The effective diagnosis of peri-implant diseases

임상가를 위한 특집 3 - 임플란트 주위질환의 효과적 진단

  • Kim, Yong-Gun (Department of Periodontology, School of Dentistry, Kyungpook National University) ;
  • Lee, Jae-Mok (Department of Periodontology, School of Dentistry, Kyungpook National University)
  • 김용건 (경북대학교 치의학전문대학원 치주과학교실) ;
  • 이재목 (경북대학교 치의학전문대학원 치주과학교실)
  • Received : 2014.06.16
  • Accepted : 2014.06.24
  • Published : 2014.07.01

Abstract

Peri-implant diseases are inflammatory lesions, which include peri-implant mucositis and peri-implantitis. Peri-implant mucositis is described as the presence of inflammation in the mucosa around implants without any bone loss. By contrast, in peri-implantitis, besides the inflammation in the peri-implant mucosa, loss of supporting bone is also seen. Diagnosis of peri-implant diseases require the use of gentle probing(0.2 ~ 0.3N) to identify the presence of bleeding on probing, probing depth and suppuration, both signs of clinical inflammation. Radiographs are required to detect loss of supporting bone. Baseline probing measurements and high quality, long cone periapical radiographs should be obtained once the restoration of the implant is completed to make possible longitudinal monitoring of peri-implant tissue.

Keywords

References

  1. Mombelli A, van Oosten MA, Schurch E, Jr., Land NP. The microbiota associated with successful or failing osseointegrated titanium implants. Oral Microbiol Immunol. 1987;2(4):145-51. https://doi.org/10.1111/j.1399-302X.1987.tb00298.x
  2. Armitage GC. Periodontal diseases: diagnosis. Ann Periodontol. 1996;1(1):37-215. https://doi.org/10.1902/annals.1996.1.1.37
  3. Fransson C, Wennstrom J, Tomasi C, Berglundh T. Extent of peri-implantitis-associated bone loss. J Clin Periodontol. 2009;36(4):357-63. https://doi.org/10.1111/j.1600-051X.2009.01375.x
  4. Pjetursson BE, Tan K, Lang NP, Bragger U, Egger M, Zwahlen M. A systematic review of the survival and complication rates of fixed partial dentures (FPDs) after an observation period of at least 5 years. Clin Oral Implants Res. 2004;15(6):625-42. https://doi.org/10.1111/j.1600-0501.2004.01117.x
  5. Roos-Jansaker AM, Lindahl C, Renvert H, Renvert S. Nine- to fourteen-year follow-up of implant treatment. Part II: presence of peri-implant lesions. J Clin Periodontol. 2006;33(4):290-5. https://doi.org/10.1111/j.1600-051X.2006.00906.x
  6. Fransson C, Lekholm U, Jemt T, Berglundh T. Prevalence of subjects with progressive bone loss at implants. Clin Oral Implants Res. 2005;16(4):440-6. https://doi.org/10.1111/j.1600-0501.2005.01137.x
  7. Koldsland OC, Scheie AA, Aass AM. Prevalence of peri-implantitis related to severity of the disease with different degrees of bone loss. J Periodontol. 2010;81(2):231-8. https://doi.org/10.1902/jop.2009.090269
  8. Lang NP, Wetzel AC, Stich H, Caffesse RG. Histologic probe penetration in healthy and inflamed peri-implant tissues. Clin Oral Implants Res. 1994;5(4):191-201. https://doi.org/10.1034/j.1600-0501.1994.050401.x
  9. Abrahamsson I, Soldini C. Probe penetration in periodontal and peri-implant tissues. An experimental study in the beagle dog. Clin Oral Implants Res. 2006;17(6):601-5. https://doi.org/10.1111/j.1600-0501.2006.01235.x
  10. Mombelli A, Muhle T, Bragger U, Lang NP, Burgin WB. Comparison of periodontal and peri-implant probing by depth-force pattern analysis. Clin Oral Implants Res. 1997;8(6):448-54. https://doi.org/10.1034/j.1600-0501.1997.080602.x
  11. Luterbacher S, Mayfield L, Bragger U, Lang NP. Diagnostic characteristics of clinical and microbiological tests for monitoring periodontal and peri-implant mucosal tissue conditions during supportive periodontal therapy (SPT). Clin Oral Implants Res. 2000;11(6):521-9. https://doi.org/10.1034/j.1600-0501.2000.011006521.x
  12. Lang NP, Berglundh T. Periimplant diseases: where are we now?--Consensus of the Seventh European Workshop on Periodontology. J Clin Periodontol. 2011;38 Suppl 11:178-81. https://doi.org/10.1111/j.1600-051X.2010.01674.x
  13. Christensen MM, Joss A, Lang NP. Reproducibility of automated periodontal probing around teeth and osseointegrated oral implants. Clin Oral Implants Res. 1997;8(6):455-64. https://doi.org/10.1034/j.1600-0501.1997.080603.x
  14. Quirynen M, van Steenberghe D, Jacobs R, Schotte A, Darius P. The reliability of pocket probing around screw-type implants. Clin Oral Implants Res. 1991;2(4):186-92. https://doi.org/10.1034/j.1600-0501.1991.020405.x
  15. Fransson C, Wennstrom J, Berglundh T. Clinical characteristics at implants with a history of progressive bone loss. Clin Oral Implants Res. 2008;19(2):142-7. https://doi.org/10.1111/j.1600-0501.2007.01448.x
  16. Nedir R, Bischof M, Szmukler-Moncler S, Bernard JP, Samson J. Predicting osseointegration by means of implant primary stability. Clin Oral Implants Res. 2004;15(5):520-8. https://doi.org/10.1111/j.1600-0501.2004.01059.x
  17. Esposito M, Hirsch JM, Lekholm U, Thomsen P. Biological factors contributing to failures of osseointegrated oral implants. (II). Etiopathogenesis. Eur J Oral Sci. 1998;106(3):721-64. https://doi.org/10.1046/j.0909-8836..t01-6-.x
  18. Pontoriero R, Tonelli MP, Carnevale G, Mombelli A, Nyman SR, Lang NP. Experimentally induced peri-implant mucositis. A clinical study in humans. Clin Oral Implants Res. 1994;5(4):254-9. https://doi.org/10.1034/j.1600-0501.1994.050409.x
  19. Lang NP, Wilson TG, Corbet EF. Biological complications with dental implants: their prevention, diagnosis and treatment. Clin Oral Implants Res. 2000;11 Suppl 1:146-55.
  20. Lang NP, Berglundh T, Heitz-Mayfield LJ, Pjetursson BE, Salvi GE, Sanz M. Consensus statements and recommended clinical procedures regarding implant survival and complications. Int J Oral Maxillofac Implants. 2004;19 Suppl:150-4.
  21. Misch CE, Perel ML, Wang HL, Sammartino G, Galindo-Moreno P, Trisi P, et al. Implant success, survival, and failure: the International Congress of Oral Implantologists (ICOI) Pisa Consensus Conference. Implant Dent. 2008;17(1):5-15. https://doi.org/10.1097/ID.0b013e3181676059
  22. Zix J, Hug S, Kessler-Liechti G, Mericske-Stern R. Measurement of dental implant stability by resonance frequency analysis and damping capacity assessment: comparison of both techniques in a clinical trial. Int J Oral Maxillofac Implants. 2008;23(3):525-30.
  23. Sennerby L, Meredith N. Implant stability measurements using resonance frequency analysis: biological and biomechanical aspects and clinical implications. Periodontol 2000. 2008;47:51-66. https://doi.org/10.1111/j.1600-0757.2008.00267.x
  24. Aparicio C, Lang NP, Rangert B. Validity and clinical significance of biomechanical testing of implant/bone interface. Clin Oral Implants Res. 2006;17 Suppl 2:2-7. https://doi.org/10.1111/j.1600-0501.2006.01365.x
  25. Sennerby L, Persson LG, Berglundh T, Wennerberg A, Lindhe J. Implant stability during initiation and resolution of experimental periimplantitis: an experimental study in the dog. Clin Implant Dent Relat Res. 2005;7(3):136-40. https://doi.org/10.1111/j.1708-8208.2005.tb00057.x
  26. Lindhe J, Meyle J. Peri-implant diseases: Consensus Report of the Sixth European Workshop on Periodontology. J Clin Periodontol. 2008;35(8 Suppl):282-5. https://doi.org/10.1111/j.1600-051X.2008.01283.x
  27. Hultin M, Gustafsson A, Hallstrom H, Johansson LA, Ekfeldt A, Klinge B. Microbiological findings and host response in patients with periimplantitis. Clin Oral Implants Res. 2002;13(4):349-58. https://doi.org/10.1034/j.1600-0501.2002.130402.x
  28. Pye AD, Lockhart DE, Dawson MP, Murray CA, Smith AJ. A review of dental implants and infection. J Hosp Infect. 2009;72(2):104-10. https://doi.org/10.1016/j.jhin.2009.02.010
  29. Lindhe J, Berglundh T, Ericsson I, Liljenberg B, Marinello C. Experimental breakdown of peri-implant and periodontal tissues. A study in the beagle dog. Clin Oral Implants Res. 1992;3(1):9-16. https://doi.org/10.1034/j.1600-0501.1992.030102.x