BACKGROUND: Peri-implantitis is a frequent disease that may lead to implant loss. The aim of this case series was to evaluate the clinical results of a new non-surgical treatment protocol.METHODS: Fifteen patients with dental implants affected by peri-implantitis were treated with a multiple anti-infective non-surgical treatment (MAINST) which included two steps: 1) supra-gingival decontamination of the lesion and subgingival treatment with a controlled-release topical doxycycline; 2) after one week, a session of supra and sub gingival air polishing with Erythritol powder and ultrasonic debridement (where calculus was present) of the whole oral cavity was performed along with a second application of topical doxycycline around the infected implant. Primary outcome measures were: implant failure; complications and adverse events; recurrence of peri-implantitis; secondary outcome measure were presence of Plaque (PI), Bleeding on Probing (BOP), Probing Pocket Depth (PPD). Recession (REC), Relative Attachment level (RAL).RESULTS: Neither implant failure nor complications nor adverse events were reported. Statistically (P<0.01) and clinically significant reductions between baseline and 1 year of PI (100% vs. 13.9%, 95% CI: 72.4% to 93.7%); BOP (98.5% vs. 4.5%, 95% CI: 85.4% to 98.5%) and PPD (7.89 vs. 3.16 mm, 95% CI: -5.67 to -3.77), were detected. At baseline, all 15 patients had a PPD>5 mm at the affected implant(s), whereas only 3.7% at 3-month follow-up a PPD>5 mm, and none at 6 and 12 months.CONCLUSIONS: Within the limits of this study, the MAINST protocol showed improvement of clinical parameters for the treatment of peri-implantitis, which were maintained for up to 12 months.

A new multiple anti-infective non-surgical therapy in the treatment of peri-implantitis: a case series / Mensi, Magda; Scotti, Eleonora; Calza, Stefano; Pilloni, Andrea; Grusovin, Maria G; Mongardini, Claudio. - In: MINERVA STOMATOLOGICA. - ISSN 0026-4970. - 66:6(2017), pp. 255-266. [10.23736/S0026-4970.17.04054-7]

A new multiple anti-infective non-surgical therapy in the treatment of peri-implantitis: a case series

Pilloni, Andrea;Mongardini, Claudio
Ultimo
2017

Abstract

BACKGROUND: Peri-implantitis is a frequent disease that may lead to implant loss. The aim of this case series was to evaluate the clinical results of a new non-surgical treatment protocol.METHODS: Fifteen patients with dental implants affected by peri-implantitis were treated with a multiple anti-infective non-surgical treatment (MAINST) which included two steps: 1) supra-gingival decontamination of the lesion and subgingival treatment with a controlled-release topical doxycycline; 2) after one week, a session of supra and sub gingival air polishing with Erythritol powder and ultrasonic debridement (where calculus was present) of the whole oral cavity was performed along with a second application of topical doxycycline around the infected implant. Primary outcome measures were: implant failure; complications and adverse events; recurrence of peri-implantitis; secondary outcome measure were presence of Plaque (PI), Bleeding on Probing (BOP), Probing Pocket Depth (PPD). Recession (REC), Relative Attachment level (RAL).RESULTS: Neither implant failure nor complications nor adverse events were reported. Statistically (P<0.01) and clinically significant reductions between baseline and 1 year of PI (100% vs. 13.9%, 95% CI: 72.4% to 93.7%); BOP (98.5% vs. 4.5%, 95% CI: 85.4% to 98.5%) and PPD (7.89 vs. 3.16 mm, 95% CI: -5.67 to -3.77), were detected. At baseline, all 15 patients had a PPD>5 mm at the affected implant(s), whereas only 3.7% at 3-month follow-up a PPD>5 mm, and none at 6 and 12 months.CONCLUSIONS: Within the limits of this study, the MAINST protocol showed improvement of clinical parameters for the treatment of peri-implantitis, which were maintained for up to 12 months.
2017
oral implants; anti-bacterial agents; biofilms; professional practice; peri-implantitis; administration, topical; adult; anti-infective agents; chlorhexidine; clinical protocols; combined modality therapy; dental implantation, endosseous; dental plaque index; dental polishing; dental restoration failure; dental scaling; doxycycline; erythritol; female; gingiva; gingival pocket; gingival recession; humans; male; middle aged; mouthwashes; peri-implantitis; periodontal debridement; periodontal index; powders
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A new multiple anti-infective non-surgical therapy in the treatment of peri-implantitis: a case series / Mensi, Magda; Scotti, Eleonora; Calza, Stefano; Pilloni, Andrea; Grusovin, Maria G; Mongardini, Claudio. - In: MINERVA STOMATOLOGICA. - ISSN 0026-4970. - 66:6(2017), pp. 255-266. [10.23736/S0026-4970.17.04054-7]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1419617
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