Anti-infective treatment of peri-implant mucositis: a randomised controlled clinical trial

Abstract

Aim: To compare the effectiveness of two anti-infective protocols for the treatment of peri-implant

Can Periimplantitis Be Treated?

“…73,91 The use of a powered toothbrush and adjunctive use of chemotherapeutics or lasers required further validation. 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.…”

“…Therefore, the main aim of mechanical debridement is the restitution of peri-implant tissue health with the removal of peri-implant biofilm from the implant and/or abutment surface. 73 This procedure can be achieved by using specific instruments that are softer than titanium to avoid damage to the implant and abutment surfaces, which would otherwise promote bacterial colonization. These instruments can be coated with titanium, carbon fiber, polytetrafluoroethylene, plastic, polyetheretherketone, or silicon.…”

Nonsurgical treatment of peri-implantitis using an air-abrasive device or mechanical debridement and local application of chlorhexidine. Twelve-month follow-up of a prospective, randomized, controlled clinical study

“…In this study, a specially designed nozzle was utilized for reducing the risk of postoperative emphysema, as described in an earlier publication [19]. Several studies report about the beneficial effect of nonsurgical therapy with significant reduction of inflammation in the form of significant decrease of bleeding on probing (BOP) [20][21][22][23][24]. While peri-implant mucositis can completely heal up by nonsurgical therapy, this therapeutic approach is unpredictable in the treatment of peri-implantitis [5].…”

Antiplaque and Antigingivitis Toothpastes

“…Its use has also been suggested as part of the full-mouth disinfection protocols, including tongue brushing with 1% CHX gel for 1 min and subgingival irrigation of pockets with 1% CHX gel [122,123]. More recently, it has been evaluated in peri-implant mucositis therapy [124], although with limited effects.…”