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2016 Jul-Sep; Vol 7, No 3:e8 |
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Diagnostic Principles of Peri-Implantitis: a Systematic Review and Guidelines for Peri-Implantitis Diagnosis Proposal J Oral Maxillofac Res 2016;7(3):e8 doi:10.5037/jomr.2016.7308 |
Diagnostic Principles of Peri-Implantitis: a Systematic Review and Guidelines for Peri-Implantitis Diagnosis Proposal
1Clinic of Dental and Oral Pathology, Lithuanian University of Health Sciences, Kaunas, Lithuania.
2Department of Maxillofacial Surgery, Lithuanian University of Health Sciences, Kaunas, Lithuania.
Corresponding Author:
Department of Dental and Oral Pathology
Lithuanian University of Health Sciences
Eiveniu 2, LT- 50009, Kaunas
Lithuania
Phone: +37067813934
E-mail: ausra.ramanauskaite@gmail.com
ABSTRACT
Objectives: To review and summarize the literature concerning peri-implantitis diagnostic parameters and to propose guidelines for peri-implantitis diagnosis.
Material and Methods: An electronic literature search was conducted of the MEDLINE (Ovid) and EMBASE databases for articles published between 2011 and 2016. Sequential screening at the title/abstract and full-text levels was performed. Systematic reviews/guidelines of consensus conferences proposing classification or suggesting diagnostic parameters for peri-implantitis in the English language were included. The review was recorded on PROSPERO system with the code CRD42016033287.
Results: The search resulted in 10 articles that met the inclusion criteria. Four were papers from consensus conferences, two recommended diagnostic guidelines, three proposed classification of peri-implantitis, and one suggested an index for implant success. The following parameters were suggested to be used for peri-implantitis diagnosis: pain, mobility, bleeding on probing, probing depth, suppuration/exudate, and radiographic bone loss. In all of the papers, different definitions of peri-implantitis or implant success, as well as different thresholds for the above mentioned clinical and radiographical parameters, were used. Current evidence rationale for the diagnosis of peri-implantitis and classification based on consecutive evaluation of soft-tissue conditions and the amount of bone loss were suggested.
Conclusions: Currently there is no single uniform definition of peri-implantitis or the parameters that should be used. Rationale for diagnosis and prognosis of peri-implantitis as well as classification of the disease is proposed.
J Oral Maxillofac Res 2016;7(3):e8
doi: 10.5037/jomr.2016.7308
Accepted for publication: 22 August 2016
Keywords: dental implant; diagnosis; endosseous dental implantation; peri-implantitis.
To cite this article: Diagnostic Principles of Peri-Implantitis: a Systematic Review and Guidelines for Peri-Implantitis Diagnosis Proposal J Oral Maxillofac Res 2016;7(3):e8 URL: http://www.ejomr.org/JOMR/archives/2016/3/e8/v7n3e8ht.htm |
Received: 18 July 2016 | Accepted: 22 August 2016 | Published: 9 September 2016
Copyright: © The Author(s). Published by JOMR under CC BY-NC-ND 3.0 licence, 2016.