Effect of Emergence Angle on Peri-implant Status (EEAPS)

Abant Izzet Baysal University

Status: Completed

Conditions: Peri-implant Health; Peri-implant Mucositis; Peri-Implantitis

Treatments: Other: emergence profile

Study type: Observational

Funder types: Other

Identifiers

NCT07295743

AIBU-DH-TS-04

Details and patient eligibility

About

The study was conducted at the Division of Periodontology, Bolu Abant İzzet Baysal University Faculty of Dentistry. Participants were systemically healthy individuals aged 18 to 70 who had received dental implant prostheses within the past five years and had high-quality panoramic radiographs. The peri-implant status of the subjects was evaluated using various indices and radiographic analyses in accordance with Chicago's Classification of Periodontal and Peri-Implant Diseases and Conditions. Additionally, measurements of gingival thickness, gingival phenotype, keratinized gingival width, and emergence angle were performed.

Full description

Patient histories were collected from those who met the study criteria, and panoramic radiographs were taken. A total of 310 implants were initially assessed, and 192 implants were selected for inclusion in the study. All implant patients underwent an evaluation of plaque index , gingival index, bleeding on probing , pocket depth, clinical attachment level, and gingival recession. The peri-implant condition was determined using these indices and radiographs, in accordance with the guidelines from the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions and the 2023 European Federation of Periodontology. Patients were categorized into three groups: peri-implantitis (64), peri-implant health (64), and peri-implant mucositis (64). Additionally, gingival thickness (GT), keratinized gingival width (KGW), and gingival phenotype (GP) around the implants were measured, and the emergence angle (EA) of the implants was calculated.

Enrollment: 192 patients

Sex: All

Ages: 18 to 70 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Systemically healthy individuals or individuals with controlled medical conditions
• Availability of high-quality panoramic radiographs that could be accurately measured after fabrication of the dental implant prosthesis
• Implants placed no more than five years prior to evaluation

Exclusion criteria

• Individuals with uncontrolled systemic diseases
• Presence of habitual bruxism
• Current smokers
• Pregnant or breastfeeding individuals
• Use of anti-inflammatory or immunosuppressive medications affecting the mucosa or bone
• Individuals who had received treatment for peri-implant disease after implant placement
• Development of peri-implantitis due to residual cement or prosthesis design, or improperly positioned implants

Trial design

192 participants in 3 patient groups

Peri-implantitis

Description:

Peri-implantitis patients are those who have developed inflammation around a dental implant, leading to the loss of supporting bone and the presence of pockets of infection.

Treatment:

Other: emergence profile

Peri-implant mucositis

Description:

Peri-implant mucositis refers to a reversible inflammatory condition affecting the soft tissues surrounding a dental implant, characterized by redness, swelling, and bleeding on probing, without any bone loss.

Treatment:

Other: emergence profile

Peri-implant health

Description:

Peri-implant health refers to the condition where the tissues surrounding a dental implant are free from inflammation, with no signs of redness, swelling, bleeding on probing, or bone loss, indicating a stable and healthy implant environment.

Treatment:

Other: emergence profile