Risk factors for periodontitis & peri‐implantitis
Open accessAbstract
Risk is part of all health professions and generally indicates the chance of getting some form of illness. For dental practitioners this includes periodontitis or peri‐implantitis, the focus of this issue. Many risk factors are involved in the development of disease and most likely interact or overlap. Most patients will probably have multiple risk factors, some of which will be the same for both periodontitis and peri‐implantitis. The most recent classification of periodontal disease recognises the importance of risk factors and contemporary dental practice requires that clinicians be aware of and manage them. Broadly speaking risk factors can be patient, environment or practitioner related. Patient risk factors would include socio‐economic status, smoking, substance use disorders, diabetes, diet and dietary supplements, mental health disorders, old age, poor home dental care or understanding of the need for good home care and use of medications. Environmental modification of the host response through gene function is an emerging risk factor. Lastly, practitioner‐related factors in implant dentistry are now known to affect risk. These would include the use of digital technology, but patient related factors such implant location and the body’s reaction to an implant itself add to the risk of developing disease. This edition of Periodontology provides an uptodate review of many of these risk factors and their impact summarising current knowledge.
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The use of metal-ceramic restorations, together with poor hygiene practices and some systemic conditions of the patient, have caused changes in the periodontium, which accelerate its destruction and consequent dental mobility and loss of restored dental organ.
“However, the use of this type of restoration, together with poor hygiene practices and some systemic conditions of the patient, have caused changes in the periodontium, which accelerate its destruction and consequent dental mobility and loss of restored dental organ [177].”
From Potential Impact of Prosthetic Biomaterials on the Periodontium: A Comprehensive Review (2023) · cites this paper as [177]
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- Authors
- Darby, I.
- Affiliations
- The University of Melbourne (AU)
- Corresponding author
- Darby, Ivan
- ORCID
- Darby, Ivan
- Venue
- Periodontology 2000
- Publisher
- Wiley
- Published
- 2022-08
- Volume
- 90
- Issue
- 1
- Pages
- 9-12
- ISSN
- 0906-6713 (ISSN-L)
- 1600-0757
- PMC
- PMC9804916
- OpenAlex
- W4289317197
- Cited by
- 274
- References
- 18
- Citations by year
- 2026: 60 · 2025: 96 · 2024: 80 · 2023: 36 · 2022: 1
- FWCI
- 53.11
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Periodontology 2000 (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Minerva Access (University of Melbourne) (submittedVersion, cc-by-nc-nd)
- Topics
- Health Sciences › Dentistry › Periodontics › Oral microbiology and periodontitis research
- Health Sciences › Dentistry › Oral Surgery › Dental Implant Techniques and Outcomes
- Health Sciences › Medicine › Urology › Periodontal Regeneration and Treatments
- Keywords
- periodontitis, peri-implantitis, risk factors, patient risk factors, smoking, diabetes mellitus, substance use disorders, socioeconomic status, mental health, home dental care, gene-environment interaction, implantation site, host response to implants
- MeSH terms
- Dentists, Humans, Periodontitis, Risk Factors, Dental Implants, Professional Role, Peri-Implantitis
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