Association of Peri-Implant Health Status With COVID-19

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Abstract

Objective: The aim of this research was to evaluate peri-implant health status in patients infected with COVID-19 and control patients (individuals without COVID-19).

Methods: This observational investigation was performed in adults with (test group) and without (control group) COVID-19 infection having at least 1 functional dental implant. Self-reported education status and daily frequency of toothbrushing and flossing was determined. A questionnaire was administered to record demographic data, brushing/flossing frequency, and education status. Periodontal examination comprised full-mouth assessment of clinical attachment loss (CAL), plaque index (PI), probing depth (PD), and gingival index (GI). Peri-implant PD, modified PI, and modified gingival index were recorded. Loss of marginal and crestal bone around teeth and implants was also measured. Significance level was established for P < .05.

Results: Seventy-three (41 males) and 71 (44 males) individuals were included in the test and control groups, respectively. Average ages of patients and controls were 44.6 ± 5.2 and 40.1 ± 3.1 years, respectively. University-level education was attained by 52 (75.3%) and 50 (70.4%) individuals in the test and control groups, respectively. Seventy (95.9%) and 68 (95.7%) patients and controls were brushing twice a day. Once-daily interproximal flossing was reported by 44 (60.3%) and 48 (67.6%) individuals in test and control groups. All participants had healthy periodontal and peri-implant tissues.

Conclusions: The study indicated that there are no short-term adverse effects on the peri-implant tissues due to acute COVID-19 infection, and further well-controlled longitudinal studies are needed to evaluate the long-term effect of the infection on these tissues.

Keywords: COVID-19; Clinical attachment loss; Dental implant; Probing depth.


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References

  1.  
    1. Rahman S, Montero MTV, Rowe K, Kirton R, Kunik F., Jr Epidemiology, pathogenesis, clinical presentations, diagnosis and treatment of COVID-19: a review of current evidence. Expert Rev Clin Pharmacol. 2021;14:601–621. - PMC - PubMed
  2.  
    1. Kumar A, Arora A, Sharma P, et al. Is diabetes mellitus associated with mortality and severity of COVID-19? A meta-analysis. Diabetes Metab Syndr. 2020;14:535–545. - PMC - PubMed
  3.  
    1. Ejaz H, Alsrhani A, Zafar A, et al. COVID-19 and comorbidities: deleterious impact on infected patients. J Infect Public Health. 2020;13:1833–1839. - PMC - PubMed
  4.  
    1. Rusu LC, Ardelean LC, Tigmeanu CV, Matichescu A, Sauciur I, Bratu EA. COVID-19 and its repercussions on oral health: a review. Medicina (Kaunas) 2021;57 - PMC - PubMed
  5.  
    1. Anand PS, Jadhav P, Kamath KP, Kumar SR, Vijayalaxmi S, Anil S. A case-control study on the association between periodontitis and coronavirus disease (COVID-19) J Periodontol. 2022;93:584–590. - PubMed
  6.  
    1. Marouf N, Cai W, Said KN, et al. Association between periodontitis and severity of COVID-19 infection: a case-control study. J Clin Periodontol. 2021;48:483–491. - PMC - PubMed
  7.  
    1. Zhang S, Liu C, Zhang C, Jiang H, Tai B, Du M. Impact of COVID-19 on the oral health of adults in Wuhan and China: results of a nationwide online cross-sectional questionnaire survey. BMC Oral Health. 2021;21:162. - PMC - PubMed
  8.  
    1. Carlsson GE. Masticatory efficiency: the effect of age, the loss of teeth and prosthetic rehabilitation. Int Dent J. 1984;34:93–97. - PubMed
  9.  
    1. Davis DM, Watson RM, Packer ME. Single tooth crowns supported on hydroxyapatite coated endosseous dental implants: a prospective 5-year study on twenty subjects. Int Dent J. 2004;54:201–205. - PubMed
  10.  
    1. Belibasakis GN, Manoil D. Microbial community-driven etiopathogenesis of peri-implantitis. J Dent Res. 2021;100:21–28. - PMC - PubMed
  11.  
    1. Binshabaib M, AL SS, Salehpoor D, Michelogiannakis D, Javed F. Contribution of herpesviruses in the progression of periodontal and peri-implant diseases in systemically healthy individuals. Rev Med Virol. 2018;28:e1996. - PubMed
  12.  
    1. Mulinari-Santos G, Paino-Sant'Ana A, Okamoto R, Coléte JZ, Neto JLT. The risk of osseointegration in the coronavirus disease 19 pandemic. J Craniofac Surg. 2021;32:e827. - PMC - PubMed
  13.  
    1. Verdugo F, Castillo A, Castillo F, Uribarri A. Epstein-Barr virus associated peri-implantitis: a split-mouth study. Clin Oral Investig. 2015;19:535–543. - PubMed
  14.  
    1. Abuohashish HM, Ahmed MM, Sabry D, Khattab MM, Al-Rejaie SS. The ACE-2/Ang1-7/Mas cascade enhances bone structure and metabolism following angiotensin-II type 1 receptor blockade. Eur J Pharmacol. 2017;807:44–55. - PubMed
  15.  
    1. Block MS. Coronavirus disease 2019 may affect dental implant integration. J Oral Maxillofac Surg. 2021;79:1197–1198. - PMC - PubMed
  16.  
    1. Li A, Chen Y, Schuller AA, van der Sluis LWM, Tjakkes GE. Dietary inflammatory potential is associated with poor periodontal health: a population-based study. J Clin Periodontol. 2021;48:907–918. - PMC - PubMed
  17.  
    1. Papapanou PN, Sanz M, Buduneli N, et al. Periodontitis: Consensus report of workgroup 2 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J Periodontol. 2018;89(Suppl 1)):S173–S182. - PubMed
  18.  
    1. Elemek E, Agrali OB, Kuru B, Kuru L. Peri-implantitis and severity level. Eur J Dent. 2020;14:24–30. - PMC - PubMed
  19.  
    1. Javed F, Al-Zawawi AS, Allemailem KS, et al. Periodontal conditions and whole salivary IL-17A and -23 levels among young adult Cannabis sativa (marijuana)-smokers, heavy cigarette-smokers and non-smokers. Int J Environ Res Public Health. 2020;17 - PMC - PubMed
  20.  
    1. Yüce M, Filiztekin E, Özkaya KG. COVID-19 diagnosis -a review of current methods. Biosens Bioelectron. 2021;172 - PMC - PubMed
  21.  
    1. Silness J, Loe H. Periodontal disease in pregnancy. II. Correlation between oral hygiene and periodontal condtion. Acta Odontol Scand. 1964;22:121–135. - PubMed
  22.  
    1. Loe H, Silness J. Periodontal disease in pregnancy. I. Prevalence and severity. Acta Odontol Scand. 1963;21:533–551. - PubMed
  23.  
    1. Genco RJ, Grossi SG, Ho A, Nishimura F, Murayama Y. A proposed model linking inflammation to obesity, diabetes, and periodontal infections. J Periodontol. 2005;76:2075–2084. - PubMed
  24.  
    1. Armitage GC, Svanberg GK, Loe H. Microscopic evaluation of clinical measurements of connective tissue attachment levels. J Clin Periodontol. 1977;4:173–190. - PubMed
  25.  
    1. Ali D, AlAhmari F, Mikami T, Baskaradoss JK. Increased expression of advanced glycation endproducts in the gingival crevicular fluid compromises periodontal status in cigarette-smokers and waterpipe users. BMC Oral Health. 2022;22:206. - PMC - PubMed
  26.  
    1. Ali D, Baskaradoss JK, Joseph BK. Cortisol levels in the peri-implant sulcular fluid of type-2 diabetic and non-diabetic patients with peri-implantitis. Oral Health Prev Dent. 2022;20:219–226. - PubMed
  27.  
    1. Naveau A, Shinmyouzu K, Moore C, Avivi-Arber L, Jokerst J, Koka S. Etiology and measurement of peri-implant crestal bone loss (CBL) J Clin Med. 2019;8 - PMC - PubMed
  28.  
    1. Javed F, Näsström K, Benchimol D, Altamash M, Klinge B, Engström PE. Comparison of periodontal and socioeconomic status between subjects with type 2 diabetes mellitus and non-diabetic controls. J Periodontol. 2007;78:2112–2119. - PubMed
  29.  
    1. Radzikowska U, Ding M, Tan G, et al. Distribution of ACE2, CD147, CD26, and other SARS-CoV-2 associated molecules in tissues and immune cells in health and in asthma, COPD, obesity, hypertension, and COVID-19 risk factors. Allergy. 2020;75:2829–2845. - PMC - PubMed
  30.  
    1. Wang K, Chen W, Zhang Z, et al. CD147-spike protein is a novel route for SARS-CoV-2 infection to host cells. Signal Transduct Target Ther. 2020;5:283. - PMC - PubMed
  31.  
    1. Gupta S, Mohindra R, Chauhan PK, et al. SARS-CoV-2 detection in gingival crevicular fluid. J Dent Res. 2021;100:187–193. - PMC - PubMed
  32.  
    1. Boillot A, El Halabi B, Batty GD, Rangé H, Czernichow S, Bouchard P. Education as a predictor of chronic periodontitis: a systematic review with meta-analysis population-based studies. PLoS One. 2011;6:e21508. - PMC - PubMed
  33.  
    1. Schwarz F, Derks J, Monje A, Peri-implantitis Wang HL. J Clin Periodontol. 2018;45(Suppl 20):S246–S266. - PubMed
  34.  
    1. Javed F, Alghamdi AS, Ahmed A, Mikami T, Ahmed HB, Tenenbaum HC. Clinical efficacy of antibiotics in the treatment of peri-implantitis. Int Dent J. 2013;63:169–176. - PMC - PubMed
  35.  
    1. Ibraheem WI, Fageeh HI, Preethanath RS, et al. Comparison of RANKL and osteoprotegerin levels in the gingival crevicular fluid of young cigarette- and waterpipe-smokers and individuals using electronic nicotine delivery systems. Arch Oral Biol. 2020;115 - PubMed
  36.  
    1. Sgolastra F, Petrucci A, Severino M, Gatto R, Monaco A. Smoking and the risk of peri-implantitis. A systematic review and meta-analysis. Clin Oral Implants Res. 2015;26:e62–e67. - PubMed
  37.  
    1. Renvert S, Quirynen M. Risk indicators for peri-implantitis. A narrative review. Clin Oral Implants Res. 2015;26(Suppl 11):15–44. - PubMed
  38.  
    1. BinShabaib M, AL SS, Akram Z, et al. Clinical periodontal status and gingival crevicular fluid cytokine profile among cigarette-smokers, electronic-cigarette users and never-smokers. Arch Oral Biol. 2019;102:212–217. - PubMed
  39.  
    1. ALHarthi SS, BinShabaib MS, Ahmed HB, Mehmood A, Khan J, Javed F. Comparison of peri-implant clinical and radiographic inflammatory parameters among cigarette and waterpipe (narghile) smokers and never-smokers. J Periodontol. 2018;89:213–218. - PubMed
  40.  
    1. Ali D, Qasem SS, Baskaradoss JK. Periodontal clinicoradiographic status and whole saliva soluble urokinase plasminogen activation receptor and tumor necrosis factor alpha levels in type-2 diabetic and non-diabetic individuals. Oral Health Prev Dent. 2021;19:481–488. - PubMed
  41.  
    1. Qi X, Northridge ME, Hu M, Wu B. Oral health conditions and COVID-19: a systematic review and meta-analysis of the current evidence. Aging Health Res. 2022;2 - PMC - PubMed