The effect of brushing discomfort on peri‐implant health in sites exhibiting inadequate keratinized mucosa width: A cross‐sectional study

Objectives The aim of this cross‐sectional study was to evaluate the effect of brushing discomfort (BD) on peri‐implant health in sites exhibiting inadequate keratinized mucosa (KM) width. Material and Methods Patients presenting with at least one implant exhibiting KM  0) of BD. Bleeding on probing...

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Veröffentlicht in:Clinical oral implants research 2022-12, Vol.33 (12), p.1212-1223
Hauptverfasser: Perussolo, Jeniffer, Matarazzo, Flávia, Dias, Debora R., Oliveira, Ricardo P., Araújo, Mauricio G.
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container_end_page 1223
container_issue 12
container_start_page 1212
container_title Clinical oral implants research
container_volume 33
creator Perussolo, Jeniffer
Matarazzo, Flávia
Dias, Debora R.
Oliveira, Ricardo P.
Araújo, Mauricio G.
description Objectives The aim of this cross‐sectional study was to evaluate the effect of brushing discomfort (BD) on peri‐implant health in sites exhibiting inadequate keratinized mucosa (KM) width. Material and Methods Patients presenting with at least one implant exhibiting KM  0) of BD. Bleeding on probing (BoP), modified plaque index (mPI), probing depth (PD), clinical attachment level (CAL), suppuration (Sup), and marginal bone level (MBL) were recorded. Mann–Whitney, chi‐square test, and a multilevel model were used for analysis. Results Fifty‐nine patients with 155 dental implants were analyzed, of which 60 presented no BD, and 95 presented some level of BD. BoP, PD, CAL, and MBL were significantly higher in the pBD than in the aBD group (p 
doi_str_mv 10.1111/clr.14003
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Material and Methods Patients presenting with at least one implant exhibiting KM &lt;2 mm and in function for ≥1 year were eligible for inclusion. BD was assessed with the visual analogue scale (VAS), and implants were classified into two groups: Absence (aBD; VAS = 0) or Presence (pBD; VAS &gt; 0) of BD. Bleeding on probing (BoP), modified plaque index (mPI), probing depth (PD), clinical attachment level (CAL), suppuration (Sup), and marginal bone level (MBL) were recorded. Mann–Whitney, chi‐square test, and a multilevel model were used for analysis. Results Fifty‐nine patients with 155 dental implants were analyzed, of which 60 presented no BD, and 95 presented some level of BD. BoP, PD, CAL, and MBL were significantly higher in the pBD than in the aBD group (p &lt; .05). The prevalence of peri‐implant diseases at implant level was also higher in the pBD group than in the aBD group. However, after controlling for confounding factors, only mPI showed an effect on BoP. In addition, difficulty to perform oral hygiene was statistically higher in the pBD group. Conclusions The findings of the present study suggest that although BD around implants exhibiting KM &lt;2 mm did not influence tissue inflammation, it could represent a symptom of peri‐implant diseases. Further clinical trials assessing the long‐term effect of BD must be considered to better ascertain its effects on peri‐implant health.</description><identifier>ISSN: 0905-7161</identifier><identifier>EISSN: 1600-0501</identifier><identifier>DOI: 10.1111/clr.14003</identifier><identifier>PMID: 36181373</identifier><language>eng</language><publisher>Denmark: Wiley Subscription Services, Inc</publisher><subject>Brushing ; brushing discomfort ; Clinical trials ; Cross-Sectional Studies ; Dental Implants ; Dental prosthetics ; Discomfort ; Humans ; Hygiene ; inflammation ; keratinized mucosa ; Mouth Mucosa - pathology ; Mucosa ; Oral hygiene ; Pain Management ; Peri-Implantitis - epidemiology ; Peri-Implantitis - etiology ; Periodontal Index ; Plaque index ; Toothbrushing ; Transplants &amp; implants</subject><ispartof>Clinical oral implants research, 2022-12, Vol.33 (12), p.1212-1223</ispartof><rights>2022 John Wiley &amp; Sons A/S. Published by John Wiley &amp; Sons Ltd.</rights><rights>Copyright © 2022 John Wiley &amp; Sons Ltd</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3883-698c3666a4a2abf097011995868b978ecbe92b3c8853ba1b4d946de4b17371873</citedby><cites>FETCH-LOGICAL-c3883-698c3666a4a2abf097011995868b978ecbe92b3c8853ba1b4d946de4b17371873</cites><orcidid>0000-0001-5342-0883 ; 0000-0002-9371-2503 ; 0000-0003-2224-982X ; 0000-0002-5387-1753 ; 0000-0001-6134-5975</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fclr.14003$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fclr.14003$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36181373$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Perussolo, Jeniffer</creatorcontrib><creatorcontrib>Matarazzo, Flávia</creatorcontrib><creatorcontrib>Dias, Debora R.</creatorcontrib><creatorcontrib>Oliveira, Ricardo P.</creatorcontrib><creatorcontrib>Araújo, Mauricio G.</creatorcontrib><title>The effect of brushing discomfort on peri‐implant health in sites exhibiting inadequate keratinized mucosa width: A cross‐sectional study</title><title>Clinical oral implants research</title><addtitle>Clin Oral Implants Res</addtitle><description>Objectives The aim of this cross‐sectional study was to evaluate the effect of brushing discomfort (BD) on peri‐implant health in sites exhibiting inadequate keratinized mucosa (KM) width. Material and Methods Patients presenting with at least one implant exhibiting KM &lt;2 mm and in function for ≥1 year were eligible for inclusion. BD was assessed with the visual analogue scale (VAS), and implants were classified into two groups: Absence (aBD; VAS = 0) or Presence (pBD; VAS &gt; 0) of BD. Bleeding on probing (BoP), modified plaque index (mPI), probing depth (PD), clinical attachment level (CAL), suppuration (Sup), and marginal bone level (MBL) were recorded. Mann–Whitney, chi‐square test, and a multilevel model were used for analysis. Results Fifty‐nine patients with 155 dental implants were analyzed, of which 60 presented no BD, and 95 presented some level of BD. BoP, PD, CAL, and MBL were significantly higher in the pBD than in the aBD group (p &lt; .05). The prevalence of peri‐implant diseases at implant level was also higher in the pBD group than in the aBD group. However, after controlling for confounding factors, only mPI showed an effect on BoP. In addition, difficulty to perform oral hygiene was statistically higher in the pBD group. Conclusions The findings of the present study suggest that although BD around implants exhibiting KM &lt;2 mm did not influence tissue inflammation, it could represent a symptom of peri‐implant diseases. Further clinical trials assessing the long‐term effect of BD must be considered to better ascertain its effects on peri‐implant health.</description><subject>Brushing</subject><subject>brushing discomfort</subject><subject>Clinical trials</subject><subject>Cross-Sectional Studies</subject><subject>Dental Implants</subject><subject>Dental prosthetics</subject><subject>Discomfort</subject><subject>Humans</subject><subject>Hygiene</subject><subject>inflammation</subject><subject>keratinized mucosa</subject><subject>Mouth Mucosa - pathology</subject><subject>Mucosa</subject><subject>Oral hygiene</subject><subject>Pain Management</subject><subject>Peri-Implantitis - epidemiology</subject><subject>Peri-Implantitis - etiology</subject><subject>Periodontal Index</subject><subject>Plaque index</subject><subject>Toothbrushing</subject><subject>Transplants &amp; implants</subject><issn>0905-7161</issn><issn>1600-0501</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kU1u1DAYhq2qiA6FBRdAlrqBRVo7TvzTXTXiTxoJqSrryHa-NC5JPLUdlWHFCRBH4CwchZPgmSksKtUbS58eP_5evQi9pOSU5nNmh3BKK0LYAVpQTkhBakIP0YIoUheCcnqEnsV4QwjhSqqn6IhxKikTbIF-XPWAoevAJuw7bMIcezdd49ZF68fOhzye8BqC-_P9pxvXg54S7kEPqcduwtEliBi-9s64tH3nJt3C7awT4C8QdJ65b9DicbY-anzn2tSf44vfv2zwMWZlzB87P-kBxzS3m-foSaeHCC_u72P0-d3bq-WHYvXp_cflxaqwTEpW5BiWcc51pUttOqIEoVSpWnJplJBgDajSMCtlzYympmpVxVuoDBVMUCnYMXq9966Dv50hpmbMgWHI8cDPsSlFSSpGSq4yevIAvfFzyBtvqUooVpc74Zs9tQsWoGvWwY06bBpKmm1JTS6p2ZWU2Vf3xtmM0P4n_7WSgbM9cOcG2Dxuapary73yLxqIn3g</recordid><startdate>202212</startdate><enddate>202212</enddate><creator>Perussolo, Jeniffer</creator><creator>Matarazzo, Flávia</creator><creator>Dias, Debora R.</creator><creator>Oliveira, Ricardo P.</creator><creator>Araújo, Mauricio G.</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>7QP</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>P64</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-5342-0883</orcidid><orcidid>https://orcid.org/0000-0002-9371-2503</orcidid><orcidid>https://orcid.org/0000-0003-2224-982X</orcidid><orcidid>https://orcid.org/0000-0002-5387-1753</orcidid><orcidid>https://orcid.org/0000-0001-6134-5975</orcidid></search><sort><creationdate>202212</creationdate><title>The effect of brushing discomfort on peri‐implant health in sites exhibiting inadequate keratinized mucosa width: A cross‐sectional study</title><author>Perussolo, Jeniffer ; Matarazzo, Flávia ; Dias, Debora R. ; Oliveira, Ricardo P. ; Araújo, Mauricio G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3883-698c3666a4a2abf097011995868b978ecbe92b3c8853ba1b4d946de4b17371873</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Brushing</topic><topic>brushing discomfort</topic><topic>Clinical trials</topic><topic>Cross-Sectional Studies</topic><topic>Dental Implants</topic><topic>Dental prosthetics</topic><topic>Discomfort</topic><topic>Humans</topic><topic>Hygiene</topic><topic>inflammation</topic><topic>keratinized mucosa</topic><topic>Mouth Mucosa - pathology</topic><topic>Mucosa</topic><topic>Oral hygiene</topic><topic>Pain Management</topic><topic>Peri-Implantitis - epidemiology</topic><topic>Peri-Implantitis - etiology</topic><topic>Periodontal Index</topic><topic>Plaque index</topic><topic>Toothbrushing</topic><topic>Transplants &amp; implants</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Perussolo, Jeniffer</creatorcontrib><creatorcontrib>Matarazzo, Flávia</creatorcontrib><creatorcontrib>Dias, Debora R.</creatorcontrib><creatorcontrib>Oliveira, Ricardo P.</creatorcontrib><creatorcontrib>Araújo, Mauricio G.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Calcium &amp; Calcified Tissue Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical oral implants research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Perussolo, Jeniffer</au><au>Matarazzo, Flávia</au><au>Dias, Debora R.</au><au>Oliveira, Ricardo P.</au><au>Araújo, Mauricio G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The effect of brushing discomfort on peri‐implant health in sites exhibiting inadequate keratinized mucosa width: A cross‐sectional study</atitle><jtitle>Clinical oral implants research</jtitle><addtitle>Clin Oral Implants Res</addtitle><date>2022-12</date><risdate>2022</risdate><volume>33</volume><issue>12</issue><spage>1212</spage><epage>1223</epage><pages>1212-1223</pages><issn>0905-7161</issn><eissn>1600-0501</eissn><abstract>Objectives The aim of this cross‐sectional study was to evaluate the effect of brushing discomfort (BD) on peri‐implant health in sites exhibiting inadequate keratinized mucosa (KM) width. Material and Methods Patients presenting with at least one implant exhibiting KM &lt;2 mm and in function for ≥1 year were eligible for inclusion. BD was assessed with the visual analogue scale (VAS), and implants were classified into two groups: Absence (aBD; VAS = 0) or Presence (pBD; VAS &gt; 0) of BD. Bleeding on probing (BoP), modified plaque index (mPI), probing depth (PD), clinical attachment level (CAL), suppuration (Sup), and marginal bone level (MBL) were recorded. Mann–Whitney, chi‐square test, and a multilevel model were used for analysis. Results Fifty‐nine patients with 155 dental implants were analyzed, of which 60 presented no BD, and 95 presented some level of BD. BoP, PD, CAL, and MBL were significantly higher in the pBD than in the aBD group (p &lt; .05). The prevalence of peri‐implant diseases at implant level was also higher in the pBD group than in the aBD group. However, after controlling for confounding factors, only mPI showed an effect on BoP. In addition, difficulty to perform oral hygiene was statistically higher in the pBD group. Conclusions The findings of the present study suggest that although BD around implants exhibiting KM &lt;2 mm did not influence tissue inflammation, it could represent a symptom of peri‐implant diseases. Further clinical trials assessing the long‐term effect of BD must be considered to better ascertain its effects on peri‐implant health.</abstract><cop>Denmark</cop><pub>Wiley Subscription Services, Inc</pub><pmid>36181373</pmid><doi>10.1111/clr.14003</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0001-5342-0883</orcidid><orcidid>https://orcid.org/0000-0002-9371-2503</orcidid><orcidid>https://orcid.org/0000-0003-2224-982X</orcidid><orcidid>https://orcid.org/0000-0002-5387-1753</orcidid><orcidid>https://orcid.org/0000-0001-6134-5975</orcidid><oa>free_for_read</oa></addata></record>
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subjects Brushing
brushing discomfort
Clinical trials
Cross-Sectional Studies
Dental Implants
Dental prosthetics
Discomfort
Humans
Hygiene
inflammation
keratinized mucosa
Mouth Mucosa - pathology
Mucosa
Oral hygiene
Pain Management
Peri-Implantitis - epidemiology
Peri-Implantitis - etiology
Periodontal Index
Plaque index
Toothbrushing
Transplants & implants
title The effect of brushing discomfort on peri‐implant health in sites exhibiting inadequate keratinized mucosa width: A cross‐sectional study
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