Surgical Treatment of Periimplantitis With Augmentative Techniques.

Ramanauskaite, Ausra; Obreja, Karina; Sader, Robert; Khoury, Fouad; Romanos, Georgios; Koo, Ki Tae; Keeve, Philip Leander; Sculean, Anton; Schwarz, Frank (2019). Surgical Treatment of Periimplantitis With Augmentative Techniques. Implant dentistry, 28(2), pp. 187-209. Lippincott Williams & Wilkins 10.1097/ID.0000000000000839

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OBJECTIVES To address the focused question: "In patients with osseointegrated implants diagnosed with periimplantitis, what are the clinical and radiographic outcomes of augmentative surgical interventions compared with nonaugmentative surgical measures"? MATERIAL AND METHODS Literature screening was performed in MEDLINE through the PubMed database, for articles published until January 1, 2018. Human studies reporting on the clinical (ie, bleeding on probing [BOP] and probing depth [PD] changes) and/or radiographic (ie, periimplant defect reduction and/or fill) treatment outcomes after surgical augmentative periimplantitis therapy, and/or comparing augmentative and nonaugmentative surgical approaches were searched. RESULTS Thirteen comparative and 11 observational clinical studies were included. Surgical augmentative periimplantitis therapy resulted in mean BOP and PD reduction ranging from 26% to 91%, and 0.74 to 5.4 mm, respectively. The reported mean radiographic fill of intrabony defects ranged between 57% and 93.3%, and defect vertical reduction varied from 0.2 to 3.77 mm. Three randomized controlled clinical studies failed to demonstrate the superiority of augmentative therapy compared with nonaugmentative approach in terms of PD and BOP reduction. CONCLUSIONS The available evidence to support superiority of augmentative surgical techniques for periimplantitis management on the treatment outcomes over nonaugmentative methods is limited.

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:

Lippincott Williams & Wilkins

Language:

English

Submitter:

Doris Burri

Date Deposited:

21 Jan 2020 14:23

Last Modified:

01 May 2020 02:30

Publisher DOI:

10.1097/ID.0000000000000839

PubMed ID:

30648979

BORIS DOI:

10.7892/boris.137780

URI:

https://boris.unibe.ch/id/eprint/137780

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