RESUMO
The aim of this multicenter cross-sectional study was to determine the prevalence of peri-implantitis and to assess its association with several patient- and implant-related factors. Patients with at least one implant, who came for a recall visit to one of the four centers over a period of five months, were enrolled. Presence of peri-implantitis (defined as bleeding on probing, exudate/suppuration, bone loss > 0.2 mm/year and increased pocket depth) and several other variables (e.g., smoking habits, history of periodontitis, diabetes) were recorded. Out of 248 enrolled patients (1162 implants), 10 patients had at least one implant with peri-implantitis (4.03%); a total of 14 implants were affected (1.20%). A statistically significant association between peri-implantitis and diabetes was found (OR 8.65; CI: 1.94-38.57). Smoking more than 10 cigarettes per day (OR: 0.53; CI 0.03-9.45) and history of periodontitis (OR: 2.42; CI: 0.49-11.89) were not found to be statistically associated with peri-implantitis. Even if implant therapy is a consolidated treatment, biological complications do happen. Strict supportive therapy recalls could lead to lower rates of peri-implantitis and earlier diagnosis.
RESUMO
A comunicação bem-sucedida entre pacientes e clínicos na terapia de suporte aos implantes pode ser comprometida por diversas razões. O objetivo deste trabalho foi apresentar uma nova ferramenta educacional de conhecimento, como o diagrama de motivação por cores (DMC). Com base em uma radiografia periapical feita pela técnica do paralelismo e cone longo, os clínicos podem determinar se os níveis ósseos do paciente estão acima ou abaixo da plataforma do implante. Cálculos simples são feitos entre os anos consecutivos para se determinar o remodelamento ósseo. Depois, o limiar de perda é atribuído para cada intervalo e um código de cores (azul, amarelo, verde ou vermelho) é aplicado. Desta forma, o paciente pode se concentrar nos significados das cores e ter compreensão total dos resultados, além de melhorar sua higiene oral caseira. Embora a validade desta ferramenta ainda não tenha sido investigada cientificamente, ela lança novas perspectivas sobre a motivação do paciente no tratamento com implantes osseointegrados.
Successful communication between patients and clinicians during implant supportive therapy can be compromised due to several reasons. The aim of this paper is to present a new educational tool known as the color motivation chart (CMC). Based on a standardized periapical radiograph using the long-cone technique, clinicians can determine whether the patient shows bone levels above or below the implant platform. Simple calculations are made between consecutive years to determine bone remodeling. After, the threshold value is attributed for each interval and a color code message (blue, yellow, green, and red) is applied. In this way, the patient can concentrate on color meanings and have an overall comprehension of the outcomes and how to improve their oral hygiene home-care measures. Although the validity of this new tool has not been scientifically investigated, it launches new perspectives on patient motivation for implant treatment.
