Clinical outcomes of peri-implantitis treatment and supportive care: A systematic review.

Autor: Roccuzzo M; Division of Maxillofacial Surgery, University of Torino, Torino, Italy.; Private Practice, Torino, Italy., Layton DM; Private Practice, Brisbane, Qld, Australia.; School of Dentistry, University of Queensland, Brisbane, Qld, Australia., Roccuzzo A; Private Practice, Torino, Italy., Heitz-Mayfield LJ; International Research Collaborative, Faculty of Science, The University of Western Australia, Perth, WA, Australia.
Jazyk: angličtina
Zdroj: Clinical oral implants research [Clin Oral Implants Res] 2018 Oct; Vol. 29 Suppl 16, pp. 331-350.
DOI: 10.1111/clr.13287
Abstrakt: Objectives: To report the clinical outcomes for patients with implants treated for peri-implantitis who subsequently received supportive care (supportive peri-implant/periodontal therapy) for at least 3 years.
Material and Methods: A systematic search of multiple electronic databases, grey literature and hand searching, without language restriction, to identify studies including ≥10 patients was constructed. Data and risk of bias were explored qualitatively. Estimated cumulative survival at the implant- and patient-level was pooled with random-effects meta-analysis and explored for publication bias (funnel plot) at different time intervals.
Results: The search identified 5,761 studies. Of 83 records selected during screening, 65 were excluded through independent review (kappa = 0.94), with 18 retained for qualitative and 13 of those for quantitative assessments. On average, studies included 26 patients (median, IQR 21-32), with 36 implants (median, IQR 26-45). Study designs (case definitions of peri-implantitis, peri-implantitis treatment, supportive care) and population characteristics (patient, implant and prosthesis characteristics) varied markedly. Data extraction was affected by reduced reporting quality, but over 75% of studies had low risk of bias. Implant survival was 81.73%-100% at 3 years (seven studies), 74.09%-100% at 4 years (three studies), 76.03%-100% at 5 years (four studies) and 69.63%-98.72% at 7 years (two studies). Success and recurrence definitions were reported in five and two studies respectively, were heterogeneous, and those outcomes were unable to be explored quantitatively.
Conclusion: Therapy of peri-implantitis followed by regular supportive care resulted in high patient- and implant-level survival in the medium to long term. Favourable results were reported, with clinical improvements and stable peri-implant bone levels in the majority of patients.
(© 2018 The Authors. Clinical Oral Implants Research Published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
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