| dc.description.abstract | AIM: The aim of this systematic review was to determine if there is a difference in peri-implant health and disease between patients with no or mild periodontitis and patients with severe periodontitis, in terms of prevalence/incidence of peri-implant health, peri-implant mucositis, peri-implantitis and implant loss, as shown in observational studies and randomized controlled trials (RCTs) with ≥10 years follow-up time.
MATERIALS AND METHODS: RCTs and observational studies fulfilling the criteria to answer the PICOS question were included. A single search was performed in four electronic databases. Two review authors independently screened studies based on title- and abstract, whereafter full-text screening was performed. The third author was consulted in case of disagreement. Peri-implant health, mucositis, peri-implantitis and implant loss were considered the outcomes of critical importance.
RESULTS: After removing duplicates, 1005 articles were screened for title and abstract, out of which 970 were excluded. An additional 32 studies were excluded during full-text screening, and ultimately three studies were included. Peri-implant health and mucositis was scarcely reported in the studies. Peri-implantitis was reported from 5.1% to 28.6% at implant level, with a three- to five-fold higher prevalence in periodontitis patients. Implant loss was reported from 2.2% to 9.5%, with a threefold higher rate in periodontitis patients.
CONCLUSIONS: The included studies suggested that patients with severe periodontitis were at higher risk of peri-implantitis and implant loss as compared to patients without or with mild periodontitis. | en_US |