Filippo Graziani1, Elena Figuero, David Herrera. 1. Department of Surgery, Unit of Dentistry and Oral Surgery, University of Pisa, Pisa, Italy. filippo.graziani@med.unipi.it
Abstract
AIM: To systematically review the literature and to assess the quality of reporting, outcome measurements and methods in both preventive and therapeutic approaches to peri-implant mucositis (PM) and peri-implantitis (PI). MATERIALS AND METHODS: Randomized (RCT) and Controlled Clinical Trials (CCT), evaluating preventive or therapeutic interventions in patients with PM or PI, were identified through searching in electronic databases and in relevant journals. Reporting and methods were evaluated through an analysis of the risk of biases and quality score. Sub-analysis was performed in four subgroups: prevention of PM and PI, treatment of PM, and non-surgical and surgical treatment of PI. RESULTS: Thirty-two trials (29 RCT) were identified as accomplishing inclusion criteria after full-text reading. Seven focused on prevention, and among those dealing with therapy, six were related to PM and 19 related to PI therapy (10 non-surgical and 9 surgical). Analysis found that quality of reporting and methods was generally low and surrogate outcomes were often chosen. CONCLUSIONS: Current literature on PM and PI prevention and treatment does not allow extracting applicable clinical information. Quality of methods and reporting guidelines should be encouraged. In particular, ad hoc guidelines should be designed for peri-implant diseases.
AIM: To systematically review the literature and to assess the quality of reporting, outcome measurements and methods in both preventive and therapeutic approaches to peri-implant mucositis (PM) and peri-implantitis (PI). MATERIALS AND METHODS: Randomized (RCT) and Controlled Clinical Trials (CCT), evaluating preventive or therapeutic interventions in patients with PM or PI, were identified through searching in electronic databases and in relevant journals. Reporting and methods were evaluated through an analysis of the risk of biases and quality score. Sub-analysis was performed in four subgroups: prevention of PM and PI, treatment of PM, and non-surgical and surgical treatment of PI. RESULTS: Thirty-two trials (29 RCT) were identified as accomplishing inclusion criteria after full-text reading. Seven focused on prevention, and among those dealing with therapy, six were related to PM and 19 related to PI therapy (10 non-surgical and 9 surgical). Analysis found that quality of reporting and methods was generally low and surrogate outcomes were often chosen. CONCLUSIONS: Current literature on PM and PI prevention and treatment does not allow extracting applicable clinical information. Quality of methods and reporting guidelines should be encouraged. In particular, ad hoc guidelines should be designed for peri-implant diseases.
Authors: Florin Eggmann; Thomas Connert; Julia Bühler; Dorothea Dagassan-Berndt; Roland Weiger; Clemens Walter Journal: Clin Oral Investig Date: 2016-09-02 Impact factor: 3.573
Authors: Flavia Q Pirih; Sarah Hiyari; Ho-Yin Leung; Ana D V Barroso; Adrian C A Jorge; Jeniffer Perussolo; Elisa Atti; Yi-Ling Lin; Sotirios Tetradis; Paulo M Camargo Journal: J Oral Implantol Date: 2014-06-26 Impact factor: 1.779