Clinical Evaluation of Three Surgical Modalities in the Treatment of Peri-Implantitis: A Randomized Controlled Clinical Trial
| Autor: | Jérôme F Lasserre, Selena Toma, Michel C. Brecx |
|---|---|
| Přispěvatelé: | UCL - SSS/IREC/MORF - Pôle de Morphologie, UCL - (SLuc) Service de parodontologie |
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Peri-implantitis
Plaque index surgical treatment Bleeding on probing Dentistry lcsh:Medicine Article biofilm 03 medical and health sciences 0302 clinical medicine Medicine 030304 developmental biology 0303 health sciences Curette business.industry lcsh:R 030206 dentistry General Medicine Clinical trial titanium surfaces decontamination Implant medicine.symptom business Clinical evaluation A titanium peri-implantitis |
| Zdroj: | Journal of Clinical Medicine, Vol 8, Iss 7, p 966 (2019) Journal of clinical medicine, Vol. 8, no.7, p. 1-12 (2019) Journal of Clinical Medicine Volume 8 Issue 7 |
| ISSN: | 2077-0383 |
| Popis: | Objectives: To compare the efficacy of three mechanical procedures for surgically treating peri-implantitis. Materials and Methods: In a randomized, prospective, parallel-group study, 47 patients with peri-implantitis were treated with (a) plastic curettes (n = 15 patients, 25 implants), (b) an air-abrasive device (Perio-Flow® n = 16 patients,22 implants), or (c) a titanium brush (Ti-Brush® n = 16 patients, 23 implants). Patients were assessed for the following measures at three timepoints (baseline, and three and six months after surgery): plaque index, bleeding on probing, gingival index, probing pocket depth (PPD), relative attachment level, and bone loss. Treatment outcome was considered successful when the implant was still present with PPD &le 5 mm, no bleeding on probing, and no further mean bone loss &ge 0.5 mm. Results: A greater reduction of gingival index and PPD was observed in the titanium brush group than in the other groups at six months (P < 0.001). Relative attachment level decreased from baseline in each group at three months but was more marked in the titanium brush group (P < 0.001). At six months, there was less bone loss in the titanium brush group than in the plastic curette group (P < 0.001 linear mixed model and Kruskal&ndash Wallis). A successful outcome was observed in 22% of implants in the plastic curette group, 27% in the Perio-Flow® group, and 33% in the Ti-Brush® group. Conclusions: The titanium brush and glycine air-polishing device were more effective than the other methods, but treatment success remained low. Combining mechanical procedures with antimicrobials and/or antibiotics might be a more effective strategy and warrants careful investigation. |
| Databáze: | OpenAIRE |
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