Implant Disease Risk Assessment IDRA-a tool for preventing peri-implant disease.

Heitz-Mayfield, Lisa J A; Heitz, Fritz; Lang, Niklaus P. (2020). Implant Disease Risk Assessment IDRA-a tool for preventing peri-implant disease. Clinical oral implants research, 31(4), pp. 397-403. Wiley-Blackwell 10.1111/clr.13585

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OBJECTIVE

This treatment concept paper introduces a risk assessment tool, the Implant Disease Risk Assessment, (IDRA) which estimates the risk for a patient to develop peri-implantitis.

MATERIALS AND METHODS

The functional risk assessment diagram was constructed incorporating eight parameters, each with documented evidence for an association with peri-implantitis.

RESULTS

The eight vectors of the diagram include (1) assessment of a history of periodontitis (2) percentage of sites with bleeding on probing (BOP) (3) number of teeth/implants with probing depths (PD) ≥5 mm (4) the ratio of periodontal bone loss (evaluated from a radiograph) divided by the patient's age (5) periodontitis susceptibility as described by the staging and grading categories from the 2017 World Workshop on the Classification of Periodontal and Peri-implant Diseases (Journal of Periodontology, 89 Suppl 1, S159-S172, 2018) (6) the frequency/compliance with supportive periodontal therapy (7) the distance in mm from the restorative margin of the implant-supported prosthesis to the marginal bone crest and (8) prosthesis-related factors including cleanability and fit of the implant-supported prosthesis.

CONCLUSION

The combination of these factors in a risk assessment tool, IDRA, may be useful in identifying individuals at risk for development of peri-implantitis.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > School of Dental Medicine > Department of Periodontology
04 Faculty of Medicine > School of Dental Medicine > School of Dental Medicine, Periodontics Research

UniBE Contributor:

Lang, Niklaus Peter

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0905-7161

Publisher:

Wiley-Blackwell

Language:

English

Submitter:

Doris Burri

Date Deposited:

06 Jan 2021 11:20

Last Modified:

08 Jan 2021 07:32

Publisher DOI:

10.1111/clr.13585

PubMed ID:

32003037

Uncontrolled Keywords:

disease progression disease susceptibility patient compliance peri-implant disease "peri-implant mucositis" peri-implantitis periodontal diseases periodontal pocket risk assessment risk factors risk indicators

BORIS DOI:

10.48350/149732

URI:

https://boris.unibe.ch/id/eprint/149732

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