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Exploring the relationship among dental caries, nutritional habits, and peri‐implantitis
Author(s) -
Vilarrasa Javi,
Peña Marta,
Gumbau Laura,
Monje Alberto,
Nart José
Publication year - 2021
Publication title -
journal of periodontology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.036
H-Index - 156
eISSN - 1943-3670
pISSN - 0022-3492
DOI - 10.1002/jper.20-0879
Subject(s) - mucositis , medicine , dentistry , peri implantitis , logistic regression , implant , surgery , radiation therapy
Background A study was made of the prevalence, co‐occurrence and association among caries, nutritional habits, and peri‐implant disease, with an analysis of the influence of other patient and implant factors upon peri‐implant disease. Methods The included subjects underwent a clinical examination and were asked to complete a questionnaire. Demographic data and potential lifestyle/behavioral variables were collected. Clinical and radiographic assessment allowed calculation of the decayed, missing and filled teeth (DMFT) index and peri‐implant diagnosis. Uni‐ and multivariate multinomial logistic regression analyses were applied to identify predictors of peri‐implant disease. Results A total of 169 patients with 311 implants were studied. At patient level, 92.2% of the subjects presented at least one carious lesion, whereas 22.5% and 56.2% were diagnosed with peri‐implantitis and mucositis, respectively. Those patients with more than two caries had a higher risk of mucositis (OR = 3.33). Statistically significant associations for peri‐implantitis included full mouth periodontal indexes, sugar‐rich diets, keratinized mucosa width, number of missing teeth and interproximal untreated caries or fillings adjacent to implants. Conclusion High caries risk profiles and mucositis/peri‐implantitis tended to accumulate within subjects. A sugar‐enriched diet and untreated caries or fillings adjacent to implant sites may be further considered as risk indicators of peri‐implantitis.