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Discomfort/pain due to periodontal and peri‐implant probing: Implant type and age
Author(s) -
Stanner Julia,
Klum Matthias,
Parvini Puria,
Zuhr Otto,
Nickles Katrin,
Eickholz Peter
Publication year - 2017
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/jcpe.12741
Subject(s) - medicine , implant , dentistry , bleeding on probing , peri , visual analogue scale , dental implant , peri implantitis , periodontitis , orthodontics , surgery
Aim There is evidence that patients experience more discomfort/pain after peri‐implant probing than periodontal probing. However, there are several plausible factors to additionally influence this observation: e.g., implant type, age, smoking. Thus, this study was designed to compare discomfort/pain after periodontal and peri‐implant probing in different implant types. Methods Two dentists recruited and examined 80 patients, each of them exhibiting a dental implant with a contralateral natural tooth. Only two types of implants were included. Periodontal and peri‐implant probing depths ( PPD ) and probing attachment level ( PAL ) were assessed. Whether implant or tooth were measured first was randomly assigned. Immediately after probing patients scored discomfort/pain using a visual analogue scale ( VAS ). Results Eighty patients (median; lower/upper quartile: age 57; 47.5/65.5 years; 40 females, 11 smokers) were examined. With the exception of PPD and PAL at the deepest site as well as mean PPD ( p < .05) clinical parameters ( PAL , bleeding on probing, suppuration) were well balanced between implants and teeth. Peri‐implant probing ( VAS : 9.0; 5.0/17.0) caused significantly ( p = .038) more discomfort/pain than periodontal probing (5.5; 2.0/13.5). This was confirmed by repeated measures analysis of variance adjusting for several factors ( p = .011). Conclusions Peri‐implant probing caused significantly more discomfort/pain than periodontal probing.