[An investigation on peri-implant status in different types of dental implant]

Clinical, biochemical and microbiological methods were used to study the peri-implant status in different types of dental implant. Sixteen normal healthy adults with 12 one-stage implants and 22 two-stage implants were included in this study. Clinical parameters, proportion of subgingival spirochetes, detection rate of spirochetes were found to be significantly higher around one-stage implants than those around two-stage implants. No significant difference in gingival crevicular fluid flow, levels of aspartate aminotransferase and alkaline phosphatase was found between these two types. The bleeding index score in sites which harbored spirochetes was significantly higher than that in sites without spirochetes. The present data suggested that accumulation of plaque and existance of periodontal pathogens maybe related to peri-implant inflammation. This study suggests that plaque control and regular recall should be emphasized in implant maintenance.