Reconstructive treatment of peri-implantitis infrabony defects of various configurations: 5-year survival and success.

Roccuzzo, Mario; Mirra, Davide; Pittoni, Dario; Ramieri, Guglielmo; Roccuzzo, Andrea (2021). Reconstructive treatment of peri-implantitis infrabony defects of various configurations: 5-year survival and success. Clinical oral implants research, 32(10), pp. 1209-1217. Wiley 10.1111/clr.13818

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AIM

To present the 5 years outcomes of a reconstructive surgical protocol for peri-implantitis defects with different morphologies, by means of deproteinized bovine bone mineral with 10% collagen (DBBMC).

MATERIAL AND METHODS

The original population of this case series consisted of 75 patients with one crater-like defect and probing depth (PD) ≥6 mm. After flap elevation, defects were assigned to one characteristic class and treated by means of DBBMC. Following healing, patients were enrolled in an individualized supportive periodontal/peri-implant (SPT) program.

RESULTS

Fifty-one patients reached the 5 years examination, as 11 patients were lost to follow-up and 13 implants were removed. Overall treatment success was registered in 29 patients (45.3%). Mean PD and BOP significantly decreased at one year and remained stable for the rest of observation period. No correlation was found between implant survival rate and defect configuration (p = 0.213). Patients, who did not fully adhere to the SPT, experienced more complications and implant loss than those who regularly attended recall appointments (p = 0.009).

CONCLUSIONS

The proposed reconstructive treatment resulted in a high 5 years implant survival rate in patients who fully adhered to SPT. The resolution of the peri-implantitis defect does not seem significantly associated with the defect configuration at the time of treatment.

Item Type:

Journal Article (Original Article)

Division/Institute:

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

UniBE Contributor:

Roccuzzo, Andrea

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0905-7161

Publisher:

Wiley

Language:

English

Submitter:

Doris Burri

Date Deposited:

26 Jan 2022 15:09

Last Modified:

17 Jan 2023 13:54

Publisher DOI:

10.1111/clr.13818

PubMed ID:

34352140

Uncontrolled Keywords:

biomaterial bone substitute defect fill peri-implantitis surgical treatment

BORIS DOI:

10.48350/164013

URI:

https://boris.unibe.ch/id/eprint/164013

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