Open AccessPrevalence of peri‐implantitis in a sample of HIV ‐positive patients
Author(s) -
Casula Luca,
Poli Andrea,
Clemente Tommaso,
Artuso Giulia,
Capparé Paolo,
Gherlone Enrico F.
Publication year - 2021
Publication title -
clinical and experimental dental research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.464
H-Index - 9
ISSN - 2057-4347
DOI - 10.1002/cre2.469
Subject(s) - medicine , peri implantitis , dentistry , implant , human immunodeficiency virus (hiv) , serology , crown (dentistry) , mucositis , rehabilitation , population , surgery , immunology , physical therapy , antibody , chemotherapy , environmental health
Objectives This study aimed to assess the prevalence of peri‐implantitis in human immunodeficiency virus (HIV)‐positive patients and the presence of a possible correlation between the immunological profile and serological values, of peri‐implantitis, and of possible differences between all‐on‐4 and single crown/bridge prostheses. Subjects and methods This retrospective study included 58 adult HIV‐positive patients (222 implants) with either all‐in‐4 prostheses or single crowns/bridges on at least one dental implant loaded for more than a year who were followed for 3 year (mean follow‐up). Data pertaining to the probing pocket depth (PPD), bleeding on probing, and immunological and systemic profile were collected. Results Patients with single crown/bridge implant rehabilitation showed higher prevalence of peri‐implantitis (34%) than patients with all‐on‐4 rehabilitation (0%) ( p = 0.012). Patients with all‐on‐4 rehabilitation were significantly older than those with single crowns/bridges ( p = 0.004). Patients with peri‐implantitis had implants for a significantly longer duration than those without ( p = 0.001), implying that the probability of peri‐implantitis increases as the age of implant increases. Conclusions The prevalence of peri‐implantitis was 26% in the HIV‐positive patients population. No correlation was found between patients' immunological and serological factors and peri‐implantitis. The most important risk factor for peri‐implantitis and mucositis was implant age.