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Peri-Implant Conditions During Supportive Periodontal Care: A Prospective Study
Margherita Sforza1, Pasquale Santamaria2, Aliye Akcalı3
1University of Bologna - Alma Mater Studiorum, Bologna, Italy.
Clinical Oral Implants Research
|August 28, 2025
Summary
Supportive periodontal care (SPC) in periodontitis patients showed stable peri-implant health over five years. A small percentage of implants developed peri-implantitis, but conditions remained largely unchanged.
Area of Science:
- Periodontology
- Implant Dentistry
- Oral Health Maintenance
Background:
- Periodontitis patients require ongoing supportive periodontal care (SPC) to maintain oral health.
- Peri-implant conditions are crucial for long-term dental implant success.
- Assessing peri-implant health in this population is vital for understanding treatment outcomes.
Purpose of the Study:
- To evaluate peri-implant conditions in periodontitis patients receiving SPC.
- To track changes in peri-implant health over a five-year follow-up period.
Main Methods:
- A prospective observational study followed periodontitis patients for five years under SPC.
- Peri-implant diagnosis was assessed at baseline and at the five-year follow-up.
- Multilevel logistic regression analysis was used to identify associated factors.
Main Results:
- Of 88 baseline implants, 62.5% were healthy, 25% had mucositis, and 12.5% had peri-implantitis.
- Over five years, 68 implants were reassessed; none were lost.
- Peri-implant diagnoses remained largely unchanged, with no significant patient or implant factors associated with diagnosis.
Conclusions:
- A low prevalence of peri-implantitis was observed in periodontitis patients undergoing SPC.
- Peri-implant conditions demonstrated stability over five years of supportive care.
- SPC appears effective in maintaining peri-implant health in this cohort.

