Restoration contour is a risk indicator for peri-implantitis: A cross-sectional radiographic analysis

J Clin Periodontol. 2018 Feb;45(2):225-232. doi: 10.1111/jcpe.12829. Epub 2017 Dec 5.


Aim: The purpose of this study was to determine whether restoration emergence angle was associated with peri-implantitis.

Materials and methods: A data set consisting of 96 patients with 225 implants (mean follow-up: 10.9 years) was utilized. Implants were divided into bone-level and tissue-level groups, and radiographs were analysed to determine the restoration emergence angles, as well as restoration profiles (convex or concave). Peri-implantitis was diagnosed based on probing depth and radiographic bone loss. Associations between peri-implantitis and emergence angles/profiles were assessed using generalized estimating equations.

Results: Eighty-three patients with 168 implants met inclusion criteria. The prevalence of peri-implantitis was significantly greater in the bone-level group when the emergence angle was >30 degrees compared to an angle ≤30 degrees (31.3% versus 15.1%, p = .04). In the tissue-level group, no such correlation was found. For bone-level implants, when a convex profile was combined with an angle of >30 degrees, the prevalence of peri-implantitis was 37.8% with a statistically significant interaction between emergence angle and profile (p = .003).

Conclusions: Emergence angle of >30 degrees is a significant risk indicator for peri-implantitis and convex profile creates an additional risk for bone-level implants, but not for tissue-level implants.

Keywords: dental implant; dental prosthesis; implant-supported; peri-implantitis; prevalence; risk factors.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Cross-Sectional Studies
  • Dental Implants / adverse effects*
  • Dental Restoration, Permanent / adverse effects*
  • Dental Restoration, Permanent / methods
  • Female
  • Humans
  • Male
  • Middle Aged
  • Peri-Implantitis / diagnostic imaging
  • Peri-Implantitis / etiology*
  • Radiography, Dental
  • Risk Factors


  • Dental Implants