
影响因子：
4.3
通讯作者：
Calderon, Patricia dos Santos
中科院分区：
文献类型：
--
作者：
de Vasconcelos Gurgel, Bruno Cesar;Lira Montenegro, Sheyla Christine;Calderon, Patricia dos Santos
目的了解种植体周围疾病的发生率及其相关因素。材料与方法对155例种植体患者进行横断面调查。根据Mombeli(第三届欧洲牙周病学研讨会论文集，1999，QuintEssence，伦敦)，对牙种植体进行了临床和放射学评估，以诊断其种植体周围的状况。通过卡方检验和Fisher‘s精确检验的双变量分析以及多元Logistic回归分析，评价种植体周围疾病与自变量(社会经济、人口学和牙周特征)之间的关系。结果种植体周围疾病、粘膜炎和种植体周炎的患病率分别为54%和28%(CI，95%)。样本几乎都是未经治疗的牙周病患者(93%)。双因素分析显示，这些种植体周围疾病与男性患者的患病率(PR)(3.38)、用药情况(PR)(2.94)、全身疾病(PR)(2.25)、种植个数(PR)(2.53)、可见菌斑指数(PR)(2.49)和牙龈指数(PR)(2.70)有关。多因素Logistic回归分析显示，用药情况(调整后患病率：1.23；95%CI：1.04~1.46；P=0.017)、有两个或两个以上种植体(PRADJ，1.22；95%CI：1.02~1.46；P=0.029)和牙周出血指数10%(PRADJ，1.22；95%CI：1.03~1.44；P=0.022)与种植体周围疾病有关。牙龈指数大于10%、有两个以上种植体和使用药物与种植体周围疾病的发生频率相关。
ObjectiveTo evaluate the frequency of peri-implant diseases and factors associated with its occurrence.Material and methodsOne hundred and fifty-five patients with dental implants were evaluated in this cross-sectional study. Dental implants were clinically and radiographically evaluated to diagnose their peri-implant condition, according to Mombelli (Proceedings of the 3rd European Workshop on Periodontology, 1999, Quintessence, London). Associations between peri-implant diseases and independent variables (socioeconomic, demographic and periodontal characteristics) were evaluated through bivariate analysis with chi-squared and Fisher's exact tests, as well as by multiple logistic regression. The significance level was set at 5%.ResultsThe frequencies of the peri-implant diseases, mucositis and peri-implantitis, in individuals were 54% and 28% (CI, 95%), respectively. The sample was almost exclusively of patients with untreated periodontal disease (93%). Bivariate analysis showed that these peri-implant diseases were associated with male patients (prevalence ratio [PR], 3.38), medication use (PR, 2.94), systemic diseases (PR, 2.25), number of implants (PR, 2.53), visible plaque index (PR, 2.49) and gingival index (PR, 2.70). Multiple logistic regression analysis showed that medication use (prevalence ratio adjusted [PRadj], 1.23; 95% CI: 1.04-1.46; P=0.017), having two or more implants (PRadj, 1.22; 95% CI: 1.02-1.46; P=0.029) and gingival bleeding index>10% (PRadj, 1.22; 95% CI: 1.03-1.44; P=0.022) were associated with the presence of peri-implant disease.ConclusionPeri-implant diseases were diagnosed in 54% of patients; gingival index of greater than 10%, having more than two implants and use of medication were associated with the frequency of peri-implant disease.