Retrospective assessment of patients' risk for peri-implant diseases using the implant disease risk assessment (IDRA) tool: A cohort study

IF 3.7 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Clinical Implant Dentistry and Related Research Pub Date : 2024-08-07 DOI:10.1111/cid.13371

José Lucas de Medeiros Dantas, Guilherme Carlos Beiruth Freire, Patrícia dos Santos Calderon, Poliana Mendes Duarte, Bruno César de Vasconcelos Gurgel

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Abstract

Introduction

The implant disease risk assessment (IDRA) tool was designed to assess an individual's risk of developing peri-implant diseases by evaluating and integrating multiple risk factors. This study aimed to evaluate the IDRA tool to determine the risk of developing peri-implant disease in patients rehabilitated with dental implants.

Methods

A retrospective observational cross-sectional study was conducted, collecting data from 92 patients with 92 selected dental implants. Data included the history of periodontitis, sites with bleeding on probing (BoP), teeth and/or implants with probing depths (PDs) ≥ 5 mm, alveolar bone loss relative to the patient's age, susceptibility to periodontitis, the frequency of supportive periodontal therapy (SPT), the distance from the restorative margin (RM) of the implant-supported prosthesis to the marginal bone crest (MBC), and factors related to the prosthesis itself. Additionally, the validated instrument periodontal risk assessment (PRA) was employed for comparison. Statistical analyses utilized Chi-square, Mann–Whitney, and ROC curve.

Results

Outcomes indicated that 62 implants (67.4%) were classified as high-risk. Among the IDRA parameters, history of periodontitis was the primary factor contributing to an increased risk (p < 0.001). IDRA revealed high sensitivity (100%) and low specificity (63%) (AUC = 0.685; 95% CI: 0.554–0.816; p = 0.047), and there was a low agreement between the IDRA and PRA tools (Kappa = 0.123; p = 0.014). The peri-implant disease developed in 16 implants with 5.44 (±2.50) years of follow-up, however, no significant association was observed between the high- and low-medium risk groups and the occurrence of peri-implant diseases.

Conclusion

Most of the evaluated implants presented high IDRA risk. The IDRA tool exhibited high sensitivity and low specificity; no significant association was observed between the risk profile and the development of peri-implant diseases.

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使用种植体疾病风险评估（IDRA）工具对患者种植体周围疾病风险进行回顾性评估：一项队列研究。

简介种植体疾病风险评估（IDRA）工具旨在通过评估和整合多种风险因素来评估个人患种植体周围疾病的风险。本研究旨在对 IDRA 工具进行评估，以确定种植牙修复患者罹患种植体周围疾病的风险：方法：本研究进行了一项回顾性观察横断面研究，收集了 92 名选定种植牙患者的数据。数据包括牙周炎病史、探诊出血（BoP）部位、探诊深度（PDs）≥ 5 毫米的牙齿和/或种植体、与患者年龄相关的牙槽骨损失、牙周炎易感性、支持性牙周治疗（SPT）频率、种植体支持修复体的修复缘（RM）到边缘骨嵴（MBC）的距离以及与修复体本身相关的因素。此外，还采用了经过验证的牙周风险评估（PRA）工具进行比较。统计分析采用了Chi-square、Mann-Whitney和ROC曲线：结果显示，62 个种植体（67.4%）被归类为高风险种植体。在 IDRA 参数中，牙周炎病史是导致风险增加的主要因素（p 结论：大多数被评估的种植体都出现了 IDRA 问题：大多数接受评估的种植体都具有高 IDRA 风险。IDRA 工具具有高灵敏度和低特异性；在风险状况和种植体周围疾病的发展之间没有发现明显的关联。

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来源期刊

Clinical Implant Dentistry and Related Research 医学-牙科与口腔外科

CiteScore

6.00

自引率

13.90%

发文量

103

审稿时长

4-8 weeks

期刊介绍： The goal of Clinical Implant Dentistry and Related Research is to advance the scientific and technical aspects relating to dental implants and related scientific subjects. Dissemination of new and evolving information related to dental implants and the related science is the primary goal of our journal. The range of topics covered by the journals will include but be not limited to: New scientific developments relating to bone Implant surfaces and their relationship to the surrounding tissues Computer aided implant designs Computer aided prosthetic designs Immediate implant loading Immediate implant placement Materials relating to bone induction and conduction New surgical methods relating to implant placement New materials and methods relating to implant restorations Methods for determining implant stability A primary focus of the journal is publication of evidenced based articles evaluating to new dental implants, techniques and multicenter studies evaluating these treatments. In addition basic science research relating to wound healing and osseointegration will be an important focus for the journal.