Association between liver cirrhosis and peri-implant diseases: a case-control study on implant- and patient-related risk factors
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Universidade Federal de Minas Gerais
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Artigo de periódico
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Objective: The objective of this study was to evaluate the potential association between liver cirrhosis and peri-implant diseases, as well as the influence of different risk indicators on this association.
Methods: This case-control study included 64 cases with liver cirrhosis and 128 controls without liver diseases that presented the same socio-demographic and economic profile. The specific inclusion criteria were the following: aged group of 35-55 years and presenting at least one osseointegrated implant functioning for >5 years. A full-mouth peri-implant and periodontal examination was performed and risk variables were recorded. The association between risk variables and the occurrence of peri-implant diseases was tested through univariate analysis and multivariate logistic regression, stratified by alcohol status. Additionally, a mediation analysis was performed to examine the mediating effect of age with peri-implantitis.
Results: A high prevalence of peri-implantitis (29.7%) was observed among cases when compared to controls (18.0%). Individuals with cirrhosis presented ~2.5 higher chance of having peri-implantitis than controls (p<0.001). Significant variables associated with the occurrence of peri-implantitis in the final logistic model were the following: cirrhosis, alcohol use, age (>55 years), male sex, smoking, periodontitis, and number of ≤14.
Conclusions: An important risk association between liver cirrhosis and peri-implantitis was reported. Future studies with a larger sample size controlling for the patient- and implant-related confounders are needed to better understand the link between peri-implantitis and liver cirrhosis.
Clinical relevance: Cirrhosis individuals, age, and periodontitis, as well as alcohol use and smoking interaction, should be considered as potential risk indicators for peri-implantitis.
Abstract
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Case-control studies, Liver cirrhosis, Risk factors, Dental implantation, endosseous, Age groups, Ethanol, Periodontitis, Tobacco use disorder
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peri-implantitis acesso restrito Association between liver cirrhosis and peri-implant diseases: a case-control study on implant- and patient-related risk factors busca dia 25/06/2024, liver cirrhosis Clinical oral investigations fao clínica assunto Case-Control Studies, case-control stdy, Case-control study; Liver cirrhosis; Peri-implant disease; .
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https://link.springer.com/article/10.1007/s00784-021-04324-6