Risk and Aesthetic Assesment in Implant Patient

Study Overview
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Brief Summary
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This study examines the peri-implant risk assessment diagram and the aesthetic, peri-implant health status, and gingival level around the implant in patients with implants by comparing them in smokers and non-smokers. : After completion of the examination, 298 dental implants for at least three months after functional prosthesis loading, except for patients with bruxism and uncontrolled diabetes, were included in the study. Patients are primarily divided into smokers and non-smokers. In all implant patients, plaque, gingival index, bleeding on probing, pocket depth, clinical attachment loss, gingival recession, keratinized thickness, keratinized width, vestibule depth, pink aesthetic score, and peri-implant disease risk analysis are evaluated in sequence.

Official Title
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Evaluation of Implant Patients by Peri-implant Disease Risk Analysis and Aesthetic Score

Conditions
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Implant Assesment

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 18-70 years old patients Patients who are systemically healthy and have a controlled medical condition Patients with fixed prosthesis on the implant at least 6 months after the functional prosthetic loading of the dental implant Exclusion Criteria: Patients with uncontrolled systemic diseases Those who have the habit of bruxism

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 70 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Implant disease risk assesment | The IDRA algorithm is a promising tool to assess patients at moderate or high risk of developing peri-implantitis | baseline | 
| Pink esthetic scale | With the pink aesthetic score, the post-implant process is scored according to the papilla, tissue contours, gingival level, alveolar process, color, and tissue condition. | baseline | 
| Dental implant health scale | The ICOI Pisa Implant Quality ofHealth is based on clinical evaluation.This scale allows the dentist to evalu-ate an implant using the listed criteria,place it in the appropriate category ofhealth or disease, and then treat theimplant accordingly (17) (PDF) Implant Success, Survival, and Failure: The International Congress of Oral Implantologists (ICOI) Pisa Consensus Conference. Available from: https://www.researchgate.net/publication/5518988_Implant_Success_Survival_and_Failure_The_International_Congress_of_Oral_Implantologists_ICOI_Pisa_Consensus_Conference. | baseline | 
| Keratinized tissue thickness | It is advanced to the bone with a canal file. The distance between the stopper and the tip of the file is measured. | baseline | 
| Keratinized tissue width | Keratinized mucosa width was defined as the distance between the gingival margin and mucogingival junction at the mid-buccal area | baseline | 
| Periodontal depth | Measuring the distance from the gingival margin to the mucogingival line with a periodontal probe. | baseline | 
| Bleeding on probing | To determine the bleeding index on probing, the pocket floor, and the inflammatory state of the pocket epithelium, an evaluation is made according to whether there is bleeding in the sulcus 30 seconds after the pocket depth measurement from 6 regions of all the teeth of the patients: mesiobuccal, mid-buccal, distobuccal, mesiolingual, mid-lingual and distolingual. | baseline | 
| Vestibular depth | Vestibular depth is measured either from crest of lip or from coronal border of the attached gingiva to depth of mucobuccal fold. | baseline | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Plaque index | In the plaque index, the mesiobuccal, mid-buccal, distobuccal, mesiolingual, mid-lingual, and distolingual regions of the implant or implants and dental plaque thickness to the gingiva are evaluated by probing. | baseline | 
| Gingival index | The gingival index evaluates bleeding, the most basic sign of inflammation. The implants' mesiobuccal, mid-buccal, distobuccal, mesiolingual, mid-lingual, and distolingual surfaces are measured. | baseline | 
| Clinical attachment level | Clinical attachment level/loss measured in mm as distance from the CEJ to the gingival margin. | baseline | 
| Gingival recession | Gingival recession is the exposure of the root surface resulting from migration of the gingival margin apical to the cementoenamel junction. | baseline | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Implant disease risk assesment, Pink esthetic score, Implant quality scale, Periodontal health, Periodontal disease