Adjuvant Effect of Titanium Brushes in Peri-Implant Surgical Treatment: A Systematic Review

Abstract

Background: the prognosis of peri-implant surgery can be affected by poor decontamination of the implant surface, which could be improved with the use of titanium brushes. The objectives of this systematic review were to evaluate the effectiveness of titanium brushes in the decontamination of the implant surface in terms of plaque index, probing depth, bleeding on probing and bone loss/gain; as well as its effectiveness according to the type of peri-implant bone defect. Methods: an electronic search was carried out in the PubMed, Scopus, Cochrane and Embase databases, as well as a manual search. The search strategy included four keywords: “Peri-implantitis”, “Periimplantitis”, “Implant Surface Decontamination” and “Titanium Brush”. Randomized controlled studies published in the last 10 years were included and systematic reviews, in vitro studies and animal studies were excluded. Results: 142 references were found, from which only four articles met the inclusion criteria. All of the studies included in the present review reported beneficial results in terms of probing depth, gingival index and radiographic bone loss and gain after implant surface decontamination adjuvated by titanium brushes. Conclusions: titanium rotary brushes show improvements in the evolution and prognosis of peri-implant surgery, although more long-term studies are needed to draw more solid conclusions.

Effectiveness of mechanical and chemical decontamination methods for the treatment of dental implant surfaces affected by peri‐implantitis: A systematic review and meta‐analysis

“…The use of a titanium brush was tested by Karimi et al (Karimi et al, 2021 ) and shown to be an effective mechanical means to disrupt and remove biofilm from the implant surface. Other studies have found titanium brushes to be a useful method for removing mineralized deposits from the implant surfaces, although there is some concern over alterations of the implant surface (Gonzalez et al, 2021 ; Louropoulou et al, 2014 ; Sanz‐Martin et al, 2021 ). In clinical studies, the use of titanium brushes shows promising results, producing significant clinical improvement when they are incorporated into peri‐implantitis therapy (Jepsen et al, 2016 ; Roccuzzo et al, 2016 ).…”

Reconstructive Peri-Implantitis Therapy by Using Bovine Bone Substitute with or without Hyaluronic Acid: A Randomized Clinical Controlled Pilot Study

“…In the present study, for implant surface decontamination, titanium brushes and PDT were utilized. Interestingly, both methods do not alter the implant surface [ 47 , 48 ], which accomplishes PPD reduction, BOP decrease, and MB gain [ 6 , 48 , 49 , 50 ], thus creating supportive conditions for re-osseointegration. In line with our results, a recent study noted approximately 3 mm of PPD reduction and 2.4 mm of MB gain at six months postoperatively by using titanium brushes for implant surface decontamination following the reconstructive PI-B defect procedure [ 49 ].…”

Absence of Progressive Bone Loss Following Peri-Implantitis Surgical Therapy with Implantoplasty: A Case Series

“…Complementary techniques for disrupting the biofilm must therefore be used [22]. Among these techniques, rotating titanium brushes show improvements in the elimination of the biofilm in hard-to-reach areas, with significant results in terms of reducing the depth [23,24].…”