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Influence of keratinized mucosa width on the resolution of peri-implant mucositis: A prospective cohort study.
Blasi, Gonzalo; Chierico, Francesco; Amerio, Ettore; Àlvarez, Gerard; Isabal, Sergio; Arredondo, Alexandre; Blanc, Vanessa; Nart, José; Monje, Alberto.
Afiliación
  • Blasi G; Department of Periodontology, School of Dentistry, Universitat Internacional de Catalunya, Barcelona, Spain.
  • Chierico F; Division of Periodontics, Department of Advanced Oral Sciences and Therapeutics, University of Maryland, Baltimore School of Dentistry, Baltimore, Maryland, USA.
  • Amerio E; Department of Periodontology, School of Dentistry, Universitat Internacional de Catalunya, Barcelona, Spain.
  • Àlvarez G; Department of Periodontology, School of Dentistry, Universitat Internacional de Catalunya, Barcelona, Spain.
  • Isabal S; Department of Microbiology, Dentaid Research Center, Cerdanyola del Vallès, Spain.
  • Arredondo A; Department of Microbiology, Dentaid Research Center, Cerdanyola del Vallès, Spain.
  • Blanc V; Department of Microbiology, Dentaid Research Center, Cerdanyola del Vallès, Spain.
  • Nart J; Department of Microbiology, Dentaid Research Center, Cerdanyola del Vallès, Spain.
  • Monje A; Department of Periodontology, School of Dentistry, Universitat Internacional de Catalunya, Barcelona, Spain.
Clin Implant Dent Relat Res ; 26(3): 581-591, 2024 Jun.
Article en En | MEDLINE | ID: mdl-38426741
ABSTRACT

BACKGROUND:

The prevalence of peri-implant diseases, driven by biofilm accumulation and influenced by factors such as the width of keratinized mucosa (KM), underscores the need for understanding their etiology and management.

PURPOSE:

To evaluate the association between the KM width and the clinical resolution of peri-implant mucositis after mechanical therapy. MATERIALS AND

METHODS:

Patients with an implant diagnosed with peri-implant mucositis were allocated to two groups wide band of KM (WKM ≥ 2 mm) and narrow/no band of KM (NKM < 2 mm). Data and submucosa biofilm were collected at baseline and at 8, 12, and 24 weeks after nonsurgical therapy. A Brunner-Langer model was estimated for longitudinal data to evaluate and compare changes in any clinical parameter throughout follow-up between both groups. Furthermore, the microbial profiles were evaluated by 16S rRNA gene sequencing.

RESULTS:

A total of 38 implants were analyzed. At 24 weeks, bleeding on probing was substantially reduced in both groups, reaching statistical significance (p < 0.001). Treatment resulted in 23.9% less effective in achieving success for NKM. As such, NKM reduced the odds of disease resolution by 80% compared to WKM. The rest of the explored clinical parameters yielded more favorable outcomes for WKM versus NKM. Neither the alpha nor the beta diversity of the microbial profiles were significantly modulated by KM.

CONCLUSIONS:

KM width influences the clinical resolution of peri-implant mucositis after mechanical therapy (https//clinicaltrials.gov/study/NCT04874467?cond=keratinized%20mucosa&rank=8, NCT04874467, 04/30/2021).
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Estomatitis / Queratinas / Mucosa Bucal Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Clin Implant Dent Relat Res Asunto de la revista: ODONTOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: España Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Estomatitis / Queratinas / Mucosa Bucal Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Clin Implant Dent Relat Res Asunto de la revista: ODONTOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: España Pais de publicación: Estados Unidos