A Regenerative Approach to the Successful Treatment of Peri-implantitis: A Consecutive Series of 170 Implants in 100 Patients with 2- to 10-Year Follow-up

Abstract

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Surgical Regenerative Treatments for Peri-Implantitis: Meta-analysis of Recent Findings in a Systematic Literature Review

“…Eight prospective clinical studies [22,23,28,29,34,36,38,39], seven case series [24-27,30,33,35], and three randomized clinical trials (RCTs) [31,32,37] were included for the final review. A total of 528 patients (713 implants) were treated.…”

“…Eight studies included rough surface dental implants [26,29,30,31,32,35,37,39], three studies investigated machined surface implants [23,24,36] and five studies - both rough and machined surface dental implants [22,25,27,28]. The remaining two studies did not reveal implant surface specifications [33,38].…”

“…In nine studies [22,29-33,35,37,38] the distance was measured from the implant shoulder to the first bone contact on dental radiographs with the mean from 3 to 8 mm [29,35]. In three studies [23,24,36] the measurement reference point of the radiologic defect depth was the first thread of the implant.…”

“…In three studies [23,24,36] the measurement reference point of the radiologic defect depth was the first thread of the implant. The mean initial PD was measured clinically in all included studies, ranging from 4.8 to 8.8 mm [22,30]. After applied surgical regenerative treatment, the PD reduction was ranging from 1.1 to 5.4 mm [27,30].…”

Successful Surgical Protocols in the Treatment of Peri-Implantitis

“…26,27,30,[34][35][36]38,39,42,49,50 The authors of the current review have noted that surface access may be a critical factor in accomplishing complete SDC. 64 Moreover, the studies showing the best outcomes for PD reduction (Roos-Jansaker, 30 Deppe et al 43 and Froum et al 27 ) with at least 3 years of follow-up and an initial osseous defect of .4 mm, used bone grafts and/or bone replacement graft layered by a barrier membrane. One study showed similar RBF (1.5 mm and 1.1 mm) using xenograft with and without coverage with a resorbable membrane, respectively.…”