ObjectiveThis study was designed to compare discomfort/pain after periodontal and peri‐implant probing in patients with titanium compared with zirconium implants.MethodsOne examiner recruited and examined 70 patients, each of whom had a dental implant with a contralateral tooth; 37 patients had titanium implants of various types and 33 patients had zirconium implants; one implant was analyzed for each patient. Periodontal and peri‐implant probing pocket depth (PPD) and clinical attachment level (CAL) were assessed. Immediately after probing, patients rated their discomfort/pain with a visual analog scale (VAS). The emergence profiles of implant crowns were assessed on periapical radiographs of the implants.ResultsSeventy patients with a median age of 55 years (interquartile range [IQR]: 42–65 years), including 43 females and 16 current smokers, were examined. The mean PPD and bleeding on probing (BOP) were higher around implants than around teeth (p < .001). CAL and suppuration were well‐balanced between implants and teeth. Peri‐implant probing caused significantly more discomfort/pain than periodontal probing [median VAS score: 12.5 (IQR 4–22) vs. 9 (2–15); p < .001]. Logistic regression revealed that discomfort/pain after peri‐implant probing was less intense in patients who had taken analgesic medication (p = .021) and around titanium implants (p = .037).ConclusionsPeri‐implant probing caused significantly more discomfort/pain than periodontal probing. Patients who had taken analgesic medication experienced less discomfort and pain with peri‐implant probing than those who had not; furthermore, titanium implants were associated with less pain than zirconium implants.

中文翻译：

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钛和锆种植体种植体周围探查引起的不适/疼痛：横断面研究


目的本研究旨在比较钛种植体与锆种植体患者牙周和种植体周围探诊后的不适/疼痛。方法一名检查者招募并检查了 70 名患者，每名患者都有一颗对侧牙齿的种植体； 37名患者进行了各种类型的钛种植体，33名患者进行了锆种植体；对每位患者的一个植入物进行了分析。评估牙周和种植体周围探诊深度（PPD）和临床附着水平（CAL）。探查后，患者立即用视觉模拟量表（VAS）评估他们的不适/疼痛。通过种植体的根尖X线照片评估种植体冠的出现情况。结果对70名中位年龄为55岁（四分位距[IQR]：42-65岁）的患者进行了检查，其中包括43名女性和16名当前吸烟者。种植体周围的平均 PPD 和探诊出血 (BOP) 高于牙齿周围（ p < .001)。种植体和牙齿之间的 CAL 和化脓情况保持良好平衡。种植体周围探诊比牙周探诊引​​起明显更多的不适/疼痛[中位 VAS 评分：12.5 (IQR 4-22) vs. 9 (2-15)； p <.001]。逻辑回归显示，服用镇痛药物的患者种植体周围探诊后的不适/疼痛较轻（ p = .021) 和钛植入物周围 ( p = .037)。结论种植体周围探诊比牙周探诊引​​起明显更多的不适/疼痛。与未服用镇痛药物的患者相比，服用镇痛药物的患者在种植体周围探诊时感受到的不适和疼痛较少；此外，钛植入物比锆植入物疼痛更轻。