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oai:recercat.cat:20.500.12328/34862025-05-16T12:58:21Zcom_2072_67741col_2072_484352

Clinical outcomes and associated factors in the treatment of peri-implant mucositis, combining mechanical debridement and prosthesis modification: a 30-month follow-up prospective case series de Tapia, Beatriz Bonnin, Maria Valles, Cristina Mozas, Carla Herrera, David Sanz, Mariano Nart, José Implant dental Pròtesi dental Tractament no quirúrgic Mucositis periimplantària Implante dental Prótesis dental Tratamiento no quirúrgico Mucositis periimplantaria Dental implants Dental prosthesis Non-surgical treatment Peri-implant mucositis Aim: To evaluate the clinical outcome and the associated factors of a treatment protocol for peri-implant mucositis. Materials and Methods: Patients were evaluated 30 months after a treatment protocol including professional mechanical debridement and modification of the prosthesis contours to improve access for biofilm control. Clinical performance was assessed by means of probing with an electronic pressure-calibrated periodontal probe. The possible impact of implant- and patient-level factors on the changes in peri-implant mucosal inflammation measured with the modified bleeding index (mBI) was evaluated. Results: Twenty patients and 61 implants were included in the analysis. At the final visit, 50% of the patients presented bleeding on probing, with a mean mBI of 0.22 (SD 0.27). The adjusted linear regression model showed a significant association between patient's compliance with supportive care visits (p = .006) and mucosal inflammation. Similarly, at the implant level, modified plaque index (p < .001) and an irregular use of interdental brushes (p = .017) had a significant impact on final mBI. Conclusions: Prosthesis modification when needed in association with non-surgical treatment may be an important intervention in the treatment of peri-implant mucositis. Compliance with supportive care visits and the regular use of inter-dental brushes were identified as important factors to achieve mucosal inflammation control. 2025-05-16T12:58:21Z 2025-05-16T12:58:21Z 2025-05-16T12:58:21Z 2022 info:eu-repo/semantics/article de Tapia, Beatriz; Bonnin, Maria; Valles, Cristina [et al.]. Clinical outcomes and associated factors in the treatment of peri-implant mucositis, combining mechanical debridement and prosthesis modification: a 30-month follow-up prospective case series. Journal of Clinical Periodontology, 2022, p. 1-9. Disponible en: <https://onlinelibrary.wiley.com/doi/10.1111/jcpe.13711>. Fecha de acceso: 3 nov. 2022. DOI: 10.1111/jcpe.13711 1600-051X http://hdl.handle.net/20.500.12328/3486 https://dx.doi.org/10.1111/jcpe.13711 eng Journal of Clinical Periodontology https://onlinelibrary.wiley.com/doi/10.1111/jcpe.13711 https://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess This is an open access article under the terms of theCreative Commons Attribution-NonCommercial-NoDerivsLicense, which permits use and distribution in anymedium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.© 2022 The Authors.Journal of Clinical Periodontologypublished by John Wiley & Sons Ltd. John Wiley & Sons