Salvi, Giovanni Edoardo; Ramseier, Christoph Andreas (2015). Efficacy of patient-administered mechanical and/or chemical plaque control protocols in the management of peri-implant mucositis. A systematic review. Journal of clinical periodontology, 42(Suppl 16), S187-S201. Wiley 10.1111/jcpe.12321
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AIM
To systematically assess the efficacy of patient-administered mechanical and/or chemical plaque control protocols in the management of peri-implant mucositis (PM).
MATERIAL AND METHODS
Randomized (RCTs) and Controlled Clinical Trials (CCTs) were identified through an electronic search of three databases complemented by manual search. Identification, screening, eligibility and inclusion of studies was performed independently by two reviewers. Studies without professional intervention or with only mechanical debridement professionally administered were included. Quality assessment was performed by means of the Cochrane Collaboration's tool for assessing risk of bias.
RESULTS
Eleven RCTs with a follow-up from 3 to 24 months were included. Definition of PM was lacking or heterogeneously reported. Complete resolution of PM was not achieved in any study. One study reported 38% of patients with complete resolution of PM. Surrogate end-point outcomes of PM therapy were often reported. The choice of control interventions showed great variability. The efficacy of powered toothbrushes, a triclosan-containing toothpaste and adjunctive antiseptics remains to be established. High quality of methods and reporting was found in four studies.
CONCLUSIONS
Professionally- and patient-administered mechanical plaque control alone should be considered the standard of care in the management of PM. Therapy of PM is a prerequisite for the prevention of peri-implantitis.
Item Type: |
Journal Article (Original Article) |
|---|---|
Division/Institute: |
04 Faculty of Medicine > School of Dental Medicine > Department of Periodontology |
UniBE Contributor: |
Salvi, Giovanni Edoardo, Ramseier, Christoph Andreas |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
0303-6979 |
Publisher: |
Wiley |
Language: |
English |
Submitter: |
Eveline Carmen Schuler |
Date Deposited: |
15 Feb 2016 11:17 |
Last Modified: |
05 Dec 2022 14:51 |
Publisher DOI: |
10.1111/jcpe.12321 |
PubMed ID: |
25495416 |
Additional Information: |
Special Issue: Proceedings of the 11th European Workshop on Periodontology. The XI European Workshop of Periodontology “Effective Preventionof Periodontal and Peri-implant diseases” was supported by the European Federation of Periodontology in part through unrestricted educational grants from P&G and J&J. Guest Editors: Mariano Sanz and Maurizio Tonetti |
Uncontrolled Keywords: |
chemical plaque control, dental implants, mechanical plaque control, peri-implant diseases, peri-implant mucositis prevention |
BORIS DOI: |
10.7892/boris.75548 |
URI: |
https://boris.unibe.ch/id/eprint/75548 |
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