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

Lisa J A Heitz-Mayfield, Fritz Heitz, Niklaus P Lang, Lisa J A Heitz-Mayfield, Fritz Heitz, Niklaus P Lang

Abstract

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.

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.

© 2020 The Authors. Clinical Oral Implants Research published by John Wiley & Sons Ltd.

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