Clinical Response to 2 Different Therapeutic Regimens to Treat Peri‐Implant Mucositis

Porras, Roberto; Anderson, Gissela B.; Caffesse, Raúl G.; Narendran, Siddharth; Trejo, Pedro M.

doi:10.1902/jop.2002.73.10.1118

Cited by 140 publications

(202 citation statements)

References 11 publications

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“…8 A broad variety of different antimicrobial treatment modalities such as surgical and non-surgical approaches, chemical and mechanical decontamination, laser treatment or therapies with antiseptics or antibiotics have been proposed to achieve this goal. [9][10][11][12][13] Unfortunately, pre-vention of bacterial colonization on the micro structured dental implant surface seems to be impossible. Bacterial colonization occurs rapidly on oral implant surfaces, after installation in oral cavity.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of Antimicrobial Photodynamic Therapy as an Adjunctive to Mechanical Debridement in the Treatment of Peri-implant Diseases: A Randomized Controlled Clinical Trial

Karimi¹,

Hasani²,

Khosroshahian

2016

J Lasers Med Sci

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Introduction:The purpose of the present study was to assess the clinical effects of antimicrobial photodynamic therapy (PDT) after closed surface scaling in the treatment of peri-implant diseases. Methods: Ten patients with a total of 15 pairs of dental implants, showing clinical and radiographic signs of peri-implant diseases, were included in this study. In each patient, one implant randomly served as control implant and the other served as test implant. The control implants were treated with closed surface scaling only and the test implants received additionally PDT, using light with a wavelength of 630 nm and intensity of 2000 mw/cm 2 for 120 seconds after application of photosensitizer in peri-implant sulcus. Clinical parameters were evaluated before and 1.5 and 3 months after treatment. Results: Statistical analysis showed significant differences in probing pocket depth (PPD), clinical attachment loss (CAL), bleeding on probing (BOP), and gingival index (GI) at each time point between the two groups. There were no statistically significant changes with respect to any of the parameters in the control group. Complete resolution of BOP at 3 months was achieved in 100% of test implants. At 1.5 and 3 months, there were significant differences in the mean probing depth and CAL gain measurements at implants in the test group. Conclusion: The present study revealed that adjunctive use of PDT following closed surface scaling could lead to clinical improvement of peri-implant diseases. Further studies are necessary to confirm our results. Keywords: clinical trial; dental implant; mechanical debridement; peri-implantitis; photodynamic therapy Please cite this article as follows: Karimi MR, Hasani A, Khosroshahian S. Efficacy of antimicrobial photodynamic therapy as an adjunctive to mechanical debridement in the treatment of peri-implant diseases: a randomized controlled clinical trial.

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Section: Introductionmentioning

confidence: 99%

Efficacy of Antimicrobial Photodynamic Therapy as an Adjunctive to Mechanical Debridement in the Treatment of Peri-implant Diseases: A Randomized Controlled Clinical Trial

Karimi¹,

Hasani²,

Khosroshahian

2016

J Lasers Med Sci

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“…While dental implant treatment offers a high success rate, it is not without complications (1,2). The complications associated with implant placement can be classified on a chronological basis: a) early complications, resulting from surgical trauma, inadequate bone volume, a lack of primary stability, intrabony infection or bacterial contamination of the receptor zone; and b) late complications, related to microbiological (peri-implantitis) and biomechanical changes (occlusal overload) (3).…”

Section: Introductionmentioning

confidence: 99%

Peri-implantitis: Associated microbiota and treatment

Ata-Ali

Candel-Marti²,

Flichy-Fernández³

et al. 2011

Med Oral

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Introduction: Peri-implantitis is a late complication of dental implant treatment, induced by microbiological changes. Since the disorder is frequent, a review is indicated of the microorganisms that influence it and of the existing treatment options. Objective: To conduct a literature review of the microbiota associated to peri-implantitis and the existing treatment options. Material and Method: A PubMed literature search was made of the studies on the microbiota associated to dental implants in healthy patients and patients with peri-implantitis, as well as of the latest treatment developments, using the following key words: "peri-implantitis AND microbiota", "periimplantitis AND microbiota", "periimplantitis AND treatment", and "periimplantitis AND treatment". Only clinical studies in humans were considered. The following criteria were applied for including articles in the analysis: a) for the peri-implant microbiota, the search limits were human studies after the year 2000; and b) for the treatment of peri-implantitis, the search limits were randomized and controlled clinical trials (RCTs) in humans, with a minimum follow-up of 4 months, and publication after the year 2000. Results: A total of 18 articles were selected in relation to peri-implant microbiota, and 13 in relation to the treatment of peri-implantitis (8 involving nonsurgical mechanical treatments and 5 surgical procedures). Conclusions: Evaluation of the literature has shown the microbiota associated to peri-implantitis to be more complex than that found under healthy peri-implant conditions -the main flora consisting of anaerobic gramnegative bacteria. No clear criteria have been identified for the diagnosis and treatment of peri-implantitis.

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“…(40) peri-implant mukozitisli implantlara sahip 29 hastada yaptıkları çalışmada, mekanik tedaviye ek olarak %0,5'lik klorheksidin jelin 4 haftalık kullanımının tek başına mekanik tedaviye bir üstünlüğü olmadığı sonucuna varmışlardır. Öte yandan klorheksidinin farklı oran ve sıklıkta kullanımı, peri-implant mukozitis tedavisinde farklı sonuçlara yol açmaktadır (Resim 4) (15,39,41).…”

Section: Antimikrobiyal Tedaviunclassified

Peri-implant Tissues and Diseases

Elemek¹,

Ağralı²,

Yıldırım³

et al. 2017

Clin Exp Health Sci

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GİRİŞDental implant fonksiyon, tedavi veya estetik sebeplerle ağız içerisinde mukoza altına, periost tabakasına veya kemiğe cerrahi olarak yerleştirilen ve dişin kökünün yerine geçen titanyum esaslı bir materyaldir. Günümüzde eksik dişlerin tedavisinde dental implantların kullanımı giderek yaygınlaşmaktadır. Ağız içerisine yerleştirilen ve diş kökünün yerine geçen dental implantlar üretildikleri biyomateryaller ile makro ve mikro yüzey özellikleri açısından farklılıklar göstermektedir (1). Günümüzde en sık titanyum kemik içi implantların kullanımı tercih edilmektedir. Doğru cerrahi teknik ve tedavi prosedürü uygulandığı takdirde dental implantların klinik başarısı öngörülebilir düzeydedir (2). İmplantla-rın yerleştirilmesini takiben doğrudan kemik ile bağlantısını ifade eden osseoentegrasyon süreci kadar, peri-implant dokuların sağlığının korunması da implant başarısında büyük önem taşımaktadır. Bir implantın başarısı, onu çevreleyen yumuşak dokunun sağlığına ve bu sağlığın idamesine bağlıdır.İmplantı çevreleyen yumuşak doku, peri-implant mukoza olarak tanımlanmaktadır (Resim 1a). İmplantın cerrahi olarak yerleştirilmesini takiben yumuşak dokuda yara iyileşmesi başlar. Hayvan çalışmalarının histolojik bulgularına göre, implant etrafındaki yumuşak doku bağlantısı 1,5-2 mm epitelyal ataşmandan, 1-1,5 mm bağ dokusu ataşmanından oluşmaktadır (3). ÖzPeri-implant hastalık, implantın kemik ile başarılı bir şekilde osseoentegrasyonunu takiben bakteriler ile konak cevabı arasındaki dengenin bozulması sonucu oluşur. Peri-implant hastalıklardan biri olan peri-implant mukozitis, iltihabi reaksiyonların sadece mukozada olduğu durumlarda görülürken, peri-implantitis peri-implant mukozadaki iltihaba kemik kaybının eşlik ettiği durumda görülür. Peri-implant hastalıkların teşhisinde klinik değer-lendirmede sondalama derinliği, sondalamada kanama ve süpürasyon göz önüne alınır. Buna ilave olarak radyografik değerlendirmede destek kemik seviyeleri incelenir. Peri-implant hastalıkların gelişmesinde sigara, kötü ağız hijyeni, periodontal hastalık geçmişi, diyabet mellitus, kardiyovasküler hastalıklar ve implant yüzey özellikleri birer risk faktörü olarak kabul edilmektedir. Peri-implant mukozitisin tedavisinde mekanik tedavi ile birlikte antimikrobiyal tedavi uygulanırken, peri-implantitis olgularında bu yöntemler yeterli sonuç vermemektedir. Peri-implantitisin tedavisinde mekanik iş-lemlere ilave, rezektif ve/veya rejeneratif cerrahi ile periodontal tedaviler uygulanmaktadır. Diş hekimlerinin peri-implant hastalıkların oluşması ve mevcut bir hastalığın ilerlemesini önlemeye yönelik bilgilerinin arttırılması gerekmektedir. Bununla birlikte hastaların da destekleyici periodontal/peri-implant tedavi kapsamında düzenli diş hekimi kontrollerine gitmeleri ve ağız hijyen seviyelerini maksimum düzeyde idame etmeleri sağlanmalıdır. Anahtar kelimeler: Peri-implant mukozitis, peri-implantitis, peri-implant risk faktörleri, peri-implant tedavi AbstractPeri-implant diseases occur due to imbalance between host response and biofilm after successf...

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Clinical Response to 2 Different Therapeutic Regimens to Treat Peri‐Implant Mucositis

Cited by 140 publications

References 11 publications

Efficacy of Antimicrobial Photodynamic Therapy as an Adjunctive to Mechanical Debridement in the Treatment of Peri-implant Diseases: A Randomized Controlled Clinical Trial

Efficacy of Antimicrobial Photodynamic Therapy as an Adjunctive to Mechanical Debridement in the Treatment of Peri-implant Diseases: A Randomized Controlled Clinical Trial

Peri-implantitis: Associated microbiota and treatment

Peri-implant Tissues and Diseases

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