Periodontal parameters around implants and natural teeth.

Area of Science:

• Dentistry
• Prosthodontics
• Periodontology

Background:

• Dental implants are a highly reliable therapeutic option for prosthetic treatment.
• They simplify treatment plans and can avoid the need for removable prostheses.
• Implants offer a less invasive approach compared to treatments affecting remaining tooth structure.

Purpose of the Study:

• To clinically assess peri-implant and periodontal conditions in partially edentulous patients after crown placement.
• To evaluate changes in plaque index, bleeding, calculus, pocket depth, and recession over time.

Main Methods:

• Twenty-five participants with 28 implant-supported crowns were included.
• Adjacent teeth served as controls, receiving scaling and root planing.
• Clinical examinations were conducted at 1, 3, 6, 9, and 12 months, assessing modified plaque index (mPlI), bleeding score, calculus score, probing pocket depth (PPD), and recession.

Main Results:

• All assessed parameters (mPlI, bleeding, calculus, PPD, recession) showed a decrease from 1 to 12 months for both implants and control teeth.
• Control teeth exhibited higher mean mPlI, bleeding index (mBlI), and calculus scores compared to implants.
• Probing pocket depth was greater around implants than control teeth, while recession was slightly higher but not statistically significant in control teeth.

Conclusions:

• Implant patients require enrollment in a supportive therapy program.
• Regular recall visits are essential for maintaining implant and periodontal health.