Prevalence, risk indicators, and clinical characteristics of peri-implant mucositis and peri-implantitis for an internal conical connection implant system: A multicenter cross-sectional study.

BACKGROUND: Peri-implant disease prevalence is associated with a multifactorial etiology and distinct clinical characteristics of inflammation. METHODS: The present study aimed to assess the prevalence of peri-implant diseases, identify related risk indicators, and associate specific clinical characteristics to peri-implant biological complications in the medium term. Peri-implant diseases were classified according to established case criteria. Patients' data, implant and/or prosthetic features, and maintenance records were collected. Clinical characteristics such as bleeding on probing (BOP), suppuration (SUPP), keratinized mucosa (KM), probing depth (PD), marginal recession (MR), and modified plaque index (mPI) were recorded. RESULTS: Ninety-nine patients with 266 implants with a mean functional duration of 30.26 months were evaluated. Peri-implant mucositis and peri-implantitis prevalence totaled to 49.5% and 15.15% (patient level), respectively. Peri-implant mucositis was associated with osteoporosis (odds ratio [OR] 6.09), age (OR 0.97), diabetes mellitus (OR 3.09), cemented-retained prosthesis (OR 3.81), and partial prosthesis (OR 2.21). Peri-implantitis was associated with osteoporosis (OR 7.74) and periodontitis (OR 2.74), cemented prosthesis (OR 10.12), partial and full arch prostheses (OR 12.35 and 19.86), implant diameter (OR 3.64), abutment transmucosal height (OR 3.39), and hygiene difficulty (OR 3.14). Furthermore, mPI score 3 (OR 3.27) and PD scores (OR 1.64) were associated with peri-implant mucositis, while mPI score 3 (OR 16.42), KM (OR 1.53), PD (OR 1.81), MR (OR 2.61), and the relationship between KM and PD (OR 0.63) were associated with peri-implantitis. CONCLUSION: In the medium term, peri-implant diseases were correlated with factors inherent to the patient's conditions, presurgical treatment plan, and hygiene maintenance care. The knowledge of the mentioned factors and featured clinical characteristics can be crucial for disease prevention and establishment of a superior implant therapy prognosis.

Implantoplastia no tratamento da peri-implantite û relato de caso / Use of Implantoplasty in the treatment of peri-implantitis û case report

A Implantoplastia é uma terapia cirúrgica utilizada com sucesso no tratamento da peri- -implantite. A técnica consiste no alisamento e polimento das roscas expostas do implante, que sofreu perda óssea e contaminação por micro-organismos patogênicos. Este artigo objetiva demonstrar, a partir de um relato de caso clínico, a execução do procedimento de Implantoplastia, bem como seu resultado e acompanhamento. O controle do caso ocorreu com 7 dias, 14 dias e 6 meses...

Implantoplasty is a surgical therapy successfully used in the treatment of peri-implantitis. The technique consists of smoothing and polishing the exposed implant surfaces, which has suffered bone loss and contamination by pathogenic microorganisms. This article aims to demonstrate, with a case report, the Implantoplasty technique as well as its result and monitoring. Follow-up was performed at 7 days, 14 days, and six months...

Correção de sorriso gengival com osteotomia sem retalho: previsibilidade com o mínimo de morbidade / Correcting gingival smile through flapless osteotomy:predictability with minimal morbidity

O aumento de coroa clínica estético pode ser uma das alternativas para correção ou minimização do sorriso gengival, ou para pequenas discrepâncias estéticas na margem gengival. Tradicionalmente, esse procedimento é realizado por meio da elevação do retalho e posterior osteotomia/osteoplastia. Porém, em casos bem indicados, é possível realizar tal procedimento, via sulco gengival, com microcinzéis, sem a necessidade de elevação do retalho. Esse artigo demonstra, indica e discute, a partir de um relato de caso, a possibilidade de correção do sorriso gengival por meio da técnica de osteotomia sem retalho (Flapless)...

Esthetic crown lengthening might be a possible alternative to correct or minimize gingivalsmile or slight discrepancies in esthetic gingival margin. Traditionally, this procedure is performedusing flap elevation and subsequent osteotomy/osteoplasty. However, in very specific cases,such procedure can be performed through the gingival sulcus with micro-chisels and without theneed for flap elevation. This article demonstrates, indicates and discusses, based on a case report,the possibility of correction of gingival smile by means of the flapless osteotomy technique...