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Patient‐reported oral hygiene and implant outcomes in general dental practice
Author(s) -
Cheung Monique Charlene,
Hopcraft Matthew S.,
Darby Ivan B.
Publication year - 2021
Publication title -
australian dental journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.701
H-Index - 71
eISSN - 1834-7819
pISSN - 0045-0421
DOI - 10.1111/adj.12806
Subject(s) - medicine , oral hygiene , dentistry , implant , mucositis , interdental consonant , peri implantitis , edentulism , oral health , surgery , chemotherapy
Abstract Background This study investigated the possible correlations between patient‐performed implant hygiene and peri‐implant success and disease, as well as patient‐reported outcomes, in a community‐based cohort. Methods Fifty‐one patients (78 implants) from two private general practices were surveyed on their dental implant treatment history, oral hygiene instructions (OHI) received, home hygiene habits and current implant concerns. Their dentition, plaque/calculus scores and clinical implant parameters were examined. Correlations between hygiene habits, risk factors, implant success and peri‐implant disease rates were assessed. Results Implants had a patient‐reported mean time in function of 6.7 years. Floss (74.4%), interdental brushes (IDB) (44.9%) and mouthwash (39.7%) were commonly used, while 7.7% of implants were only cleaned by brushing. Over half (56.4%) of implants fulfilled the success criteria, 61.5% had peri‐implant health, 24.4% had mucositis and 7.7% had peri‐implantitis. Only brushing ( P < 0.001) and detectable plaque/calculus ( P < 0.001) were significantly associated with more peri‐implant disease. Local prosthetic factors affecting cleaning accessibility significantly reduced implant success ( P < 0.001). Patients reported mixed recall of implant OHI, 7.7% of implants were aesthetically unsatisfactory and 9.0% had peri‐implant symptoms. Conclusions Lack of interproximal cleaning and the presence of plaque/calculus were significantly associated with peri‐implant disease in a community‐based general practice setting, and patients reported mixed recall of OHI.