The importance of SPT(Supportive Periodontal Therapy) for prevention of peri-implant disease

임상가를 위한 특집 1 - Peri-implant disease를 방지하기 위한 Supportive Periodontal Therapy(SPT)의 중요성

  • Park, Su Jung (Kyunghee University Hospital at Gangdong, Edition staff of The Korean Academy of Oral & Maxillofacial Implantology)
  • 박수정 (강동경희대학교병원 치과보철과)
  • Received : 2013.11.15
  • Accepted : 2013.11.26
  • Published : 2013.12.01

Abstract

During the past decade, the use of osseointegrated implants as a foundation for prosthetic replacement of missing teeth has become highly predictable and successful. SPT(Supportive Periodontal Therapy) identified as regular visits to the therapist for periodontal control and maintenance in a well-organized scheme, the number of appointments per year following a pre-designed subject-tooth/implant-site risk assessment method. Peri-implant disease was a frequent finding in subjects having natural healthy dentition and in subjects without periodontitis. Supportive periodontal program were found to be strongly related to implant survival. This study demonstrates that regular maintenance reduces the risk for peri-implant inflammation significantly as compared with irregular maintenance. This underlines the value of the SPT in enhancing the long-term outcomes of implant therapy, particularly in subjects affected by periodontitis, in order to control reinfection and limit biological complications. It is highly recommended to maintain implant patients under a strict supportive periodontal treatment protocol that might contribute to implant survival, and regular maintenance reduces the risk for periimplant inflammation significantly as compared with irregular maintenance. Ideally, patients may be informed on the beneficial effect of a regular patient-related post-therapy care before implant insertion.

Keywords

References

  1. Branemark PI, Zarb GA, Albreksson T (eds.): Tissue integrated prosthesis. Osseointegration in clinical dentistry. Chicago;Quintessence; 1985
  2. Adell R Lekholm U, Pockler B, Branemark PI. A 15 year study of osseointegrated implants in the treatment of the edentulous jaw. Int J Oral Surg 1981; 10: 387-416 https://doi.org/10.1016/S0300-9785(81)80077-4
  3. Lee HC, Kin DY. The korean journal of clinical dentistry. 2011 Feb;78-86
  4. Lang NP, Tonetti MS. Periodontal risk assessment (PRA) for patients in supportive periodontal therapy (SPT). Oral Health Prev Dent. 2003;1(1):7-16.
  5. Roos-Jans?ker AM, Lindahl C, Renvert H. Nine- to fourteen-year follow-up of implant treatment. Part II: presence of peri-implant lesions. J Clin Periodontol. 2006 Apr;33(4):290-5. https://doi.org/10.1111/j.1600-051X.2006.00906.x
  6. Zitzmann NU, Margolin MD, Filippi A et al. Patient assessment and diagnosis in implant treatment. Aust Dent J. 2008 Jun;53 Suppl 1:S3-10. https://doi.org/10.1111/j.1834-7819.2008.00036.x
  7. Renvert S, Persson GR. Periodontitis as a potential risk factor for peri-implantitis. J Clin Periodontol. 2009 Jul;36 Suppl 10:9-14. https://doi.org/10.1111/j.1600-051X.2009.01416.x
  8. Serino G, Str?m C. Peri-implantitis in partially edentulous patients: association with inadequate plaque control. Clin Oral Implants Res. 2009 Feb;20(2):169-74. https://doi.org/10.1111/j.1600-0501.2008.01627.x
  9. Roccuzzo M, De Angelis N, Bonino L, Aglietta M et al. Ten-year results of a three-arm prospective cohort study on implants in periodontally compromised patients. Part 1: implant loss and radiographic bone loss. Clin Oral Implants Res. 2010 May;21(5):490-6. https://doi.org/10.1111/j.1600-0501.2009.01886.x
  10. De Boever AL, Quirynen M, Coucke W et al. Clinical and radiographic study of implant treatment outcome in periodontally susceptible and non-susceptible patients: a prospective longterm study. Clin Oral Implants Res. 2009 Dec;20(12):1341-50. https://doi.org/10.1111/j.1600-0501.2009.01750.x
  11. Heitz-Mayfield LJ, Lang NP. Comparative biology of chronic and aggressive periodontitis vs. periimplantitis. Periodontol 2000. 2010 Jun;53:167-81. https://doi.org/10.1111/j.1600-0757.2010.00348.x
  12. Hirschfelg L. 2008, 6th European workshop of periodontology. J Periodontology 1978;49:225-237J https://doi.org/10.1902/jop.1978.49.5.225
  13. Ng MC, Ong MM, Lim LP et al. Tooth loss in compliant and non-compliant periodontally treated patients: 7 years after active periodontal therapy. Clin Periodontol. 2011 May;38(5):499-508. Epub 2011 Feb 22. https://doi.org/10.1111/j.1600-051X.2011.01708.x
  14. Eickholz P, Kaltschmitt J, Berbig J et al. Tooth loss after active periodontal therapy. 1: patient-related factors for risk, prognosis, and quality of outcome. J Clin Periodontol. 2008 Feb;35(2):165-74. https://doi.org/10.1111/j.1600-051X.2007.01184.x
  15. Hardt CR, Gr?ndahl K, Lekholm U, Wennstr?m JL. Outcome of implant therapy in relation to experienced loss of periodontal bone support: a retrospective 5- year study. Clin Oral Implants Res. 2002 Oct;13(5):488-94. https://doi.org/10.1034/j.1600-0501.2002.130507.x
  16. Rinke S, Ohl S, Ziebolz D, Lange K et al. Prevalence of periimplant disease in partially edentulous patients: a practice-based crosssectional study. Clin Oral Implants Res. 2011 Aug;22(8):826-33. https://doi.org/10.1111/j.1600-0501.2010.02061.x
  17. Weiger R, Krastl G. Impact of supportive periodontal therapy and implant surface roughness on implant outcome in patients with a history of periodontitis. J Clin Periodontol. 2007 Sep;34(9):805-15. https://doi.org/10.1111/j.1600-051X.2007.01106.x
  18. Roccuzzo M, De Angelis N, Bonino L et al. Tenyear results of a three-arm prospective cohort study on implants in periodontally compromised patients. Part 1: implant loss and radiographic bone loss. Clin Oral Implants Res. 2010 May;21(5):490-6. https://doi.org/10.1111/j.1600-0501.2009.01886.x
  19. Simonis P, Dufour T, Tenenbaum H. Long-term implant survival and success: a 10-16-year follow-up of non-submerged dental implants. Clin Oral Implants Res. 2010 Jul;21(7):772-7. https://doi.org/10.1111/j.1600-0501.2010.01912.x
  20. Rinke S, Ohl S, Ziebolz D, Lange K et al. Prevalence of periimplant disease in partially edentulous patients: a practice-based crosssectional study. Clin Oral Implants Res. 2011 Aug;22(8):826-33. https://doi.org/10.1111/j.1600-0501.2010.02061.x
  21. Anner R, Grossmann Y, Anner Y, Levin L. Smoking, diabetes mellitus, periodontitis, and supportive periodontal treatment as factors associated with dental implant survival: a longterm retrospective evaluation of patients followed for up to 10 years. Implant Dent. 2010 Feb;19(1):57-64. https://doi.org/10.1097/ID.0b013e3181bb8f6c
  22. Garcia-Bellosta S, Bravo M, Subira C et al. Retrospective study of the long-term survival of 980 implants placed in a periodontal practice. Int J Oral Maxillofac Implants. 2010 May- Jun;25(3):613-9.
  23. Liddelow G, Klineberg I. Patient-related risk factors for implant therapy. A critique of pertinent literature. Aust Dent J. 2011 Dec;56(4):417-26 https://doi.org/10.1111/j.1834-7819.2011.01367.x