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Is bleeding on probing a reliable clinical indicator of peri-implant diseases?
Himabindu Dukka,Muhammad H. A. Saleh,Andrea Ravidà,Henry Greenwell,Hom-Lay Wang
doi : 10.1002/JPER.20-0890
Volume 92, Issue 12 p. 1669-1674
Bleeding on probing (BOP) is regarded as an indispensable diagnostic tool for evaluating periodontal disease activity; however, its role in peri-implant disease is more intricate. Much of the confusion about the interpretation originates from drawing parallels between periodontal and peri-implant conditions. BOP can originate from two forms of probing in implants: traumatic or pathologic induction. This, in addition to the dichotomous scale of BOP can complicate diagnosis. The objective of this commentary is to discuss the following: 1) the value of BOP as a diagnostic tool for peri-implant diseases; 2) the reasons it should be distinct from value for diagnosing periodontal and peri-implant diseases; and 3) the current best evidence on how to implement it in daily clinical practice. A comprehensive bleeding index is proposed for evaluating and monitoring peri-implant conditions. BOP should be used in addition to other parameters such as visual signs of inflammation, probing depth, and progressive bone loss before a peri-implant diagnosis is established.
Agreement among international periodontal experts using the 2017 World Workshop classification of periodontitis
Andrea Ravidà,Suncica Travan,Muhammad H. A. Saleh,Henry Greenwell,Panos N. Papapanou,Mariano Sanz,Maurizio Tonetti,Hom-Lay Wang,Kenneth Kornman
doi : 10.1002/JPER.20-0825
Volume 92, Issue 12 p. 1675-1686
A new periodontitis classification was recently introduced involving multidimensional staging and grading. The aim of the study was to assess if individuals well-trained in periodontics consistently used the new classification for patients with severe periodontitis. The secondary goal was to identify “gray zones” related to classifications.
Role of thin gingival phenotype and inadequate keratinized mucosa width (<2 mm) as risk indicators for peri-implantitis and peri-implant mucositis
Amit S. Gharpure,Jessica M. Latimer,Faisal E. Aljofi,Justin H. Kahng,Diane M. Daubert
doi : 10.1002/JPER.20-0792
Volume 92, Issue 12 p. 1687-1696
There is growing evidence on the impact of thin gingival phenotype (TnP) and inadequate keratinized mucosa width (KMW <2 mm) around dental implants on peri-implant health. This study investigated the role of TnP and inadequate KMW (<2 mm) as risk indicators for peri-implantitis and mucositis and on dental patient?reported outcomes.
Ibero-Panamerican Federation of Periodontics Delphi study on the trends in diagnosis and treatment of peri-implant diseases and conditions: A Latin American consensus
Marco Antonio Alarcón,Ignacio Sanz-Sánchez,Andrea López-Pacheco,Lorenzo Tavelli,Maria Elisa Galarraga-Vinueza,Frank Schwarz,Hugo Romanelli,Luis Peredo,Claudio Mendes Pannuti,Enrique Javer,Andrés Felipe Vieira,Mauricio Montealegre,Roberto Galindo,Vilma Umanzor,Alejandro Treviño,Patricia Fretes-Wood,Marissa Cisneros,James R. Collins,Luis Bueno,Xiomara Gimenéz,Lilian Málaga-Figueroa,Mariano Sanz
doi : 10.1002/JPER.21-0086
Volume 92, Issue 12 p. 1697-1718
The social diversity, heterogeneous culture, and inherent economic inequality factors in Latin America (LA) justify conducting a comprehensive analysis on the current status and future trends of peri-implant diseases and conditions. Thus, the aim of this Delphi study was to predict the future trends in the diagnosis and treatment of peri-implant diseases and conditions in LA countries for the year 2030.
Porphyromonas gingivalis, the most influential pathogen in red-complex bacteria: A cross-sectional study on the relationship between bacterial count and clinical periodontal status in Japan
Otofumi Chigasaki,Norio Aoyama,Yoshiyuki Sasaki,Yasuo Takeuchi,Koji Mizutani,Yuichi Ikeda,Misa Gokyu,Makoto Umeda,Yuichi Izumi,Takanori Iwata,Akira Aoki
doi : 10.1002/JPER.21-0011
Volume 92, Issue 12 p. 1719-1729
Porphyromonas gingivalis is a key pathogen in microbiota associated with periodontitis. The purpose of the present study was to assess the association between salivary counts of red-complex bacteria and clinical periodontal status in a Japanese population.
Periodontitis, assessed using periodontal treatment as a surrogate marker, has no association with a first myocardial infarction in a Swedish population
Eva Nordendahl,Michael Fored,Barbro Kjellström,Anders Ekbom,Anna Norhammar,Anders Gustafsson
doi : 10.1002/JPER.20-0758
Volume 92, Issue 12 p. 1730-1737
Periodontitis is suggested to be associated with a risk of cardiovascular events. Using periodontal treatment recorded in Swedish national registries as a surrogate marker, we aimed to investigate whether periodontitis was associated with a first myocardial infarction.
Immediate single-tooth implant placement with simultaneous bone augmentation versus delayed implant placement after alveolar ridge preservation in bony defect sites in the esthetic region: A 5-year randomized controlled trial
Kirsten W. Slagter,Henny J. A. Meijer,Diederik F. M. Hentenaar,Arjan Vissink,Gerry M. Raghoebar
doi : 10.1002/JPER.20-0845
Volume 92, Issue 12 p. 1738-1748
It is unclear if an intact buccal bony plate is a prerequisite for immediate implant placement in post-extraction sockets. The aim of this 5-year randomized controlled trial was therefore comparison of peri-implant soft and hard tissue parameters, esthetic ratings, and patient-reported satisfaction of immediate implant placement in post-extraction sockets with buccal bony defects of ? 5 mm in the esthetic zone, with delayed implant placement after ridge preservation.
Effect of guided bone regeneration on immediately placed implants: Meta-analyses with at least 12 months follow-up after functional loading
Bassam M. Kinaia,Shahrdad Kazerani,Samuel Korkis,Omar Mario Masabni,Maanas Shah,Anthony L. Neely
doi : 10.1002/JPER.18-0543
Volume 92, Issue 12 p. 1749-1760
Immediate implant placement (IIP) into fresh extraction socket is a favorable treatment option. If successfully managed, it reduces the overall treatment time, and increases patient's satisfaction. Surgical and restorative factors affect IIP success rates. In this systematic review we evaluate the effect of guided bone regeneration (GBR) at the time of IIP on crestal bone level (CBL) changes after at least 12-months of functional loading.
Tooth loss in periodontally compromised patients: Retrospective long-term results 10 years after active periodontal therapy – tooth-related outcomes
Hari Petsos,Tatjana Ramich,Katrin Nickles,Bettina Dannewitz,Leon Pfeifer,Otto Zuhr,Peter Eickholz
doi : 10.1002/JPER.21-0056
Volume 92, Issue 12 p. 1761-1775
Estimating prognosis of periodontally affected teeth at the beginning of supportive periodontal care (SPC) is an important component for further treatment planning. This study aimed to evaluate tooth loss (TL) during 10 years of SPC in periodontally compromised patients and to identify tooth-related factors affecting TL.
Mid-term outcomes and periodontal prognostic factors of autotransplanted third molars: A retrospective cohort study
Ernest Lucas-Taulé,Marc Llaquet,Jesús Muñoz-Peñalver,José Nart,Federico Hernández-Alfaro,Jordi Gargallo-Albiol
doi : 10.1002/JPER.21-0074
Volume 92, Issue 12 p. 1776-1787
Tooth autotransplantation is a valid method for replacing non-restorable teeth. This study aimed to assess mid-term survival and success of autotransplanted third molars and the clinical periodontal parameters and factors predicting successful periodontal attachment apparatus regeneration.
Occlusal trauma is associated with periodontitis: A retrospective case-control study
Cristian Camilo Ríos,Jorge Iván Campiño,Adriana Posada-López,Carolina Rodríguez-Medina,Javier Enrique Botero
doi : 10.1002/JPER.20-0598
Volume 92, Issue 12 p. 1788-1794
Excessive occlusal forces and occlusal trauma have been implicated as co-destructive factors for periodontitis in animal models. The objective of this study was to assess the association between occlusal trauma and periodontitis.
Circulating antibodies against leukotoxin A as marker of periodontitis Grades B and C and oral infection with Aggregatibacter actinomycetemcomitans
Christian Damgaard,Anne Katrine Danielsen,Christian Enevold,Jesper Reinholdt,Palle Holmstrup,Claus H. Nielsen,Laura Massarenti
doi : 10.1002/JPER.20-0895
Volume 92, Issue 12 p. 1795-1804
The facultative bacterium Aggregatibacter actinomycetemcomitans (Aa) is strongly associated with periodontitis and is occasionally found in periodontally healthy subjects. We aimed to determine the prevalence of salivary Aa among patients with either periodontitis Grade B (periodontitis-B) or Grade C (periodontitis-C), periodontally healthy controls (HCs), and to determine if systemic antibodies against Aa or its virulence factor leukotoxin A (LtxA) may serve as biomarkers that reveal the oral presence of the bacterium and discriminate subjects with periodontitis-C, periodontitis-B, or no periodontitis from each other.
Serum proteins associated with periodontitis relapse post-surgery: A pilot study
Anders Esberg,Catrine Isehed,Anders Holmlund,Susanne Lindquist,Pernilla Lundberg
doi : 10.1002/JPER.21-0089
Volume 92, Issue 12 p. 1805-1814
The knowledge of which genes and proteins that are connected to the susceptibility to gingivitis with subsequent local tissue degradation seen in periodontitis is insufficient. Changes of serum proteins associated with recurrence of bleeding on probing (BOP) and increased periodontal pocket depths (PPD) after surgical treatment of periodontitis could reveal molecules that could be early signals of tissue destruction and/or of importance for systemic effects in other tissues or organs.
