PMID- 36054302 OWN - NLM STAT- MEDLINE DCOM- 20221111 LR - 20230104 IS - 1600-051X (Electronic) IS - 0303-6979 (Print) IS - 0303-6979 (Linking) VI - 49 IP - 12 DP - 2022 Dec TI - Clinical outcomes of dental implants in patients with and without history of periodontitis: A 20-year prospective study. PG - 1346-1356 LID - 10.1111/jcpe.13716 [doi] AB - AIM: To present the 20-year clinical outcomes of tissue-level implants in partially edentulous patients previously treated for periodontitis and in periodontally healthy patients (PHP). MATERIAL AND METHODS: The original population consisted of 149 partially edentulous patients consecutively enrolled in a private specialist practice and divided into three groups: PHP, moderately periodontally compromised patients (mPCP) and severely PCP (sPCP). After successful completion of periodontal/implant therapy, patients were enrolled in an individualized supportive periodontal care (SPC) programme. RESULTS: Eighty-four patients rehabilitated with 172 implants reached the 20-year examination. During the observation time, 12 implants were removed (i.e., 11 due to biological complications and 1 due to implant fracture), leading to an overall implant survival rate of 93% (i.e., 94.9% for PHP, 91.8% for mPCP and 93.1% for sPCP [p = .29]). At 20 years, PCP compliant with SPC did not present with significantly higher odds of implant loss compared with PHP compliant with SPC (p > .05). Conversely, PCP not compliant with SPC experienced implant loss with odds ratio of 14.59 (1.30-164.29, p = .03). CONCLUSIONS: Tissue-level implants, placed after comprehensive periodontal therapy and SPC, yield favourable long-term results. However, patients with a history of periodontitis and non-compliant with SPC are at higher risk of biological complications and implant loss. CI - (c) 2022 The Authors. Journal of Clinical Periodontology published by John Wiley & Sons Ltd. FAU - Roccuzzo, Andrea AU - Roccuzzo A AUID- ORCID: 0000-0002-8079-0860 AD - Department of Periodontology, School of Dental Medicine, University of Bern, Bern, Switzerland. AD - Department of Oral and Maxillofacial Surgery, Copenhagen University Hospital (Rigshospitalet), Copenhagen, Denmark. AD - Department of Restorative, Pediatric and Preventive Dentistry, School of Dental Medicine, University of Bern, Bern, Switzerland. FAU - Imber, Jean-Claude AU - Imber JC AD - Department of Periodontology, School of Dental Medicine, University of Bern, Bern, Switzerland. FAU - Marruganti, Crystal AU - Marruganti C AUID- ORCID: 0000-0003-1088-2046 AD - Department of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa, Pisa, Italy. AD - Sub-Unit of Periodontology, Halitosis and Periodontal Medicine, University Hospital of Pisa, Pisa, Italy. AD - Unit of Periodontology, Endodontology and Restorative Dentistry, Department of Medical Biotechnologies, University of Siena, Siena, Italy. FAU - Salvi, Giovanni E AU - Salvi GE AUID- ORCID: 0000-0001-5523-3192 AD - Department of Periodontology, School of Dental Medicine, University of Bern, Bern, Switzerland. FAU - Ramieri, Guglielmo AU - Ramieri G AD - Division of Maxillofacial Surgery, University of Torino, Torino, Italy. FAU - Roccuzzo, Mario AU - Roccuzzo M AUID- ORCID: 0000-0002-2135-6503 AD - Division of Maxillofacial Surgery, University of Torino, Torino, Italy. AD - Department of Periodontics and Oral Medicine, University of Michigan, Ann Arbor, Michigan, USA. AD - Private Practice, Torino, Italy. LA - eng GR - The study was self-funded; no external funding was available for this research./ PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20220825 PL - United States TA - J Clin Periodontol JT - Journal of clinical periodontology JID - 0425123 RN - 0 (Dental Implants) SB - IM MH - Humans MH - *Dental Implants/adverse effects MH - Prospective Studies MH - Dental Restoration Failure MH - *Periodontitis/complications/therapy MH - *Alveolar Bone Loss/etiology PMC - PMC9804375 OTO - NOTNLM OT - dental implants OT - peri-implantitis OT - periodontitis OT - supportive periodontal therapy OT - tooth loss COIS- The authors declare no potential conflict of interest. EDAT- 2022/09/03 06:00 MHDA- 2022/11/15 06:00 PMCR- 2022/12/31 CRDT- 2022/09/02 13:53 PHST- 2022/07/26 00:00 [revised] PHST- 2022/03/22 00:00 [received] PHST- 2022/08/07 00:00 [accepted] PHST- 2022/09/03 06:00 [pubmed] PHST- 2022/11/15 06:00 [medline] PHST- 2022/09/02 13:53 [entrez] PHST- 2022/12/31 00:00 [pmc-release] AID - JCPE13716 [pii] AID - 10.1111/jcpe.13716 [doi] PST - ppublish SO - J Clin Periodontol. 2022 Dec;49(12):1346-1356. doi: 10.1111/jcpe.13716. Epub 2022 Aug 25.