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Non-surgical therapeutic outcomes of peri-implantitis: 12-month results

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Abstract

Objectives

To assess the clinical and radiographic outcomes of implants treated by means of non-surgical debridement with systemic antibiotic therapy.

Materials and methods

A prospective case series study evaluating the 12-month clinical and radiographic outcomes of peri-implantitis lesions treated with ultrasonic scaler debridement, a glycine air abrasive, and metronidazole followed by supportive maintenance. Clinical and radiographic variables and success criteria were defined a priori.

Results

Overall, 21 patients were included. One implant failed during the study period (implant survival rate 95.24%). Substantial changes occurred at 12 months in all the clinical and radiographic variables, reaching strong statistical significance in the majority of them. According to the success criteria applied, 40.90% of the peri-implantitis were arrested and resolved, while 59.1% presented with at least one probed site with bleeding on probing (BoP). Moreover, 95.45% exhibited peri-implant pocket depth (PPD) < 5 mm at the end of the study. None of the implants presented with progressive bone loss.

Conclusion

Non-surgical therapy of peri-implantitis is effective to arrest progressive bone loss, reduce PPD and suppuration, and achieve radiographic bone fill in the majority of cases. Nevertheless, it failed to be completely efficacious in the achievement of successful therapeutic outcomes as BoP remained frequently present.

Clinical relevance

Non-surgical therapy achieved significant clinical and radiological improvements.

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Funding

The present investigation was a self-funded investigation by the Department of Periodontology of the Universitat Internacional de Catalunya.

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Authors and Affiliations

  1. Department of Periodontology, School of Dentistry, Universitat Internacional de Catalunya, C/ Josep Trueta s/n, 08195, Sant Cugat del Vallès, Barcelona, Spain

    José Nart, Ramón Pons, Cristina Valles, Ignacio Sanz-Martín & Alberto Monje

  2. Private Practice, Clinica Esmatges, Lleida, Cataluña, Spain

    Alejandro Esmatges

Authors
  1. José Nart
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  2. Ramón Pons
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  3. Cristina Valles
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  4. Alejandro Esmatges
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  5. Ignacio Sanz-Martín
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  6. Alberto Monje
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Corresponding author

Correspondence to José Nart.

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Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

This case series study was performed in accordance with the Universitat Internacional de Catalunya Ethical Committee (PERECL201802) and Helsinki Declaration.

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All patients read and signed an appropriate informed consent document prior to participation in the study.

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Nart, J., Pons, R., Valles, C. et al. Non-surgical therapeutic outcomes of peri-implantitis: 12-month results. Clin Oral Invest 24, 675–682 (2020). https://doi.org/10.1007/s00784-019-02943-8

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  • DOI: https://doi.org/10.1007/s00784-019-02943-8

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