An Evaluation of the Relationship Between Peri-implant Soft Tissue Biotype and the Severity of Peri-implantitis: A Cross-Sectional Study
Abstract
PURPOSE: This cross-sectional study aimed to analyze the relation between peri-implant soft tissue biotype (STB) and different levels of peri-implantitis severity, and to identify the possible risk indicators that affect the severity of peri-implantitis with regard to STB around dental implants. MATERIALS AND METHODS: Eighty-seven patients with 229 implants were diagnosed with peri-implantitis and recruited to the study. Clinical and radiographic parameters including Plaque Index (PI), probing depth (PD), bleeding on probing (BOP), gingival/mucosal recession (GR/MR), clinical attachment level (CAL), and marginal bone loss (BL) were analyzed. The periodontal status was assessed, and the levels of peri-implantitis severity were defined. These parameters were compared among the peri-implant STB groups (thick and thin biotype). To evaluate the effect of possible risk indicators on the levels of severity of peri-implantitis, univariate and multivariate logistic regression analyses were conducted for thick and thin biotype groups. RESULTS: The mean values of BOP, MR, CAL, and marginal BL were significantly lower for the thick group compared with the thin group (P < .05). For PI and PD values, no significant differences were found between the groups (P > .05). Moreover, multivariate analysis revealed statistically significant associations between peri-implantitis severity and the risk indicators maintenance therapy compliance and current periodontitis for the thin group (P < .05). CONCLUSION: The thin biotype could be more prone to increase in the severity of peri-implantitis. Maintenance therapy compliance and current periodontitis could be important risk indicators that affect the progression of the severity of peri-implantitis for implants where keratinized mucosa is thin or absent.
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A thin periodontal phenotype is a risk factor for additional bone loss, is associated with gingival recession, and is more prone to increasing the severity of peri-implantitis.
“it is considered a risk factor for additional bone loss [56], is associated with gingival recession [57] and also more prone to increasing the severity of peri-implantitis [58].”
From Potential Impact of Prosthetic Biomaterials on the Periodontium: A Comprehensive Review (2023) · cites this paper as [58]
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- Authors
- Isler, S., Uraz, A., Kaymaz, O., & Cetiner, D.
- Venue
- The International Journal of Oral & Maxillofacial Implants
- Publisher
- Quintessence Publishing
- Published
- 2019-01
- Volume
- 34
- Issue
- 1
- Pages
- 187-196
- ISSN
- 0882-2786 (ISSN-L)
- OpenAlex
- W2897578855
- Cited by
- 34
- References
- 18
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 4 · 2023: 7 · 2022: 5 · 2021: 3 · 2020: 6 · 2019: 4
- FWCI
- 3.98
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The International Journal of Oral & Maxillofacial Implants (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Dentistry › Oral Surgery › Dental Implant Techniques and Outcomes
- Health Sciences › Dentistry › Periodontics › Oral microbiology and periodontitis research
- Health Sciences › Medicine › Urology › Periodontal Regeneration and Treatments
- Keywords
- peri-implantitis, dental implants, risk factors, periodontitis, keratinized mucosa, bleeding on probing, clinical attachment level, marginal bone loss, probing depth
- MeSH terms
- Adult, Aged, Alveolar Process, Cross-Sectional Studies, Dental Plaque Index, Female, Gingiva, Humans, Male, Middle Aged, Patient Compliance, Periodontal Index, Periodontitis, Risk Factors, Dental Implants, Logistic Models, Peri-Implantitis
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