Publication:
Efficacy of mechanical/physical approaches for implant surface decontamination in nonsurgical submarginal instrumentation of peri-implantitis. A systematic review.

cris.virtual.author-orcid0000-0002-8079-0860
cris.virtualsource.author-orcidccbe3e28-8f39-47a0-82e0-675235ec921a
cris.virtualsource.author-orcidddeb752c-6f59-466e-a26d-7e9b0a6d84d4
cris.virtualsource.author-orcidaad292db-63a9-47c5-a5ab-a414b85bcd7e
datacite.rightsopen.access
dc.contributor.authorCosgarea, R
dc.contributor.authorRoccuzzo, Andrea
dc.contributor.authorJepsen, K
dc.contributor.authorSculean, Anton
dc.contributor.authorJepsen, S
dc.contributor.authorSalvi, Giovanni Edoardo
dc.date.accessioned2024-10-14T22:52:41Z
dc.date.available2024-10-14T22:52:41Z
dc.date.issued2023-06
dc.description.abstractAIM To evaluate the efficacy of non-surgical submarginal peri-implant instrumentation with mechanical/physical decontamination, compared to non-surgical submarginal instrumentation alone/with placebo decontamination, in patients with peri-implantitis. MATERIALS AND METHODS Three focused questions were addressed and a systematic search for randomized controlled clinical trials (RCTs), controlled clinical trials and prospective cohort studies with definitions of peri-implantitis and a minimal follow-up of 6 months was conducted. The main outcome variables were reduction in pocket probing depth (PD) and bleeding on probing (BOP). Suppuration on probing, marginal peri-implant bone level changes, patient related outcomes and adverse events, implant survival, treatment success and disease resolution were assessed as secondary outcomes. RESULTS Out of 2398 findings, full-text articles were assessed for eligibility and nine (n=9 RCTs) were included in the present review. Five studies evaluated the effects of various laser types and in four studies efficacy of air-abrasive mechanisms and of a novel ultrasonic device was determined. At 6 months, PD reductions were observed in 9 studies but only Er,Cr:YSGG laser showed statistically significant higher reductions compared to the control group. BOP was statistically significantly reduced at 6 months in 2 studies following application of Er:YAG laser compared to controls. One study reported statistically significant reduction in BOP following application of air-polishing device as compared to control treatment. No statistically significant differences between treatment groups were reported for the secondary outcome variables. Due to the large heterogeneity of study designs, no meta-analysis was performed. CONCLUSION Available evidence on efficacy of non-surgical submarginal peri-implant instrumentation with mechanical/physical decontamination is limited by a low number of controlled studies and a high heterogeneity of study protocols. Clinical and patient-reported benefits remain to be demonstrated.
dc.description.numberOfPages24
dc.description.sponsorshipZahnmedizinische Kliniken (ZMK) - Klinik für Parodontologie
dc.identifier.doi10.48350/176424
dc.identifier.pmid36550060
dc.identifier.publisherDOI10.1111/jcpe.13762
dc.identifier.urihttps://boris-portal.unibe.ch/handle/20.500.12422/116552
dc.language.isoen
dc.publisherWiley
dc.relation.ispartofJournal of clinical periodontology
dc.relation.issn1600-051X
dc.relation.organizationDCD5A442B9BDE17DE0405C82790C4DE2
dc.subjectair polishing laser non-surgical therapy peri-implant diseases peri-implantitis submarginal instrumentation
dc.subject.ddc600 - Technology::610 - Medicine & health
dc.titleEfficacy of mechanical/physical approaches for implant surface decontamination in nonsurgical submarginal instrumentation of peri-implantitis. A systematic review.
dc.typearticle
dspace.entity.typePublication
dspace.file.typetext
oaire.citation.endPage211
oaire.citation.startPage188
oaire.citation.volume50 Suppl 26
oairecerif.author.affiliationZahnmedizinische Kliniken (ZMK) - Klinik für Parodontologie
oairecerif.author.affiliationZahnmedizinische Kliniken (ZMK) - Klinik für Parodontologie
oairecerif.author.affiliationZahnmedizinische Kliniken (ZMK) - Klinik für Parodontologie
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unibe.date.embargoChanged2023-12-23 23:25:04
unibe.date.licenseChanged2023-01-06 13:04:32
unibe.description.ispublishedpub
unibe.eprints.legacyId176424
unibe.refereedtrue
unibe.subtype.articlereview

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