Discomfort/pain due to peri-implant probing at titanium and zirconium implants: A cross-sectional study

IF 4.8 1区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Clinical Oral Implants Research Pub Date : 2024-05-27 DOI:10.1111/clr.14298

Florian Bussmeyer, Michael Saminsky, Peter Eickholz

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Abstract

Objective

This study was designed to compare discomfort/pain after periodontal and peri-implant probing in patients with titanium compared with zirconium implants.

Methods

One examiner recruited and examined 70 patients, each of whom had a dental implant with a contralateral tooth; 37 patients had titanium implants of various types and 33 patients had zirconium implants; one implant was analyzed for each patient. Periodontal and peri-implant probing pocket depth (PPD) and clinical attachment level (CAL) were assessed. Immediately after probing, patients rated their discomfort/pain with a visual analog scale (VAS). The emergence profiles of implant crowns were assessed on periapical radiographs of the implants.

Results

Seventy patients with a median age of 55 years (interquartile range [IQR]: 42–65 years), including 43 females and 16 current smokers, were examined. The mean PPD and bleeding on probing (BOP) were higher around implants than around teeth (p < .001). CAL and suppuration were well-balanced between implants and teeth. Peri-implant probing caused significantly more discomfort/pain than periodontal probing [median VAS score: 12.5 (IQR 4–22) vs. 9 (2–15); p < .001]. Logistic regression revealed that discomfort/pain after peri-implant probing was less intense in patients who had taken analgesic medication (p = .021) and around titanium implants (p = .037).

Conclusions

Peri-implant probing caused significantly more discomfort/pain than periodontal probing. Patients who had taken analgesic medication experienced less discomfort and pain with peri-implant probing than those who had not; furthermore, titanium implants were associated with less pain than zirconium implants.

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钛和锆种植体种植体周围探查引起的不适/疼痛：横断面研究。

研究目的本研究旨在比较钛种植体和锆种植体患者牙周和种植体周围探诊后的不适/疼痛感：一名检查员招募并检查了 70 名患者，每名患者都有一颗种植牙和一颗对侧牙齿；37 名患者有各种类型的钛种植体，33 名患者有锆种植体；对每名患者的一颗种植体进行分析。对牙周和种植体周围的探诊袋深度（PPD）和临床附着水平（CAL）进行了评估。探诊后，患者立即使用视觉模拟量表（VAS）对其不适/疼痛感进行评分。根据种植体的根尖周X光片评估种植体牙冠的外形：70名患者的中位年龄为55岁（四分位距[IQR]：42-65岁），其中包括43名女性和16名吸烟者。种植体周围的平均PPD和探诊出血量（BOP）均高于牙齿周围（P 结论：种植体周围的探诊出血量明显高于牙齿周围：种植体周围探诊引起的不适/疼痛明显高于牙周探诊。服用过镇痛药物的患者在种植体周围探查时的不适和疼痛程度低于未服用药物的患者；此外，钛种植体的疼痛程度低于锆种植体。

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来源期刊

Clinical Oral Implants Research 医学-工程：生物医学

CiteScore

7.70

自引率

11.60%

发文量

149

审稿时长

3 months

期刊介绍： Clinical Oral Implants Research conveys scientific progress in the field of implant dentistry and its related areas to clinicians, teachers and researchers concerned with the application of this information for the benefit of patients in need of oral implants. The journal addresses itself to clinicians, general practitioners, periodontists, oral and maxillofacial surgeons and prosthodontists, as well as to teachers, academicians and scholars involved in the education of professionals and in the scientific promotion of the field of implant dentistry.