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2016 Jul-Sep; Vol 7, No 3:e13 |
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e13 |
Non-Surgical Therapy for Peri-Implant Diseases: a Systematic Review J Oral Maxillofac Res 2016;7(3):e13 doi:10.5037/jomr.2016.7313 |
Non-Surgical Therapy for Peri-Implant Diseases: a Systematic Review
1Department of Periodontics and Oral Medicine, University of Michigan, Ann Arbor Michigan, USA.
Corresponding Author:
Department of Periodontics and Oral Medicine
University of Michigan School of Dentistry
1011 North University Avenue, Ann Arbor, Michigan 48109-1078
USA
Phone: (734) 763-3383
Fax: (734) 936-0374
E-mail: homlay@umich.edu
ABSTRACT
Objectives: The purpose of this paper was to systematically evaluate the effectiveness of non-surgical therapy for the treatment of peri-implant diseases including both, mucositis and peri-implantitis lesions.
Material and Methods: An electronic search in two different databases was performed including MEDLINE (PubMed) and EMBASE from 2011 to 2016. Human studies reporting non-surgical treatment of peri-implant mucositis and peri-implantitis with more than 10 implants and at least 6 months follow up published in English language were evaluated. A systematic review was performed to evaluate the effectiveness of the different methods of decontamination employed in the included investigations. Risk of bias assessment was elaborated for included investigations.
Results: Twenty-five articles were identified of which 14 were further evaluated and included in the analysis. Due to significant heterogeneity in between included studies, a meta-analysis could not be performed. Instead, a systematic descriptive review was performed. Included investigations reported the used of different methods for implant decontamination, including self-performed cleaning techniques, and professionally delivered treatment such as laser, photodynamic therapy, supra-/sub-mucosal mechanical debridement, and air-abrasive devices. Follow-up periods ranged from 6 to 60 months.
Conclusions: Non-surgical treatment for peri-implant mucositis seems to be effective while modest and not-predictable outcomes are expected for peri-implantitis lesions. Limitations include different peri-implant diseases definitions, treatment approaches, as well as different implant designs/surfaces and defect characteristics.
J Oral Maxillofac Res 2016;7(3):e13
doi: 10.5037/jomr.2016.7313
Accepted for publication: 7 September 2016
Keywords: antibiotic prophylaxis; dental scaling; local anti-infective agents; peri-implantitis.
To cite this article: Non-Surgical Therapy for Peri-Implant Diseases: a Systematic Review J Oral Maxillofac Res 2016;7(3):e13 URL: http://www.ejomr.org/JOMR/archives/2016/3/e13/v7n3e13ht.htm |
Received: 20 July 2016 | Accepted: 7 September 2016 | Published: 9 September 2016
Copyright: © The Author(s). Published by JOMR under CC BY-NC-ND 3.0 licence, 2016.