title: Into the Paradigm of Local Factors as Contributors for Peri-implant Disease: Short Communication.
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.
authors.forename: Alberto
authors.initials: A
authors.lastname: Monje
authors.forename: Pablo
authors.initials: P
authors.lastname: Galindo-Moreno
authors.forename: Tolga Fikret
authors.initials: TF
authors.lastname: Tözüm
authors.forename: Fernando
authors.initials: F
authors.lastname: Suárez-López del Amo
authors.forename: Hom-Lay
authors.initials: HL
authors.lastname: Wang
mesh_terms: D003758:Dental Implantation, Endosseous / Q000009:adverse effects; D015921:Dental Implants / Q000009:adverse effects; D017267:Dental Prosthesis Design; D004198:Disease Susceptibility; D005881:Gingiva / Q000033:anatomy & histology; D006801:Humans; D007633:Keratins; D015588:Observer Variation; D057873:Peri-Implantitis / Q000209:etiology*; D015203:Reproducibility of Results
chemical_list: D015921:Dental Implants; D007633:Keratins