Some limited evidence that patients with previous periodontal disease at higher risk of dental implant failure

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Dental implants are now widely used to replace missing teeth and periodontal disease is an important cause of tooth loss.  As implants themselves can suffer from peri-implantitis  it is therefore of interest to as to whether patients with a history of periodontitis are of higher risk of implant failure.  This critical appraisal of a 2010 review by Saffii et al  was prepared under  auspicies of the American Dental Association Center for Evidence-Based Dentistry.

The commentator notes that  the review included only  six observational studies that included a small number of patients so provided only limited evidence indicating that patients with periodontal disease are at higher risk of implant failure.

Go To ADA-EBD Summary

Safii SH, Palmer RM, Wilson RF. Risk of implant failure and marginal bone loss in subjects with a history of periodontitis: a systematic review and meta-analysis. Clin Implant Dent Relat Res. 2010 Sep;12(3):165-74. Epub 2009 May 7. Review. PubMed PMID: 19438942.

Related reviews

Esposito M, Grusovin MG, Worthington HV. Interventions for replacing missing teeth: treatment of peri-implantitis. Cochrane Database of Systematic Reviews 2012, Issue 1. Art. No.: CD004970. DOI: 10.1002/14651858.CD004970.pub5.

Grusovin MG, Coulthard P, Worthington HV, George P, Esposito M. Interventions for replacing missing teeth: maintaining and recovering soft tissue health around dental implants. Cochrane Database of Systematic Reviews 2010, Issue 8. Art. No.: CD003069. DOI: 10.1002/14651858.CD003069.pub4


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Derek Richards

Derek Richards is a specialist in dental public health, Director of the Centre for Evidence-Based Dentistry and Specialist Advisor to the Scottish Dental Clinical Effectiveness Programme (SDCEP) Development Team. A former editor of the Evidence-Based Dentistry Journal and chief blogger for the Dental Elf website until December 2023. Derek has been involved with a wide range of evidence-based initiatives both nationally and internationally since 1994. Derek retired from the NHS in 2019 remaining as a part-time senior lecturer at Dundee Dental School until the end of 2023.

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