Implant Disease Risk Assessment IDRA-a tool for preventing peri-implant disease

Area of Science:

• Dental Implantology
• Periodontology
• Biomaterials Science

Background:

• Peri-implantitis is a growing concern in dental implantology.
• Early identification of at-risk patients is crucial for prevention and management.
• Existing risk assessment methods may not be comprehensive.

Purpose of the Study:

• To introduce a novel risk assessment tool, the Implant Disease Risk Assessment (IDRA).
• To estimate a patient's likelihood of developing peri-implantitis.
• To provide a structured approach for identifying high-risk individuals.

Main Methods:

• A functional risk assessment diagram was developed.
• The diagram incorporates eight evidence-based parameters associated with peri-implantitis.
• Parameters include patient history, clinical measurements, radiographic data, and prosthesis factors.

Main Results:

• The IDRA tool integrates eight distinct risk factors.
• These factors encompass history of periodontitis, bleeding on probing (BOP), probing depths (PD) ≥5 mm, bone loss to age ratio, periodontitis susceptibility (2017 World Workshop classification), supportive therapy compliance, restorative margin to bone crest distance, and prosthesis-related issues (cleanability, fit).

Conclusions:

• The IDRA tool offers a comprehensive approach to peri-implantitis risk assessment.
• Combining these eight factors may aid in identifying patients susceptible to peri-implantitis.
• This tool can support clinical decision-making for preventive strategies.