Nonsurgical Treatment of Peri-implantitis Without Eliminating Granulation Tissue
| Autor: | Antonio Barone, Enrica Giammarinaro, Roberto Crespi, Giovanni Crespi, Giovanni Battista Menchini Fabris, Simone Marconcini, Ugo Covani |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Peri-implantitis medicine.medical_treatment 0206 medical engineering Treatment outcome 02 engineering and technology 03 medical and health sciences 0302 clinical medicine Detoxification medicine Humans implant disease Aged Aged 80 and over Debridement ddc:617 business.industry Chlorhexidine Granulation tissue Implant disease 030206 dentistry Middle Aged Peri-Implantitis 020601 biomedical engineering ddc:617.6 Nonsurgical treatment Anti-Bacterial Agents Surgery Treatment Outcome medicine.anatomical_structure Granulation Tissue Female Periodontal Index Oral Surgery business debridement granulation tissue Chlortetracycline |
| Zdroj: | Implant Dentistry, Vol. 28, No 1 (2019) pp. 4-10 |
| ISSN: | 1056-6163 |
| DOI: | 10.1097/id.0000000000000832 |
| Popis: | The purpose of this study was to evaluate a nonsurgical approach toward peri-implantitis by means of mechanical debridement and local detoxification leaving granulation tissue into the peri-implant pockets.An analysis was performed on the outcomes of 2 nonsurgical protocols: mechanical debridement plus chemical detoxification with 0.2% chlorhexidine and chlortetracycline hydrochloride (test), and mechanical debridement alone (control). Measures were collected at baseline, 3, 24, and 36 months after treatment.Seventy-five implants with peri-implantitis were included. At a 36-month evaluation, mean pocket probing depth was 3.15 ± 0.32 mm for the test group and 5.97 ± 0.90 mm for the control group, the difference being significant. An improvement of marginal bone level was recorded for the test group, whether the control group showed a further marginal bone loss. Treatment success was 100% in the test group and 31.4% in the control group.Nonsurgical implant debridement alone seemed not efficient in the treatment of peri-implantitis. Further longitudinal studies are required to evaluate the efficacy of mechanical debridement with chemical detoxification and removal of granulation tissues against mechanical debridement with chemical detoxification alone. |
| Databáze: | OpenAIRE |
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