Related Articles

Nonsurgical Treatment of Peri-implantitis Without Eliminating Granulation Tissue: A 3-Year Study.

Implant Dent. 2018 Oct 19;:

Authors: Crespi R, Marconcini S, Crespi G, Giammarinaro E, Menchini Fabris GB, Barone A, Covani U

Abstract
OBJECTIVES: The purpose of this study was to evaluate a nonsurgical approach toward peri-implantitis by means of mechanical debridement and local detoxification leaving granulation tissue into the peri-implant pockets.
MATERIALS AND METHODS: An analysis was performed on the outcomes of 2 nonsurgical protocols: mechanical debridement plus chemical detoxification with 0.2% chlorhexidine and chlortetracycline hydrochloride (test), and mechanical debridement alone (control). Measures were collected at baseline, 3, 24, and 36 months after treatment.
RESULTS: Seventy-five implants with peri-implantitis were included. At a 36-month evaluation, mean pocket probing depth was 3.15 ± 0.32 mm for the test group and 5.97 ± 0.90 mm for the control group, the difference being significant. An improvement of marginal bone level was recorded for the test group, whether the control group showed a further marginal bone loss. Treatment success was 100% in the test group and 31.4% in the control group.
CONCLUSION: Nonsurgical implant debridement alone seemed not efficient in the treatment of peri-implantitis. Further longitudinal studies are required to evaluate the efficacy of mechanical debridement with chemical detoxification and removal of granulation tissues against mechanical debridement with chemical detoxification alone.

PMID: 30363048 [PubMed – as supplied by publisher]

, , , , https://www.ncbi.nlm.nih.gov/pubmed/30363048?dopt=Abstract, https://eutils.ncbi.nlm.nih.gov/entrez/eutils/erss.cgi?rss_guid=1T1hTO9Bp3LWOp_6eJ_pZJ6tHN3wivSChLuYwfdhqY5dK-OgTe, pubmed: istituto_stomatologi…,

NCBI: db=pubmed; Term=covani

, https://www.ncbi.nlm.nih.gov/entrez/query/static/gifs/iconsml.gif, PubMed, 14845, 28 ottobre 2018, 6:01