A systematic review of implant outcomes in treated periodontitis patients

TY - JOUR

T1 - A systematic review of implant outcomes in treated periodontitis patients

AU - Sousa, Vanessa

AU - Mardas, Nikos

AU - Farias, Bruna

AU - Petrie, Aviva

AU - Needleman, Ian

AU - Spratt, David

AU - Donos, Nikolaos

N1 - Publisher Copyright: © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd

PY - 2016/7/1

Y1 - 2016/7/1

N2 - Objectives: To investigate the effect of treated periodontitis on implant outcomes in partially edentulous individuals compared with periodontally healthy patients. Material and methods: Longitudinal studies reporting on implant survival, success, incidence of peri-implantitis, bone loss and periodontal status, and on partially dentate patients with a history of treated periodontitis were included. Results: The search yielded 14,917 citations. Twenty-seven publications met the inclusion criteria for qualitative data synthesis. Implant success and survival were higher in periodontally healthy patients, whilst bone loss and incidence of peri-implantitis was increased in patients with history of treated periodontitis. There was a higher tendency for implant loss and biological complications in patients previously presenting with severe forms of periodontitis. The strength of the evidence was limited by the heterogeneity of the included studies in terms of study design, population, therapy, unit of analysis, inconsistent definition of baselines and outcomes, as well as by the inadequate reporting of statistical analysis and accounting for confounding factors; thus, meta-analysis could not be performed. Conclusions: Implants placed in patients treated for periodontal disease are associated with higher incidence of biological complications and lower success and survival rates than those placed in periodontally healthy patients. Severe forms of periodontal disease are associated with higher rates of implant loss. However, it is critical to develop well-designed, long-term prospective studies to provide further substantive evidence on the association of these outcomes.

AB - Objectives: To investigate the effect of treated periodontitis on implant outcomes in partially edentulous individuals compared with periodontally healthy patients. Material and methods: Longitudinal studies reporting on implant survival, success, incidence of peri-implantitis, bone loss and periodontal status, and on partially dentate patients with a history of treated periodontitis were included. Results: The search yielded 14,917 citations. Twenty-seven publications met the inclusion criteria for qualitative data synthesis. Implant success and survival were higher in periodontally healthy patients, whilst bone loss and incidence of peri-implantitis was increased in patients with history of treated periodontitis. There was a higher tendency for implant loss and biological complications in patients previously presenting with severe forms of periodontitis. The strength of the evidence was limited by the heterogeneity of the included studies in terms of study design, population, therapy, unit of analysis, inconsistent definition of baselines and outcomes, as well as by the inadequate reporting of statistical analysis and accounting for confounding factors; thus, meta-analysis could not be performed. Conclusions: Implants placed in patients treated for periodontal disease are associated with higher incidence of biological complications and lower success and survival rates than those placed in periodontally healthy patients. Severe forms of periodontal disease are associated with higher rates of implant loss. However, it is critical to develop well-designed, long-term prospective studies to provide further substantive evidence on the association of these outcomes.

KW - clinical assessment

KW - clinical research

KW - clinical trials

KW - diagnosis

KW - epidemiology

KW - patient centered outcomes

KW - Periodontology

KW - statistics

UR - http://www.scopus.com/inward/record.url?scp=85027953160&partnerID=8YFLogxK

U2 - 10.1111/clr.12684

DO - 10.1111/clr.12684

M3 - Review article

C2 - 26381260

AN - SCOPUS:85027953160

SN - 0905-7161

VL - 27

SP - 787

EP - 844

JO - CLINICAL ORAL IMPLANTS RESEARCH

JF - CLINICAL ORAL IMPLANTS RESEARCH

IS - 7

ER -