Implant maintenance treatment and peri-implant health

• Published in: Evidence-based dentistry 2017-03, Vol.18 (1), p.8-10
• Main Author: Howe, Mark-Steven
• Format: Article
• Language: English
• Subjects: Dental Implants; Dentistry; Humans; Peri-Implantitis - epidemiology; Periodontal Diseases - chemically induced; Periodontitis - chemically induced; Retrospective Studies
• ISSN: 1462-0049; 1476-5446
• DOI: 10.1038/sj.ebd.6401216

Data sourcesMedline (PubMed), Embase, Cochrane Central Register of Controlled Trials and Cochrane Oral Health Group Trials Register databases and a manual search of the Journal of Dental Research, Journal of Clinical Periodontology, Journal of Periodontology and the International Journal of Periodontics and Restorative Dentistry from January 2014 to February 2015.Study selectionProspective, retrospective, randomised or not, case-controlled or case series trials showing the incidence or recurrence of peri-implant disease plus or minus PIMT over more than six months.Data extraction and synthesisThree reviewers independently selected studies and abstracted data with two reviewers assessing study quality using the Newcastle-Ottawa Scale (NOS). A multivariate binomial regression was used to examine the data.ResultsThirteen studies were included with ten contributing to the meta-analysis. The average quality assessment score (NOS) was 5.3 out of a possible nine, only one paper achieved eight. At patient level mucositis ranged from 18.5-74.2% and peri-implantitis from 8-28%, with significant effects being seen for treatment (z= -14.36, p