Juliano Milanezi de Almeida1, Henrique Rinaldi Matheus, David Jonathan Rodrigues Gusman, Paula Lazilha Faleiros, Nathália Januário de Araújo, Vivian Cristina Noronha Novaes. 1. *Assistant Professor, Department of Surgery and Integrated Clinic, Division of Periodontics, Universidade Estadual Paulista-UNESP, Araçatuba, São Paulo, Brazil. †Undergraduate Student, Department of Surgery and Integrated Clinic, Division of Periodontics, Universidade Estadual Paulista-UNESP, Araçatuba, São Paulo, Brazil. ‡MSc Student, Department of Surgery and Integrated Clinic, Division of Periodontics, Universidade Estadual Paulista-UNESP, Araçatuba, São Paulo, Brazil. §PhD Student, Department of Surgery and Integrated Clinic, Division of Periodontics, Universidade Estadual Paulista-UNESP, São Paulo, Brazil. ¶MSc Student, Department of Surgery and Integrated Clinic, Division of Periodontics, Universidade Estadual Paulista-UNESP, Araçatuba, São Paulo, Brazil. ‖PhD Student, Department of Surgery and Integrated Clinic, Division of Periodontics, Universidade Estadual Paulista-UNESP, Araçatuba, São Paulo, Brazil.
Abstract
OBJECTIVE: This study aimed to perform a systematic review of the effectiveness of nonsurgical treatment associated with different adjuvant therapies on periimplantitis. MATERIALS AND METHODS: Different individuals, following a research process, performed a network research of controlled and randomized controlled clinical trials on PubMed, Embase/MEDLINE, with 20 years' time constraint and the last search in January 2016. RESULTS: From 108 articles found by the first search, they analyzed 10 full texts, and in none did they find a standard control group. When compared, mechanical therapies combined with adjuvant therapy decreased prevalence of periimplant ratios; however, some groups showed unsatisfactory results, mainly related to the probing depth and bleeding index. When comparing debridement with other nonsurgical therapies (Er:YAG, Vector, air abrasive with amino acid glycine powder), increased periimplant levels were noticed in the test and control groups, although in different periods. CONCLUSION: Despite the improvement in the periimplant indices, there is no sufficient evidence to score the best results or even to choose the best association for nonsurgical treatment of periimplantitis; hence, more trials are necessary to answer this question.
OBJECTIVE: This study aimed to perform a systematic review of the effectiveness of nonsurgical treatment associated with different adjuvant therapies on periimplantitis. MATERIALS AND METHODS: Different individuals, following a research process, performed a network research of controlled and randomized controlled clinical trials on PubMed, Embase/MEDLINE, with 20 years' time constraint and the last search in January 2016. RESULTS: From 108 articles found by the first search, they analyzed 10 full texts, and in none did they find a standard control group. When compared, mechanical therapies combined with adjuvant therapy decreased prevalence of periimplant ratios; however, some groups showed unsatisfactory results, mainly related to the probing depth and bleeding index. When comparing debridement with other nonsurgical therapies (Er:YAG, Vector, air abrasive with amino acid glycine powder), increased periimplant levels were noticed in the test and control groups, although in different periods. CONCLUSION: Despite the improvement in the periimplant indices, there is no sufficient evidence to score the best results or even to choose the best association for nonsurgical treatment of periimplantitis; hence, more trials are necessary to answer this question.
Authors: Christoph Ratka; Paul Weigl; Dirk Henrich; Felix Koch; Markus Schlee; Holger Zipprich Journal: J Clin Med Date: 2019-09-06 Impact factor: 4.241