Surgical approach combining implantoplasty and reconstructive therapy with locally delivered antibiotic in the treatment of peri-implantitis: A prospective clinical case series
| Autor: | Javier Ata-Ali, Iria González Regueiro, Ignacio Sanz-Sánchez, Fernando Duarte, Cristina Barona Dorado, Natalia Martínez Rodríguez, Eduardo Montero, José María Martínez-González |
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| Rok vydání: | 2021 |
| Předmět: |
Dental Implants
Reconstructive surgery medicine.medical_specialty Peri-implantitis business.industry medicine.drug_class Radiography Antibiotics Bleeding on probing Plastic Surgery Procedures Tazobactam Peri-Implantitis Surgery Anti-Bacterial Agents Treatment Outcome medicine Humans Implant Prospective Studies Oral Surgery medicine.symptom business General Dentistry Piperacillin medicine.drug |
| Zdroj: | Clinical implant dentistry and related researchREFERENCES. 23(6) |
| ISSN: | 1708-8208 |
| Popis: | BACKGROUND Nonsurgical treatment, resective surgery, reconstructive surgery, or combined approaches have been proposed for the treatment of peri-implantitis, with variable results. PURPOSE To evaluate the 1-year clinical and radiographic outcomes following combined resective and reconstructive surgical treatment with topical piperacillin/tazobactam antibiotic in the management of peri-implantitis. MATERIAL AND METHODS Forty-three patients diagnosed with peri-implantitis were included. Surgical treatment consisted of implantoplasty of the supra-crestal component of the defect, the application of a topical antibiotic solution over the implant surface, and subsequent reconstruction of the intra-osseous component of the peri-implant defect. The primary outcome was disease resolution, defined as the absence of bleeding on probing (BoP) and/or suppuration on probing (SoP), a peri-implant pocket probing depth (PPD) ≤5 mm, and no bone loss >0.5 mm 1 year after surgery. Secondary outcomes included changes in BoP, PPD, SoP, and peri-implant marginal bone levels. One implant per patient was included in the analysis. RESULTS The treatment success rate of the 43 dental implants included in the study was 86% at 1 year after surgery. Mean PPD and BoP decreased from 6.41 ± 2.11 mm and 100% at baseline to 3.19 ± 0.99 mm (p |
| Databáze: | OpenAIRE |
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