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Patient- and implant-related variables were retrieved, and clinical and radiological examinations were performed. Descriptive and bivariate analyses and multilevel logistic regression analyses were performed to identify factors associated with peri-implantitis.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>A total of 213 implants in 88 patients were analyzed. The patient-level prevalence of peri-implantitis and peri-implant mucositis was 26.1% (95%CI: 16.7%\u201435.5%) and 44.3% (95%CI: 34.0%\u201454.6%), respectively. Peri-implant diseases were significantly more frequent when the width of the keratinized mucosa was\u2009&lt;\u20092\u00a0mm (OR\u2009=\u20095.26; 95%CI: 1.24\u201422.26; <jats:italic>p<\/jats:italic>\u2009=\u20090.024), and when there was 12\u00a0month post-loading bone loss (OR\u2009=\u20092.96; 95%CI: 1.35\u20146.52; <jats:italic>p<\/jats:italic>\u2009=\u20090.007).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Peri-implantitis is a common finding in patients without regular peri-implant supportive therapy (prevalence 16.7\u201335.5%). A thin peri-implant keratinized mucosa (&lt;\u20092\u00a0mm) and a higher degree of bone remodeling after loading seem to be the main risk factors for peri-implantitis in this patient profile.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Clinical relevance<\/jats:title>\n                <jats:p>Patients who do not engage in supportive peri-implant maintenance have a higher risk of peri-implantitis. A thin keratinized mucosa and bone loss during the first year of loading are predisposing factors for peri-implantitis.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00784-024-05673-8","type":"journal-article","created":{"date-parts":[[2024,4,26]],"date-time":"2024-04-26T21:01:21Z","timestamp":1714165281000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Peri-implantitis in patients without regular supportive therapy: Prevalence and risk indicators"],"prefix":"10.1007","volume":"28","author":[{"given":"V\u00edctor","family":"Ruiz-Romero","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rui","family":"Figueiredo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jorge","family":"Toledano-Serrabona","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yehia","family":"Abdelazim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Octavi","family":"Camps-Font","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yamil","family":"Salazar-Salazar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aina","family":"Plana-Soler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carles","family":"Subir\u00e0-Pifarr\u00e9","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eduard","family":"Valmaseda-Castell\u00f3n","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,4,26]]},"reference":[{"key":"5673_CR1","doi-asserted-by":"publisher","first-page":"193","DOI":"10.1034\/j.1600-051X.29.s3.12.x","volume":"29","author":"T Berglundh","year":"2002","unstructured":"Berglundh T, Persson L, Klinge B (2002) A systematic review of the incidence of biological and technical complications in implant dentistry reported in prospective longitudinal studies of at least 5 years. 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