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Impact of supportive periodontal therapy and implant surface roughness on implant outcome in patients with a history of periodontitis
Author(s) -
Quirynen Marc,
Abarca Marcelo,
Van Assche Nele,
Nevins Myron,
Van Steenberghe Daniel
Publication year - 2007
Publication title -
journal of clinical periodontology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.456
H-Index - 151
eISSN - 1600-051X
pISSN - 0303-6979
DOI - 10.1111/j.1600-051x.2007.01106.x
Subject(s) - periodontitis , confounding , dentistry , medicine , implant , peri implantitis , dental implant , tooth loss , osseointegration , clinical attachment loss , incidence (geometry) , aggressive periodontitis , orthodontics , surgery , oral health , physics , optics
Objective: This review searched for a relationship between susceptibility to periodontitis and peri‐implantitis, with implant outcome as the primary outcome variable and supportive periodontal therapy (SPT) and implant surface roughness as confounding factors. Material and Methods: It is based on a MEDLINE search up to June 2006. Only 16 fulfilled the selection criteria. The heterogeneity of the studies (e.g. periodontal status, SPT, prosthetic design, …) rendered a meta‐analysis impossible. The impact of a history of periodontitis on early implant loss was negligible. Only five papers reported sub‐data for patients with different degrees of periodontitis. Four out of five papers indicate a higher incidence of late implant loss and/or marginal bone loss in patients with a history of periodontitis. This difference was most obvious for very rough implants (three papers), and/or when SPT was not organized (one paper). Other confounding factors were often neglected. Another 10 papers only reported the outcome of implants in patients with a history of periodontitis. In case of SPT and when avoiding roughened surfaces, late implant loss remained below 3%, and marginal bone loss remained low. Conclusions: These results seem to indicate that periodontally compromised patients can be successfully treated with minimally/moderately rough implants, in the presence of SPT.