Efficacy of patient-administered mechanical and/or chemical plaque control protocols in the management of peri-implant mucositis. A systematic review

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 and 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:

25 Jan 2017 12:15

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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