Surgical Treatment of Periimplantitis With Non-Augmentative Techniques.

Keeve, Philip L; Koo, Ki Tae; Ramanauskaite, Ausra; Romanos, Georgios; Schwarz, Frank; Sculean, Anton; Khoury, Fouad (2019). Surgical Treatment of Periimplantitis With Non-Augmentative Techniques. Implant dentistry, 28(2), pp. 177-186. Wolters Kluwer 10.1097/ID.0000000000000838

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OBJECTIVES The aim of this review was to systematically screen the literature on surgical non-regenerative treatments of periimplantitis, especially for radiologic and clinical outcomes, and to determine predictable therapeutic options for the clinical management of periimplantitis lesions. MATERIAL AND METHODS The potentially relevant literature was assessed independently by 2 reviewers to identify clinical studies, trials, and case series in humans describing the surgical non-regenerative treatment outcomes of periimplantitis with a follow-up of at least 6 months. MEDLINE, EMBASE, and the Cochrane Library were searched for studies reporting changes in probing depth (PD) and/or bleeding on probing (BOP) and/or radiologic marginal bone-level changes. RESULTS A total of 10 publications were included: 6 prospective randomized controlled trials, 1 prospective cohort study, 2 retrospective controlled studies, and 1 case series. Clinical parameters can be reduced by surgical non-regenerative treatments. Concerning 3 year follow-ups, BOP and PD values decreased more efficiently after implantoplasty than using systematic administration of antibacterials. Adjunctive local chemical irrigations or diode laser have no long-term effects. The non-regenerative surgical approach in combination with implantoplasty also shows improved radiographic parameters. CONCLUSIONS Surgical non-regenerative treatment of periimplantitis can reduce the amount of inflammation in the short-term follow-up. Using implantoplasty may result in the improvement of clinical and radiographic parameters. Because of limited evidence and heterogeneity in study design, there is a need for randomized controlled studies with proper design and powerful sample size in the future.

Item Type:

Journal Article (Review Article)

Division/Institute:

04 Faculty of Medicine > School of Dental Medicine > Department of Periodontology

UniBE Contributor:

Sculean, Anton

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1056-6163

Publisher:

Wolters Kluwer

Language:

English

Submitter:

Doris Burri

Date Deposited:

23 May 2019 17:38

Last Modified:

01 May 2020 02:30

Publisher DOI:

10.1097/ID.0000000000000838

PubMed ID:

30475243

BORIS DOI:

10.7892/boris.125329

URI:

https://boris.unibe.ch/id/eprint/125329

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