ANALYSIS OF PERI-IMPLANTITIS PREVALENCE AT THE PATIENTAND IMPLANT-STUDIED LEVELS DUE TO THE SYSTEMATIC REVIEWS’ DATA
DOI:
https://doi.org/10.35220/2523-420X/2022.1.8Keywords:
prevalence, peri-implantitis, systematic review, analysis.Abstract
Purpose of the study. To analyze the prevalence of periimplantitis pathology at the implant- and patient-studied levels based on the systematic reviews’ data, and its relationships with potentially influencing factors that were identified during the meta-analyses. Research methods. In order to form an initial sample of publications associated with the research objective, search for such was provided within “PubMed Central” database using advanced query functions and corresponding Mesh-terms. “Systematic review” filter was applied after performing the search by Mesh-terms. Processing of the selected scientific publications involved detailed contentanalysis in compliance with previously formed categories. Scientific novelty. An analysis of the peri-implantitis prevalence was carried out based on the systematic reviews’ data at the subject- and object-studied levels, which allows to verify the following features related to the epidemiology of peri-implant complications: 1) the prevalence of periimplantitis at the patient-oriented level exceeds the indicators of the peri-implantitis prevalence at the implant-oriented level, while difference between these indicators increase with a number of placed intraosseous fixtures per patient; 2) the use of different diagnostic approaches, as well as different levels of clinical criteria thresholds for the diagnosis of periimplantitis provokes differences in the established levels of peri-implantitis prevalence among the analyzed studies. Conclusions. According to the results of the analyzed systematic reviews, the problem of the unified diagnostic approach for clinical identification of peri-implantitis cases remains definitively unresolved, which currently complicates the opportunities for objective assessment of the pathology prevalence at the levels of studied patients and implants samples. The presence of periodontitis in the anamnesis, the identification of fixation cement remnants and the deficiency of keratinized mucosa according to the data of systematic reviews can be categorized as factors associated with a higher prevalence of peri-implantitis pathology. The geometric features of the interface at the implant-abutment connection were found to be associated with specific trends of changes regarding peri-implantitis prevalence comparatively to the established average statistical level.
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