Philip L Keeve1,2, Ki Tae Koo3, Ausra Ramanauskaite4, Georgios Romanos5, Frank Schwarz6, Anton Sculean7, Fouad Khoury8,9. 1. Private Practice, Hameln, Germany. 2. Head, Department of Periodontology, Private Dental Clinic Schloss Schellenstein, Olsberg, Germany. 3. Professor, Department of Periodontology, Dental Research Institute, Seoul National University School of Dentistry, Seoul, Republic of Korea. 4. Research Associate, Department of Oral Surgery, Universitätsklinikum Düsseldorf, Düsseldorf, Germany. 5. Professor, Department of Periodontology, School of Dental Medicine, Stony Brook University, Stony Brook, NY. 6. Professor, Chairman, Department of Oral Surgery and Implantology, Carolinum, Johann Wolfgang Goethe-University Frankfurt, Frankfurt, Germany. 7. Professor, Chairman, Department of Periodontology, School of Dental Medicine, University of Bern, Bern, Switzerland. 8. Director, Private Dental Clinic Schloss Schellenstein, Olsberg, Germany. 9. Professor, Department of Oral and Maxillo-Facial-Surgery, University Muenster, Muenster, Germany.
Abstract
OBJECTIVES: The aim of this review was to systematically screen the literature on surgical non-regenerative treatments of periimplantitis, especially for radiologic and clinical outcomes, and to determine predictable therapeutic options for the clinical management of periimplantitis lesions. MATERIAL AND METHODS: The potentially relevant literature was assessed independently by 2 reviewers to identify clinical studies, trials, and case series in humans describing the surgical non-regenerative treatment outcomes of periimplantitis with a follow-up of at least 6 months. MEDLINE, EMBASE, and the Cochrane Library were searched for studies reporting changes in probing depth (PD) and/or bleeding on probing (BOP) and/or radiologic marginal bone-level changes. RESULTS: A total of 10 publications were included: 6 prospective randomized controlled trials, 1 prospective cohort study, 2 retrospective controlled studies, and 1 case series. Clinical parameters can be reduced by surgical non-regenerative treatments. Concerning 3 year follow-ups, BOP and PD values decreased more efficiently after implantoplasty than using systematic administration of antibacterials. Adjunctive local chemical irrigations or diode laser have no long-term effects. The non-regenerative surgical approach in combination with implantoplasty also shows improved radiographic parameters. CONCLUSIONS: Surgical non-regenerative treatment of periimplantitis can reduce the amount of inflammation in the short-term follow-up. Using implantoplasty may result in the improvement of clinical and radiographic parameters. Because of limited evidence and heterogeneity in study design, there is a need for randomized controlled studies with proper design and powerful sample size in the future.
OBJECTIVES: The aim of this review was to systematically screen the literature on surgical non-regenerative treatments of periimplantitis, especially for radiologic and clinical outcomes, and to determine predictable therapeutic options for the clinical management of periimplantitis lesions. MATERIAL AND METHODS: The potentially relevant literature was assessed independently by 2 reviewers to identify clinical studies, trials, and case series in humans describing the surgical non-regenerative treatment outcomes of periimplantitis with a follow-up of at least 6 months. MEDLINE, EMBASE, and the Cochrane Library were searched for studies reporting changes in probing depth (PD) and/or bleeding on probing (BOP) and/or radiologic marginal bone-level changes. RESULTS: A total of 10 publications were included: 6 prospective randomized controlled trials, 1 prospective cohort study, 2 retrospective controlled studies, and 1 case series. Clinical parameters can be reduced by surgical non-regenerative treatments. Concerning 3 year follow-ups, BOP and PD values decreased more efficiently after implantoplasty than using systematic administration of antibacterials. Adjunctive local chemical irrigations or diode laser have no long-term effects. The non-regenerative surgical approach in combination with implantoplasty also shows improved radiographic parameters. CONCLUSIONS: Surgical non-regenerative treatment of periimplantitis can reduce the amount of inflammation in the short-term follow-up. Using implantoplasty may result in the improvement of clinical and radiographic parameters. Because of limited evidence and heterogeneity in study design, there is a need for randomized controlled studies with proper design and powerful sample size in the future.
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