Efficacy of professionally administered chemical agents as an adjunctive treatment to sub‐marginal instrumentation during the therapy of peri‐implant mucositis

Autor: Henrik Dommisch, Daniela Hoedke, Cristina Valles, Javi Vilarrasa, Søren Jepsen, Andres Pascual La Rocca
Rok vydání: 2022
Předmět:
Zdroj: Journal of Clinical Periodontology.
ISSN: 1600-051X
0303-6979
DOI: 10.1111/jcpe.13747
Popis: To evaluate the efficacy of professionally administered chemical agents as an adjunctive treatment to submarginal instrumentation (SMI) in the therapy of peri-implant mucositis.The primary outcome criteria was reduction in bleeding on probing (BOP), whereas resolution of disease, elimination of suppuration, including suppuration on probing (SOP), reduction of peri-implant probing pocket depth (PPD), reduction of plaque (PI), and patient-reported outcome measures (PROMs) were considered as secondary outcome parameters. A literature search was performed on 3 electronic databases (01/1980 to 05/2022) focused on clinical studies with at least 3 months of follow-up, and meta-analyses were performed when appropriate.From a total of 139 publications, 40 articles were identified for full-text reading, and 5 RCTs on antimicrobial photodynamic therapy (aPDT), 1 RCT on chlorhexidine (CHX), and 1 RCT on sodium hypochlorite (NaOCl) were included. Three studies had a low risk of bias and four had a mid-level (some concerns) risk of bias. The application of aPDT, 0.95% NaOCl, or 0.12% CHX as an adjunctive treatment to SMI showed no difference in changes in BOP and PD compared to SMI alone (p0.05).Within the limitations of this review and based on a low level of evidence from 7 RCTs, it is concluded that the professional adjunctive topical application of aPDT, 0.95% NaOCl, and 0.12% CHX may not be effective to improve changes for BOP and PD when compared to SMI alone. This article is protected by copyright. All rights reserved.
Databáze: OpenAIRE
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