BACKGROUND: Different nonsurgical, antibacterial, surgical, and regenerative approaches to treat peri-implantitis have been proposed, but there is no an actual "gold" standard treatment showing the most favorable results to counteract peri-implantitis effects. PURPOSE: To evaluate radiographically and clinically the disease resolution and peri-implant marginal bone stability rates of peri-implantitis cases treated through a combined resective-implantoplasty therapy in a moderate to long-term period. MATERIALS AND METHODS: Records of patients diagnosed with peri-implantitis and treated through the same protocol applying a combined resective-implantoplasty therapy with minimum 2-year follow-up were screened. Eligible patients were contacted and asked to undergo clinical and radiologic examination. Progressive marginal bone loss, bleeding on probing, suppuration, implant mobility, and implant fracture were considered to establish the disease resolution rate and peri-implant bone stability of the treated implants. RESULTS: Twenty-three patients with 32 treated implants fulfilled the inclusion criteria. Over the 2 to 6-year follow-up, (mean time: 3.4 ± 1.5 years), the disease resolution rate was 83% (patient level) and 87% (implant level). Four implants (13%) were lost or removed due to continuous MBL and osseointegration failure. At follow-up, peri-implant marginal bone remained stable with no further bone loss in 87% of the treated implants. BOP was absent in 89.3% (implant level), suppuration was resolved in all cases, and no pain or implant fracture was reported. CONCLUSION: Implantoplasty treated cases showed high disease resolution rate and peri-implant marginal bone stability. This surgical antibiofilm strategy can counteract peri-implantitis progression providing an adequate environment for implant function and longevity over a moderate to long-term period.
BACKGROUND: Different nonsurgical, antibacterial, surgical, and regenerative approaches to treat peri-implantitis have been proposed, but there is no an actual "gold" standard treatment showing the most favorable results to counteract peri-implantitis effects. PURPOSE: To evaluate radiographically and clinically the disease resolution and peri-implant marginal bone stability rates of peri-implantitis cases treated through a combined resective-implantoplasty therapy in a moderate to long-term period. MATERIALS AND METHODS: Records of patients diagnosed with peri-implantitis and treated through the same protocol applying a combined resective-implantoplasty therapy with minimum 2-year follow-up were screened. Eligible patients were contacted and asked to undergo clinical and radiologic examination. Progressive marginal bone loss, bleeding on probing, suppuration, implant mobility, and implant fracture were considered to establish the disease resolution rate and peri-implant bone stability of the treated implants. RESULTS: Twenty-three patients with 32 treated implants fulfilled the inclusion criteria. Over the 2 to 6-year follow-up, (mean time: 3.4 ± 1.5 years), the disease resolution rate was 83% (patient level) and 87% (implant level). Four implants (13%) were lost or removed due to continuous MBL and osseointegration failure. At follow-up, peri-implant marginal bone remained stable with no further bone loss in 87% of the treated implants. BOP was absent in 89.3% (implant level), suppuration was resolved in all cases, and no pain or implant fracture was reported. CONCLUSION: Implantoplasty treated cases showed high disease resolution rate and peri-implant marginal bone stability. This surgical antibiofilm strategy can counteract peri-implantitis progression providing an adequate environment for implant function and longevity over a moderate to long-term period.
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: Andrea Roccuzzo; Sabrina Klossner; Alexandra Stähli; Jean-Claude Imber; Sigrun Eick; Anton Sculean; Giovanni E Salvi Journal: Clin Oral Implants Res Date: 2022-07-10 Impact factor: 5.021
Authors: Maria Elisa Galárraga-Vinueza; Stefan Tangl; Marco Bianchini; Ricardo Magini; Karina Obreja; Reinhard Gruber; Frank Schwarz Journal: Int J Implant Dent Date: 2020-03-25
Authors: Rolf G Winnen; Kristian Kniha; Ali Modabber; Faruk Al-Sibai; Andreas Braun; Reinhold Kneer; Frank Hölzle Journal: Materials (Basel) Date: 2021-12-17 Impact factor: 3.623