OBJECTIVES: To assess the long-term outcomes (>4 years) following combined surgical resective/regenerative therapy of advanced peri-implantitis lesions using two surface decontamination methods. MATERIAL & METHODS:Fifteen patients (n = 15 combined supra- and intrabony defects) completed a follow-up observation period of 7 years. The treatment procedure included access flap surgery, granulation tissue removal and implantoplasty at buccally and supracrestally exposed implant parts, and a randomly assigned decontamination of the unmodified intrabony implant surface areas using either (i) an Er:YAG laser (ERL) or (ii) plastic curettes + cotton pellets + sterile saline (CPS). Intrabony defects were filled using a natural bone mineral and covered by a native collagen membrane. RESULTS: At 7 years, both ERL and CPS were associated with similar mean bleeding on probing reductions (CPS: 89.99 ± 11.65% versus ERL: 86.66 ± 18.26%) and clinical attachment level gains (CPS: 2.76 ± 1.92 mm versus ERL: 2.06 ± 2.52 mm). CONCLUSION:Combined surgical resective/regenerative therapy of advanced peri-implantitis was effective on the long-term, but not influenced by the initial method of surface decontamination.
RCT Entities:
OBJECTIVES: To assess the long-term outcomes (>4 years) following combined surgical resective/regenerative therapy of advanced peri-implantitis lesions using two surface decontamination methods. MATERIAL & METHODS: Fifteen patients (n = 15 combined supra- and intrabony defects) completed a follow-up observation period of 7 years. The treatment procedure included access flap surgery, granulation tissue removal and implantoplasty at buccally and supracrestally exposed implant parts, and a randomly assigned decontamination of the unmodified intrabony implant surface areas using either (i) an Er:YAG laser (ERL) or (ii) plastic curettes + cotton pellets + sterile saline (CPS). Intrabony defects were filled using a natural bone mineral and covered by a native collagen membrane. RESULTS: At 7 years, both ERL and CPS were associated with similar mean bleeding on probing reductions (CPS: 89.99 ± 11.65% versus ERL: 86.66 ± 18.26%) and clinical attachment level gains (CPS: 2.76 ± 1.92 mm versus ERL: 2.06 ± 2.52 mm). CONCLUSION: Combined surgical resective/regenerative therapy of advanced peri-implantitis was effective on the long-term, but not influenced by the initial method of surface decontamination.
Authors: Tassiane Panta Wagner; Paula Rodrigues Pires; Fernando Silva Rios; Joao Augusto Peixoto de Oliveira; Ricardo Dos Santos Araujo Costa; Kelly F Cunha; Heraldo Luis Dias Silveira; Suzana Pimentel; Marcio Zaffalon Casati; Cassiano Kuchenbecker Rosing; Alex Nogueira Haas Journal: Clin Oral Investig Date: 2021-03-16 Impact factor: 3.573
Authors: Manuel Toledano-Osorio; Cristina Vallecillo; Raquel Toledano; Fátima S Aguilera; María T Osorio; Esther Muñoz-Soto; Franklin García-Godoy; Marta Vallecillo-Rivas Journal: Int J Environ Res Public Health Date: 2022-05-26 Impact factor: 4.614
Authors: Fouad Khoury; Philip L Keeve; Ausra Ramanauskaite; Frank Schwarz; Ki-Tae Koo; Anton Sculean; Georgios Romanos Journal: Int Dent J Date: 2019-09 Impact factor: 2.607
Authors: Bruno Leitão-Almeida; Octavi Camps-Font; André Correia; Javier Mir-Mari; Rui Figueiredo; Eduard Valmaseda-Castellón Journal: BMC Oral Health Date: 2020-11-19 Impact factor: 2.757