Clinical assessment of peri-implant tissues in patients with varying severity of chronic periodontitis.
OBJECTIVE
This retrospective study assessed the health of peri-implant tissues in patients with varying severity of chronic periodontitis.


METHODS
Sixty-one subjects aged 44 to 70 years (median age 58 years) were recruited. Based on severity of periodontitis, 31 subjects were classified as having severe generalized chronic periodontitis, and the remaining 30 subjects had mild or no periodontitis. Social and medical histories were obtained from each patient. A comprehensive periodontal examination included: plaque index, gingival index, bleeding index, probing depth, clinical attachment level, and radiographic bone loss. Data were analyzed using Fisher's exact and chi-square tests for categorical variables, and t-test for continuous variables.


RESULTS
There was a statistically significant greater loss of attachment (p < .05) around implants in the group with severe periodontitis compared to the no/mild periodontitis group.


CONCLUSIONS
Because of the greater loss of clinical attachment around implants placed in patients with generalized severe chronic periodontitis, close monitoring of these patients is suggested to prevent both development of peri-implantitis and recurrence of periodontal infection.
Aloufi
Fitin
F
Department of Periodontics, School of Dental Medicine, Case Western Reserve University, Cleveland, OH 44106-4905, USA.
Bissada
Nabil
N
Ficara
Anthony
A
Faddoul
Fady
F
Al-Zahrani
Mohammad S
MS
D000328:Adult; D000368:Aged; D016301:Alveolar Bone Loss / Q000145:classification / Q000000981:diagnostic imaging; D055113:Chronic Periodontitis / Q000145:classification*; D015921:Dental Implants; D003774:Dental Plaque Index; D017267:Dental Prosthesis Design; D048909:Diabetes Complications; D018450:Disease Progression; D005260:Female; D005884:Gingival Hemorrhage / Q000145:classification; D006801:Humans; D008297:Male; D008487:Medical History Taking; D008875:Middle Aged; D017622:Periodontal Attachment Loss / Q000145:classification; D010512:Periodontal Index; D010514:Periodontal Pocket / Q000145:classification; D010518:Periodontitis / Q000145:classification; D010519:Periodontium / Q000473:pathology*; D011859:Radiography; D012008:Recurrence; D012189:Retrospective Studies; D012907:Smoking
D015921:Dental Implants