Efficacy of alternative or adjunctive measures to conventional non-surgical and surgical treatment of peri-implant mucositis and peri-implantitis: a systematic review and meta-analysis

Abstract Purpose To evaluate the efficacy of alternative or adjunctive measures to conventional non-surgical or surgical treatment of peri-implant mucositis and peri-implantitis. Material and methods Prospective randomized and nonrandomized controlled studies comparing alternative or adjunctive meas...

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Autores principales:	Ausra Ramanauskaite, Tobias Fretwurst, Frank Schwarz
Formato:	article
Lenguaje:	EN
Publicado:	SpringerOpen 2021
Materias:	Systematic review Peri-implant disease Treatment Dental implant Medicine R Dentistry RK1-715
Acceso en línea:	https://doaj.org/article/c6be1569b28d410c9d07deae2381c130
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spelling	oai:doaj.org-article:c6be1569b28d410c9d07deae2381c1302021-11-21T12:27:28ZEfficacy of alternative or adjunctive measures to conventional non-surgical and surgical treatment of peri-implant mucositis and peri-implantitis: a systematic review and meta-analysis10.1186/s40729-021-00388-x2198-4034https://doaj.org/article/c6be1569b28d410c9d07deae2381c1302021-11-01T00:00:00Zhttps://doi.org/10.1186/s40729-021-00388-xhttps://doaj.org/toc/2198-4034Abstract Purpose To evaluate the efficacy of alternative or adjunctive measures to conventional non-surgical or surgical treatment of peri-implant mucositis and peri-implantitis. Material and methods Prospective randomized and nonrandomized controlled studies comparing alternative or adjunctive measures, and reporting on changes in bleeding scores (i.e., bleed0ing index (BI) or bleeding on probing (BOP)), probing depth (PD) values or suppuration (SUPP) were searched. Results Peri-implant mucositis: adjunctive use of local antiseptics lead to greater PD reduction (weighted mean difference (WMD) = − 0.23 mm; p = 0.03, respectively), whereas changes in BOP were comparable (WMD = − 5.30%; p = 0.29). Non-surgical treatment of peri-implantitis: alternative measures for biofilm removal and systemic antibiotics yielded higher BOP reduction (WMD = − 28.09%; p = 0.01 and WMD = − 17.35%; p = 0.01, respectively). Surgical non-reconstructive peri-implantitis treatment: WMD in PD amounted to − 1.11 mm favoring adjunctive implantoplasty (p = 0.02). Adjunctive reconstructive measures lead to significantly higher radiographic bone defect fill/reduction (WMD = 56.46%; p = 0.01 and WMD = − 1.47 mm; p = 0.01), PD (− 0.51 mm; p = 0.01) and lower soft-tissue recession (WMD = − 0.63 mm; p = 0.01), while changes in BOP were not significant (WMD = − 11.11%; p = 0.11). Conclusions Alternative and adjunctive measures provided no beneficial effect in resolving peri-implant mucositis, while alternative measures were superior in reducing BOP values following non-surgical treatment of peri-implantitis. Adjunctive reconstructive measures were beneficial regarding radiographic bone-defect fill/reduction, PD reduction and lower soft-tissue recession, although they did not improve the resolution of mucosal inflammation.Ausra RamanauskaiteTobias FretwurstFrank SchwarzSpringerOpenarticleSystematic reviewPeri-implant diseaseTreatmentDental implantMedicineRDentistryRK1-715ENInternational Journal of Implant Dentistry, Vol 7, Iss 1, Pp 1-61 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Systematic review Peri-implant disease Treatment Dental implant Medicine R Dentistry RK1-715
spellingShingle	Systematic review Peri-implant disease Treatment Dental implant Medicine R Dentistry RK1-715 Ausra Ramanauskaite Tobias Fretwurst Frank Schwarz Efficacy of alternative or adjunctive measures to conventional non-surgical and surgical treatment of peri-implant mucositis and peri-implantitis: a systematic review and meta-analysis
description	Abstract Purpose To evaluate the efficacy of alternative or adjunctive measures to conventional non-surgical or surgical treatment of peri-implant mucositis and peri-implantitis. Material and methods Prospective randomized and nonrandomized controlled studies comparing alternative or adjunctive measures, and reporting on changes in bleeding scores (i.e., bleed0ing index (BI) or bleeding on probing (BOP)), probing depth (PD) values or suppuration (SUPP) were searched. Results Peri-implant mucositis: adjunctive use of local antiseptics lead to greater PD reduction (weighted mean difference (WMD) = − 0.23 mm; p = 0.03, respectively), whereas changes in BOP were comparable (WMD = − 5.30%; p = 0.29). Non-surgical treatment of peri-implantitis: alternative measures for biofilm removal and systemic antibiotics yielded higher BOP reduction (WMD = − 28.09%; p = 0.01 and WMD = − 17.35%; p = 0.01, respectively). Surgical non-reconstructive peri-implantitis treatment: WMD in PD amounted to − 1.11 mm favoring adjunctive implantoplasty (p = 0.02). Adjunctive reconstructive measures lead to significantly higher radiographic bone defect fill/reduction (WMD = 56.46%; p = 0.01 and WMD = − 1.47 mm; p = 0.01), PD (− 0.51 mm; p = 0.01) and lower soft-tissue recession (WMD = − 0.63 mm; p = 0.01), while changes in BOP were not significant (WMD = − 11.11%; p = 0.11). Conclusions Alternative and adjunctive measures provided no beneficial effect in resolving peri-implant mucositis, while alternative measures were superior in reducing BOP values following non-surgical treatment of peri-implantitis. Adjunctive reconstructive measures were beneficial regarding radiographic bone-defect fill/reduction, PD reduction and lower soft-tissue recession, although they did not improve the resolution of mucosal inflammation.
format	article
author	Ausra Ramanauskaite Tobias Fretwurst Frank Schwarz
author_facet	Ausra Ramanauskaite Tobias Fretwurst Frank Schwarz
author_sort	Ausra Ramanauskaite
title	Efficacy of alternative or adjunctive measures to conventional non-surgical and surgical treatment of peri-implant mucositis and peri-implantitis: a systematic review and meta-analysis
title_short	Efficacy of alternative or adjunctive measures to conventional non-surgical and surgical treatment of peri-implant mucositis and peri-implantitis: a systematic review and meta-analysis
title_full	Efficacy of alternative or adjunctive measures to conventional non-surgical and surgical treatment of peri-implant mucositis and peri-implantitis: a systematic review and meta-analysis
title_fullStr	Efficacy of alternative or adjunctive measures to conventional non-surgical and surgical treatment of peri-implant mucositis and peri-implantitis: a systematic review and meta-analysis
title_full_unstemmed	Efficacy of alternative or adjunctive measures to conventional non-surgical and surgical treatment of peri-implant mucositis and peri-implantitis: a systematic review and meta-analysis
title_sort	efficacy of alternative or adjunctive measures to conventional non-surgical and surgical treatment of peri-implant mucositis and peri-implantitis: a systematic review and meta-analysis
publisher	SpringerOpen
publishDate	2021
url	https://doaj.org/article/c6be1569b28d410c9d07deae2381c130
work_keys_str_mv	AT ausraramanauskaite efficacyofalternativeoradjunctivemeasurestoconventionalnonsurgicalandsurgicaltreatmentofperiimplantmucositisandperiimplantitisasystematicreviewandmetaanalysis AT tobiasfretwurst efficacyofalternativeoradjunctivemeasurestoconventionalnonsurgicalandsurgicaltreatmentofperiimplantmucositisandperiimplantitisasystematicreviewandmetaanalysis AT frankschwarz efficacyofalternativeoradjunctivemeasurestoconventionalnonsurgicalandsurgicaltreatmentofperiimplantmucositisandperiimplantitisasystematicreviewandmetaanalysis
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Efficacy of alternative or adjunctive measures to conventional non-surgical and surgical treatment of peri-implant mucositis and peri-implantitis: a systematic review and meta-analysis

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