Human Histologic Evidence of Reosseointegration Around an Implant Affected with Peri-implantitis Following Decontamination with Sterile Saline and Antiseptics: A Case History Report

Fletcher, Paul; Deluiz, Daniel; Tinoco, Eduardo Muniz Barretto; Ricci, John L.; Tarnow, Dennis P.; Tinoco, Justine Monteiro Monnerat

doi:10.11607/prd.3037

Cited by 16 publications

(19 citation statements)

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“…19 By contrast, human reosseointegration following periimplantitis surgical treatment has been only recently evidenced on implant surfaces mechanically treated with plastic curettes and chemically decontaminated with sodium chloride (0.25%) and hydroxen peroxide in conjunction with defect reconstruction using bone substitutes. 20 This demonstrates that reosseointegration is achievable with the condition of a proper decontamination approach for the surgical treatment of periimplantitis.…”

Section: Review Of Outcomes and Discussionmentioning

confidence: 87%

Implant Surface Decontamination by Surgical Treatment of Periimplantitis

Koo

Khoury²,

Keeve³

et al. 2019

Implant Dentistry

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Section: Review Of Outcomes and Discussionmentioning

confidence: 87%

Implant Surface Decontamination by Surgical Treatment of Periimplantitis

Koo

Khoury²,

Keeve³

et al. 2019

Implant Dentistry

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“…The potential of peri-implantitis affected implants to achieve re-osseointegration can only be inferred from available animal studies that showed the possibility of "re-integration" after peri-implantitis therapies (Persson, Berglundh, Lindhe, & Sennerby, 2001;Schou et al, 2003). More recently, histological assessment of a single case has provided proof-of-concept evidence that re-osseointegration is possible in humans (Fletcher et al, 2017).…”

Section: Supportive Periodontal Therapymentioning

confidence: 99%

Regenerative surgical therapy for peri‐implantitis using deproteinized bovine bone mineral with 10% collagen, enamel matrix derivative and Doxycycline—A prospective 3‐year cohort study

Mercado

Hamlet

Ivanovski

2018

Clinical Oral Implants Res

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“…One of the variables that may influence the result of peri-implantitis surgical therapy and the subsequent need of retreatment is implant surface characteristics. Despite the role of implant surface on re-osseointegration has been investigated in animal studies with some controversial results (47-49) a recent human case report made reference to this possibility (50). According to a prospective study by Roccuzzo et al [2020] (40) implant surface characteristics affect the decision to treat implants with peri-implantitis.…”

Section: Discussionmentioning

confidence: 99%

Disease recurrence after surgical treatment of peri-implantitis—systematic review and meta-analysis

Martins¹,

Baptista²,

Caramelo³

2021

Front Oral Maxillofac Med

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Background: Peri-implantitis is a destructive pathology with a considerable prevalence. Peri-implantitis surgical treatment is still unpredictable. In order to help clinicians do decide about the applicability of peri-implantitis surgical treatment a systematic review and meta-analysis was conducted to evaluate the rate of peri-implantitis recurrence (RecPI) and implant loss (LoPI) after surgical treatment of peri-implantitis.Methods: A search of randomized trials including patients submitted to surgical treatment of periimplantitis was performed. Two independent reviewers screened titles and abstracts and selected full papers for full reading according the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) methodology. Analyzed patient centered outcomes were RecPI and LoPI after a minimum follow-up of 6 months. Surgical approaches were divided in open flap debridement (OFD), regenerative (REG), resective (RES), implantoplasty (IP) and combined (COMBI). Also results considering short, medium and long term follow up were analyzed. For each meta-analysis, a forest-plot was prepared and the heterogeneity was analyzed by the Cochran Q test and by the I 2 heterogeneity statistic, with a significance level of 0.05.Results: Thirteen randomized controlled trials (RCTs) were eligible for quantitative synthesis. The RecPI and LoPI was 3% (95% CI: 1% to 5%) and 4% (95% CI: 2% to 6%) respectively. COMBI surgical approach was associated with the highest RecPI rate 7% (95% CI: -2% to 15%) and REG surgery with the lowest 2% (95% CI: -1% to 6%). OFD had the highest LoPI rate 15% (95% CI: -11% to 41%) and REG approach was associated with the lowest 3% (95% CI: 0% to 6%). Regarding short-term follow-up periods 3% (95% CI: 1% to 5%) and 4% (95% CI: 2% to 6%) of the patients had RecPI and LoPI, respectively. For the long term follow-up LoPI was 36% (95% CI: 15% to 55%). There were no data that allow to calculate medium term follow up for RecPI and LoPI and long term for RecPI. Conclusions:The RecPI and LoPI are similar and low, 3% and 4%, respectively. After 12 months of follow-up RecPI and LoPI are low but LoPI increases to 36% at the long term follow up. Results should be interpreted with caution due to heterogeinity.

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Human Histologic Evidence of Reosseointegration Around an Implant Affected with Peri-implantitis Following Decontamination with Sterile Saline and Antiseptics: A Case History Report

Cited by 16 publications

References 0 publications

Implant Surface Decontamination by Surgical Treatment of Periimplantitis

Implant Surface Decontamination by Surgical Treatment of Periimplantitis

Regenerative surgical therapy for peri‐implantitis using deproteinized bovine bone mineral with 10% collagen, enamel matrix derivative and Doxycycline—A prospective 3‐year cohort study

Disease recurrence after surgical treatment of peri-implantitis—systematic review and meta-analysis

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