{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T17:24:50Z","timestamp":1793035490457,"version":"4.5.0"},"reference-count":32,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,12,9]],"date-time":"2024-12-09T00:00:00Z","timestamp":1733702400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100002322","name":"Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100002322","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Oral Implants Res"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>This university\u2010based retrospective study aimed to assess the performance of the implant disease risk assessment (IDRA) in predicting peri\u2010implantitis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and Methods<\/jats:title><jats:p>Patients with implants loaded for at least 1\u2009year were included. Peri\u2010implantitis development was the outcome, while the IDRA score and its eight vectors were the predictors. The IDRA score was calculated using an online tool. Data were analyzed using Cox proportional hazards models and ROC curve (AUC).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among 480 implants in 235 patients, 7.9% of implants and 9.4% of patients developed peri\u2010implantitis. Implants at high risk for the \u201cnumber of sites with PD\u2009\u2265 5\u2009mm\u201d vector had an increased risk (HR\u2009=\u20099.8, <jats:italic>p<\/jats:italic>\u2009=\u20090.004) of peri\u2010implantitis, compared to those at low risk for this parameter. Implants at moderate (HR\u2009=\u20094.8, <jats:italic>p<\/jats:italic>\u2009=\u20090.04) and high (HR\u2009=\u200910.0, <jats:italic>p<\/jats:italic>\u2009=\u20090.01) risk for the \u201cdistance from the restorative margin (RM) to bone crest (BC)\u201d vector exhibited a higher risk of peri\u2010implantitis than implants at low risk for this parameter. The IDRA tool demonstrated an AUC of 0.66 (sensitivity\u2009=\u20090.80; specificity\u2009=\u20090.24) when estimated at implant level and an AUC of 0.61 (sensitivity\u2009=\u20090.91; specificity\u2009=\u20090.32) when calculated at patient level. The mixed\u2010effects Cox model did not reveal a significant association between the overall IDRA score and the development of peri\u2010implantitis (HR\u2009=\u20097.2, <jats:italic>p<\/jats:italic>\u2009=\u20090.18).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>IDRA demonstrates good sensitivity but low specificity and suboptimal discriminatory capacity in predicting peri\u2010implantitis. The \u201cnumber of sites with PD\u2009\u2265\u20095\u2009mm\u201d and \u201cdistance from RM to BC\u201d emerged as the most effective predictors for peri\u2010implantitis.<\/jats:p><\/jats:sec>","DOI":"10.1111\/clr.14390","type":"journal-article","created":{"date-parts":[[2024,12,9]],"date-time":"2024-12-09T18:09:21Z","timestamp":1733767761000},"page":"386-396","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Performance of the Implant Disease Risk Assessment in Predicting Peri\u2010Implantitis: A Retrospective Study"],"prefix":"10.1111","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0111-2309","authenticated-orcid":false,"given":"Nathalia","family":"Vilela","sequence":"first","affiliation":[{"name":"Department of Stomatology, Division of Periodontology, School of Dentistry University of S\u00e3o Paulo  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5971-134X","authenticated-orcid":false,"given":"Bruno C. V.","family":"Gurgel","sequence":"additional","affiliation":[{"name":"Department of Dentistry Federal University of Rio Grande do Norte  Natal Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christina M.","family":"Rostant","sequence":"additional","affiliation":[{"name":"Department of Periodontology, College of Dentistry University of Florida  Gainesville Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karin C.","family":"Schey","sequence":"additional","affiliation":[{"name":"Department of Periodontology, College of Dentistry University of Florida  Gainesville Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Krishna Mukesh","family":"Vekariya","sequence":"additional","affiliation":[{"name":"Department of Periodontology, College of Dentistry University of Florida  Gainesville Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H\u00e9lio D. P.","family":"da Silva","sequence":"additional","affiliation":[{"name":"Department of Dentistry, Dental Research Division Guarulhos University  Guarulhos Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4181-3975","authenticated-orcid":false,"given":"Claudio M.","family":"Pannuti","sequence":"additional","affiliation":[{"name":"Department of Stomatology, Division of Periodontology, School of Dentistry University of S\u00e3o Paulo  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8872-5943","authenticated-orcid":false,"given":"Poliana M.","family":"Duarte","sequence":"additional","affiliation":[{"name":"Department of Periodontology, College of Dentistry University of Florida  Gainesville Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,12,9]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/JPER.23\u20100355"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12957"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.prosdent.2018.10.003"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u20100501.2011.02264.x"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u2010051X.1995.tb00828.x"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/clr.13828"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034515608832"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034518792567"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/clr.12554"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034513519800"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.143.1.7063747"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/clr.13585"},{"key":"e_1_2_11_14_1","unstructured":"Jamovi.2024.\u201cThe Jamovi Project [Computer Software] (Version 2.5).\u201dhttps:\/\/www.jamovi.org."},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm12175547"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/clr.13416"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12350"},{"issue":"1","key":"e_1_2_11_18_1","first-page":"7","article-title":"Periodontal Risk Assessment (PRA) for Patients in Supportive Periodontal Therapy (SPT)","volume":"1","author":"Lang N. 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