Implant Surface Detoxification

Abstract

Comparative studies of different detoxification methods are heterogeneous, leaving a few voids when selecting a specific technique for detoxifying the contaminated implant surface.

Can Periimplantitis Be Treated?

“…[113][114][115] There is no single superior antiinfective method available. 80 Surgical interventions achieved greater probing depth reduction and clinical attachment gain compared with nonsurgical interventions. 106 Access flap surgery shows resolution in only 58% of the lesions.…”

“…91 Also, as there is no one superior reagent or methodology, 80 additional well-designed randomized clinical trials are needed to validate the effectiveness of various methodologies used in the surface decontamination of dental implants. 80 …”

“…Other agents that have been used in implant surface decontamination are saline, citric acid, and hydrogen peroxide. 80 The effectiveness of these agents in recent randomized clinical trials is summarized in Table 5.…”

“…Diverse antiinfective methods have been proposed, but no one superior method has been described. 80 Likewise, different grafting materials and barrier membranes have been used. [96][97][98] A recent clinical trial found that the additional use of a barrier membrane did not improve the clinical outcomes as both groups demonstrated similar bone fill and reductions in probing depth and bleeding on probing.…”

Treatment of Peri-Implantitis and the Failing Implant

“…Although chlorhexidine is described in the CIST protocol, 69 the most effective treatment to detoxify the implant surface has not been identified. 73 Many other surface treatments aimed at eradication of the biofilm have been described [73][74][75][76][77][78] ; these include EDTA, citric acid, hydrogen peroxide, local anesthetic, cetylpyridinium chloride, and tetracycline, among others. Mechanical debridement alone, as described in protocol A, is considered to be inadequate for this group of lesions as a result of the increased pocket depth, thus necessitating the effort at antisepsis.…”