Implant Health in Treated Periodontitis Patients: A Systematic Review and Meta-Analysis.

Area of Science:

• Dental Implantology
• Periodontology
• Biomaterials Science

Background:

• Periodontitis, a chronic inflammatory disease, affects the gums and bone supporting teeth.
• Understanding the long-term effects of periodontitis on dental implant success is crucial for patient care.

Purpose of the Study:

• To evaluate the impact of a history of periodontitis on dental implant failure.
• To assess the relationship between periodontitis history and peri-implantitis, survival rates, pocket depth, and bone loss.

Main Methods:

• A comprehensive meta-analysis was conducted.
• Literature search included five major databases and manual searches up to June 2024.
• Data from 8 articles for qualitative and 10 for quantitative synthesis were analyzed.

Main Results:

• A history of periodontitis was associated with a significant increase in peri-implantitis.
• Implant survival rates were negatively affected by a history of periodontitis.
• Significant increases in mean pocket depth and mean peri-implant bone loss were observed in patients with a history of periodontitis.

Conclusions:

• A history of periodontitis is a significant risk factor for dental implant complications.
• Periodontitis history adversely affects peri-implantitis, implant survival, bone loss, and pocket depth.
• These findings highlight the importance of managing periodontitis for successful dental implant outcomes.