Do the progression of experimentally induced gingivitis and peri-implant mucositis present common features? A systematic review of clinical human studies

Abstract

This systematic review evaluated the features of the progression of experimentally induced gingivitis and peri-implant mucositis in humans. Included were studies that evaluated clinical, immunological, or microbiological responses between experimentally induced gingivitis and peri-implant mucositis in periodontally healthy patients. A total of 887 articles were initially identified, but only 12 were included in the final analysis. Implants accumulate less biofilm and suffer the most heterogeneous alterations in the microbiota, in the abstinence of oral hygiene, compared with the tooth. Interestingly, although dental implants presented less biofilm accumulation, the peri-implant mucosa showed a more exacerbated clinical response than the gingival tissue. The risk of bias of the selected studies was moderate to low, with one study presenting serious risk. The progression events of peri-implant mucositis were similar to those of experimental gingivitis but led to a different host response. This review was registered in the PROSPERO database CRD420201 123360.

Keywords:

• Mucositis
• gingivitis
• experimental induction
• gingival crevicular fluid
• periodontitis
• peri-implantitis
• etiology

Disclosure statement

All authors declare that they have no conflict of interest.

Additional information

Funding

This study was financed by CNPq, Brazil 311368/2019-0 and the Coordenacão de Aperfeicoamento de Pessoal de Nıvel Superior – Brasil (CAPES) – Finance Code 001.