Glycine air-polishing versus curette debridement for the treatment of peri-implant mucositis: A systematic review and meta-analysis

Boeira, Peterson Oliveira; Santos, Cinthia S Dos; Kinalski, Mateus de Azevedo; Brondani, Lucas Pradebon; Pereira‐Cenci, Tatiana; Lima, Giana da Silveira

doi:10.1016/j.dentre.2021.100003

Cited by 2 publications

(8 citation statements)

References 44 publications

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“…Schwarz et al [7] and Ramanauskaite et al [41] reported that APWJT as a standalone therapy leads to comparable clinical results. Boeira et al [39] even reported higher PPD reduction by APWJT after 6 months, as a meta-analysis of two included studies showed. While Boeira et al [39] included three studies reporting on APWJT as a standalone, Schwarz et al [7] and Ramanauskaite et al [41] included only one, which was not used by Boeira et al [39] (Table 4).…”

Section: Discussionmentioning

confidence: 93%

“…Four systematic reviews analyzed the use of APWJT during active peri-implant therapy [7,39,41,45]. All of the included studies used glycine as an air polishing powder.…”

Section: Active Peri-implant Mucositis/peri-implantitis Therapymentioning

confidence: 99%

“…When APWJT was used as an alternative to conventional methods in the treatment of peri-implant mucositis, it was concluded that both treatment methods resulted in comparable clinical outcomes [7,39,41]. Just one study performed a meta-analysis that resulted in contradictory results, showing an additional benefit of APWJT regarding PPD reduction in the treatment of peri-implant mucositis [39].…”

Section: Active Peri-implant Mucositismentioning

confidence: 99%

“…APWJT used as an adjunct in the treatment of peri-implant mucositis was investigated in three reviews [7,39,41]. All of them reported from the same two clinical studies [46,47].…”

Section: Active Peri-implant Mucositismentioning

confidence: 99%

“…Toma et al compared OFD with APWJT to OFD alone during surgery, which resulted in greater PPD reductions [49] (Table 4). Furthermore, no adverse events (emphysema or allergic reactions) were reported in the reviews investigating the use of APWJT in non-surgical treatments [7,39].…”

Section: Active Peri-implantitis Therapymentioning

confidence: 99%

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An Umbrella Review on Low-Abrasive Air Powder Water Jet Technology in Periodontitis and Peri-Implantitis Patients

et al. 2022

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This umbrella review was conducted to assess the existing literature and scientific evidence on air powder water jet technology (APWJT) in periodontal and peri-implantitis therapy. A systematic literature search for systematic reviews and meta-analyses of the last decade on the use of APWJT in periodontitis and implant patients was performed in the databases of MEDLINE/Ovid, Embase, Cochrane library and Scopus. An additional hand search on PubMed and Google Scholar was conducted. Ten articles that fit the inclusion criteria were selected after the full-text screening. Two systematic reviews, including one with a meta-analysis, investigated the use of APWJT in active periodontal therapy. The use of APWJT as an adjunct to conventional scaling and root planing (SRP) in active periodontal treatment showed improved results in the test group. Six articles, including two with a meta-analysis, reported on the use of APWJT as a stand-alone therapy or as an adjunct in supportive periodontal therapy. Similarly significant improved results were reported for the use of APWJT. Regarding the active treatment of peri-implant mucositis and peri-implantitis, four systematic reviews could not show an improved clinical outcome when APWJT was used as an adjunct to conventional treatment measures. Furthermore, one article investigated APWJT as a stand-alone therapy or as an adjunct in supportive peri-implant mucositis and peri-implantitis therapy. In systematic reviews that also investigated patient perception, APWJT was generally well-tolerated by the patient. Within the limitations of this umbrella review, it can be concluded that the use of APWJT with low-abrasive powders such as glycine, erythritol or trehalose as an adjunct in active periodontitis therapy shows similar clinical results compared to conventional SRP alone. In surgical peri-implantitis treatment, APWJT can be used adjunctively. It could be considered that the use of APWJT in supportive periodontal treatment results in a comparable clinical outcome and an enhanced patient perception, as well as a shorter clinical time.

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Section: Discussionmentioning

confidence: 93%

“…Four systematic reviews analyzed the use of APWJT during active peri-implant therapy [7,39,41,45]. All of the included studies used glycine as an air polishing powder.…”

Section: Active Peri-implant Mucositis/peri-implantitis Therapymentioning

confidence: 99%

Section: Active Peri-implant Mucositismentioning

confidence: 99%

“…APWJT used as an adjunct in the treatment of peri-implant mucositis was investigated in three reviews [7,39,41]. All of them reported from the same two clinical studies [46,47].…”

Section: Active Peri-implant Mucositismentioning

confidence: 99%

Section: Active Peri-implantitis Therapymentioning

confidence: 99%

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An Umbrella Review on Low-Abrasive Air Powder Water Jet Technology in Periodontitis and Peri-Implantitis Patients

et al. 2022

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Impact of Glycine Powder Air‐Abrasive Debridement on Peri‐Implant Mucositis: A Randomized Control Trial of Clinical, Microbial, and Immunological Changes

Partido,

Saraswat,

Kumar

2024

Clinical Oral Implants Res

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AimPeri‐implant mucositis, a dysbiosis‐driven inflammatory disease, is a precursor to peri‐implantitis, underscoring the need for early disease management. Therefore, we investigated the efficacy of glycine powder in resolving clinical inflammation and restoring host‐microbial homeostasis.MethodsThirty subjects were randomized to receive either glycine powder air‐abrasive debridement or ultrasonic instrumentation. Clinical parameters (probe depth [PD], modified Sulcular Bleeding Index [mSBI], modified Plaque Index [mPlI]), biofilm and peri‐implant crevicular fluid were collected at baseline and at 1‐day, 1‐, 3‐, 6‐weeks and 3‐ and 6‐months post‐therapy. Microbial recolonization was examined using 16S rDNA sequencing and immune response was semi‐quantified using a bead‐based 17‐plex microarray.ResultsAt 6‐months, both groups demonstrated non‐significant reductions in mSBI when compared to baseline (p > 0.05, Wald test, mixed model for repeated measures). However, mSBI and PD decreased in the test group from week‐1 to 3‐months, while control group decreased at 1‐ and 3‐weeks only. mSBI was lower in the test group when compared to controls from Week‐1 to 3‐months, while PD differed between groups at 6 weeks and 3‐months. Glycine group demonstrated significant microbial shifts after 24‐h, increases in species richness and health‐compatible species, and loss of pathobionts (p < 0.001, Dunn test). Pro‐inflammatory cytokines decreased from 1‐ to 6‐weeks or 3‐months (p < 0.05, Wald test). Comparable results were obtained in the ultrasonic group at 3‐weeks and sustained over 6‐weeks post‐therapy.ConclusionsGlycine therapy leads to early and sustained change in host‐microbial interactions when compared to ultrasonics, however, the changes wrought by both therapies were sustained for a maximum of 3 months.Trial RegistrationClinicalTrials.gov identifier: NCT05810558

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Glycine air-polishing versus curette debridement for the treatment of peri-implant mucositis: A systematic review and meta-analysis

Cited by 2 publications

References 44 publications

An Umbrella Review on Low-Abrasive Air Powder Water Jet Technology in Periodontitis and Peri-Implantitis Patients

An Umbrella Review on Low-Abrasive Air Powder Water Jet Technology in Periodontitis and Peri-Implantitis Patients

Impact of Glycine Powder Air‐Abrasive Debridement on Peri‐Implant Mucositis: A Randomized Control Trial of Clinical, Microbial, and Immunological Changes

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