Evidence map›Paper›PMID 40489294›Full record

SynthesisJournal of periodontology2025

Surgical- and implant-related factors and onset/progression of peri-implant diseases: An AO/AAP systematic review.

Alberto Monje, Shayan Barootchi, Paul S Rosen, Hom-Lay Wang

Abstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Journal of periodontology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  5. Observational
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  8. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Alberto MonjeDepartment of Periodontology and Oral Medicine, University of Michigan, Ann Arbor, Michigan, USA.ORCID https://orcid.org/0000-0001-8292-1927
Shayan BarootchiDepartment of Periodontology, Harvard School of Dental Medicine, Boston, USA.ORCID https://orcid.org/0000-0002-5347-6577
Paul S RosenDepartment of Periodontology, Rutgers University School of Dental Medicine, Piscataway, USA.
Hom-Lay WangDepartment of Periodontology and Oral Medicine, University of Michigan, Ann Arbor, Michigan, USA.ORCID https://orcid.org/0000-0003-4238-1799

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe objective of this systematic review was to shed light on the importance of surgical- and implant-related factors on the onset/progression of peri-implant diseases. This systematic review provides an evidence-based overview on the prevention of peri-implant diseases for the Academy of Osseointegration (AO)/American Academy of Periodontology (AAP) Consensus Conference held in August 14-16, 2024 in Oakbrook, IL, USA.

methodsSystematic screening of electronic sources was performed to identify clinical studies reporting on the impact of surgical- and implant-related factors on peri-implant diseases. To fulfil the inclusion criteria, a composite clinical and radiographic case definition for peri-implant mucositis and/or peri-implantitis had to be reported. Prevalence or incidence (%) of peri-implant diseases was extracted at patient- and implant-level. Moreover, odds/hazard ratios were collected to explore potential associations.

resultsOverall, 34 articles were included in the qualitative synthesis. Of these, 21 explored surgical-related factors (N

conclusionClinical evidence linking surgical- and implant-related factors and peri-implant diseases is sparsely reported in the literature. Nevertheless, it appears that implant malposition plays a crucial role on the onset/progression of peri-implantitis. PLAIN LANGUAGE SUMMARY: The objective of this systematic review was to shed light on the importance of surgical-and implant-related factors on the onset/progression of peri-implant diseases. Overall, 33 articles were included in the qualitative synthesis. Of these, 21 explored surgical-related factors. Given the high heterogeneity across the studies, only qualitative assessment was performed. Clinical evidence proved that surgical-related factors, in particular inadequate implant position and, to a lower extent, implants placed in regenerated bone, are more prone to exhibit peri-implantitis, but not peri-implant mucositis. With regards to specific implant-related factors, insufficient evidence, did not allow for exploring specific associations with the onset/progression of peri-implant diseases. However, it was found that a short distance from the prosthetic margin to crestal bone during implant placement may be a predisposing factor for peri-implantitis. All in all, implant malposition plays a crucial role on the onset/progression of peri-implantitis.

Indexed as

Dental ImplantationDental ImplantsPeri-ImplantitisStomatitisHumansIncidencePrevalenceDental Implantscomplication endosseous implantdental implantmucositisperi‐implant diseasePeri‐implantitis

Identifiers

PMID40489294
PMCPMC12273751

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.