Int J Oral Maxillofac Implants 32 (2017), No. 6 21. Nov. 2017
Int J Oral Maxillofac Implants 31 (2016), No. 2 (22.03.2016)
Page 288-292, doi:10.11607/jomi.4265, PubMed:27004275
Into the Paradigm of Local Factors as Contributors for Peri-implant Disease: Short Communication
Monje, Alberto / Galindo-Moreno, Pablo / Tözüm, Tolga Fikret / Amo, Fernando Suárez-López del / Wang, Hom-Lay
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.
Keywords: endosseous implants, evidence-based, implantology, osseointegration, peri-implantitis, risk factor