Estimation of the diagnostic accuracy of clinical parameters for monitoring peri-implantitis progression: An experimental canine study

Journal of Periodontology
Alberto MonjeHom-Lay Wang

Abstract

Lack of consensus on the clinical parameters of peri-implantitis may complicate accurate diagnosis of the disorder. Furthermore, the lack of reliable estimates of the diagnostic capacity of the clinical endpoints precludes the definition of an effective treatment protocol for peri-implantitis. The present canine study assesses the diagnostic accuracy of the clinical parameters for monitoring the peri-implant tissues in a controlled ligature-induced peri-implantitis model followed by a spontaneous progression phase. Six beagle dogs were followed-up on during three episodes of ligature-induced peri-implantitis and a further episode of spontaneous progression. Probing depth (PD), bleeding on probing (BOP), mucosal recession (MR), and suppuration (SUP) were recorded at four sites per implant and at four study timepoints. Moreover, the implant mucosal index (IMI) was calculated at implant level. Marginal bone loss (MBL) was determined using computed tomography at four sites per implant. A linear regression model was used to estimate clinical and radiological parameters during peri-implantitis progression. Progressive peri-implant bone loss is characterized by an increase in PD, more profuse BOP, MR, and SUP in advanced cases (p < 0....Continue Reading

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Citations

Jul 31, 2020·Journal of Periodontology·Alberto MonjeJosé Nart
Dec 20, 2019·Journal of Prosthodontic Research·Seiya YamazakiRyuji Hosokawa
May 16, 2019·Clinical Implant Dentistry and Related Research·Alberto MonjeFrank Schwarz
Dec 20, 2020·Clinical Oral Implants Research·Jessica BerglundhTord Berglundh
Jan 20, 2021·Clinical Implant Dentistry and Related Research·Pierluigi Coli, Torsten Jemt
Dec 20, 2020·Clinical Oral Implants Research·Mario RomandiniTord Berglundh
Apr 9, 2021·Journal of Periodontology·Himabindu DukkaHom-Lay Wang

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