Into the Paradigm of Local Factors as Contributors for Peri-implant Disease: Short Communication

Int J Oral Maxillofac Implants. 2016 Mar-Apr;31(2):288-92. doi: 10.11607/jomi.4265.

Abstract

Although some systemic conditions have been associated with peri-implant disease, local contributing factors largely remain to be determined. This study aimed at evaluating, based on clinical photographs obtained from peri-implantitis treatment publications, the possible local contributing factors involved in its development based upon a survey obtained from three experienced clinicians (> 20 years of expertise). Cohen's kappa index was used to test the interexaminer reliability. "Too-buccal implant position" was the only parameter to reach almost perfect interexaminer agreement (κ = 0.81). "Thin-tissue biotype" and "minimal presence of keratinized mucosa" demonstrated moderate agreement (κ = 0.43 and κ = 0.58, respectively). The rest of the parameters studied based on clinical photographs were fair or poor. Therefore, based on this clinicians' survey, implants too buccally placed, minimal or a lack of keratinized mucosa, and thin-tissue biotype might contribute to a higher susceptibility of developing peri-implantitis. These factors must be the focus of attention in future cross-sectional studies on the incidence of peri-implant diseases.

MeSH terms

  • Dental Implantation, Endosseous / adverse effects
  • Dental Implants / adverse effects
  • Dental Prosthesis Design
  • Disease Susceptibility
  • Gingiva / anatomy & histology
  • Humans
  • Keratins
  • Observer Variation
  • Peri-Implantitis / etiology*
  • Reproducibility of Results

Substances

  • Dental Implants
  • Keratins