Is Peri-Implant Probing Causing Over-Diagnosis and Over-Treatment of Dental Implants?

Journal of Clinical Medicine
Pierluigi Coli, Lars Sennerby

Abstract

Pocket probing depth (PPD) and bleeding on probing (BOP) measurements are useful indices for the assessment of periodontal conditions. The same periodontal indices are commonly recommended to evaluate the dental implant/tissue interface to identify sites with mucositis and peri-implantitis, which, if not treated, are anticipated to lead to implant failure. The aim of the present narrative review is to discuss the available literature on the effectiveness of probing at dental implants for identification of peri-implant pathology. There is substantial clinical evidence that PPD and BOP measurements are very poor indices of peri-implant tissue conditions and are questionable surrogate endpoints for implant failure. On the contrary, the literature suggests that frequent disturbance of the soft tissue barrier at implants may instead induce inflammation and bone resorption. Moreover, over-diagnosis and subsequent unnecessary treatment may lead to iatrogenic damage to the implant-tissue interface. Despite this, the recommendations from recent consensus meetings are still promoting the use of probing at dental implants. For evaluation of implants, for instance at annual check-ups, the present authors recommend a clinical examination th...Continue Reading

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Citations

Sep 26, 2020·International Journal of Environmental Research and Public Health·Saverio CosolaDavid Peñarrocha-Oltra
Dec 20, 2020·Clinical Oral Implants Research·Jessica BerglundhTord Berglundh
Jan 20, 2021·Clinical Implant Dentistry and Related Research·Pierluigi Coli, Torsten Jemt
Feb 3, 2021·Journal of Clinical Periodontology·Marta García-GarcíaEduard Valmaseda-Castellón
May 26, 2021·International Journal of Implant Dentistry·Gerhard IglhautBurkhard Summer

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BETA
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