Clinical treatment of peri-implantitis with maintenance of granulation tissue
DOI:
https://doi.org/10.36557/2674-8169.2019v1n7p192-206Keywords:
Granulation Fabric, Implant dentistry, Peri-implantitisAbstract
Objectives: The aim of this study was to evaluate a non-surgical approach to peri-implantitis through mechanical debridement and local detoxification, leaving granulation tissue in the peri-implant wells.
Materials and Methods: An analysis of the results of two non-surgical protocols was performed: mechanical debridement plus chemical detoxification with 0.2% chlorhexidine and chlortetracycline hydrochloride (test) and mechanical debridement alone (control). Measurements were collected at baseline, 3, 24, and 36 months after treatment.
Results: Seventy-five implants with peri-implantitis were included. At a 36-month evaluation, the mean probing depth was 3.15 ± 0.32 mm for the test group and 5.97 ± 0.90 mm for the control group, with a significant difference. An improvement in marginal bone level was recorded for the test group, regardless of whether the control group showed additional marginal bone loss. Treatment success was 100% in the test group and 31.4% in the control group.
Conclusion: Non-surgical implant debridement by itself did not seem efficient in the treatment of peri-implantitis. Additional longitudinal studies are needed to evaluate the effectiveness of mechanical debridement with chemical detoxification and removal of granulation tissues against mechanical debridement with chemical detoxification only.
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