Successful Surgical Protocols in the Treatment of Peri-Implantitis

Froum, Stuart J.; Dagba, Alex S.; Shi, Ye; Perez-Asenjo, Alejandro; Rosen, Paul S.; Wang, Wendy C. W.

doi:10.1097/id.0000000000000428

Cited by 31 publications

(17 citation statements)

References 57 publications

(50 reference statements)

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“…Furthermore, the narrative review of Froum et al. () reported that the removal of the prosthetic suprastructure in suitable cases may facilitate surgical access to the implant surface.…”

Section: Discussionmentioning

confidence: 99%

Clinical and radiographic outcomes of a surgical reconstructive approach in the treatment of peri‐implantitis lesions: A 5‐year prospective case series

Monaca

Annibali

Cristalli

et al. 2018

Clinical Oral Implants Res

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Objectives:The aim of this study was to evaluate the 5-year clinical and radiographic outcomes following reconstructive therapy of peri-implantitis lesions using mineralized dehydrated bone allograft and resorbable membrane in the nonsubmerged mode of wound healing. Materials and methods:Thirty-four patients with at least one implant diagnosed with peri-implantitis were treated by mechanical debridement; chemical decontamination using hydrogen peroxide (3%), chlorhexidine (0.2%), and a tetracycline hydrochloride solution; and bone defect filling with mineralized dehydrated bone allograft and resorbable membrane. Clinical and radiographic assessments were obtained during 5-year follow-up. The primary outcome was the absence of additional marginal peri-implant bone loss ≥1.0 mm after surgery, and the composite outcome included the additional marginal peri-implant bone loss, absence of probing depth (PD) ≥5 mm, and absence of bleeding on probing (BoP)/suppuration. Results:According to the primary and composite outcomes, the success rate of 34 implants included in the study was 100% and 91% (N = 31), at 1 year after surgery, and decreased progressively to 77% (N = 26) and to 59% (N = 20) at 5-year follow-up, respectively. Five years following treatment, only the BoP reduction was statistically significant compared to baseline (p < 0.001), and no difference was found in PD (p = 0.318) and in marginal peri-implant bone level (p = 0.064).Conclusions: At 1-year follow-up, the surgical reconstructive therapy showed clinical improvement and radiographic defect filling. However, the results appeared to be unpredictable over time, due to a progressive decrease in the bone filling of the periimplant defects and an increase in the mean PD. K E Y W O R D Sbone graft, collagen membrane, decontamination, dental implant, guided bone regeneration, peri-implantitis, radiography, surface properties, surgical reconstructive therapy

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“…Furthermore, the narrative review of Froum et al. () reported that the removal of the prosthetic suprastructure in suitable cases may facilitate surgical access to the implant surface.…”

Section: Discussionmentioning

confidence: 99%

Clinical and radiographic outcomes of a surgical reconstructive approach in the treatment of peri‐implantitis lesions: A 5‐year prospective case series

Monaca

Annibali

Cristalli

et al. 2018

Clinical Oral Implants Res

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“…A failure rate of approximately 60% of cases treated surgically for peri-implantitis has been reported (de Waal, Raghoebar, Meijer, Winkel, & van Winkelhoff, 2016). Other studies have reported successful outcome by surgical debridement methods (Froum et al, 2016), or reconstructive surgical treatment of peri-implantitis (Ramanauskaite, Daugela, & Juodzbalys, 2016). Several studies have used combinations of grafts and barrier membranes (Aghazadeh, Persson, & Renvert,2012;Khoury & Buchmann, 2001; Roos-Jansåker, Renvert, Lindahl, & Renvert, 2007;Schwarz, Hegewald, Sahm, & Becker, 2014;Schwarz, Sahm, Bieling, & Becker, 2009).…”

Section: Introductionmentioning

confidence: 99%

“…Non-surgical treatment options may not effectively allow debridement of titanium dental implants (Froum et al, 2016;Heitz-Mayfield et al, 2018;Papathanasiou, Finkelman, Hanley, & Parashis, 2016;Renvert, Widén, & Persson, 2017;Schwarz, Becker, & Renvert, 2015). In a recent systematic review, the conclusion was that nonsurgical debridement approach was effective in the treatment of implant mucositis, but not predictable in the treatment of periimplantitis (Suárez-López Del Amo, Yu, & Wang, 2016).…”

Section: Introductionmentioning

confidence: 99%

Surgical treatment of peri‐implantitis lesions with or without the use of a bone substitute—a randomized clinical trial

Renvert

Roos‐Jansåker

Persson

2018

J Clinic Periodontology

120

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“…Non‐surgical therapy appears to be ineffective in reducing probing depths and eliminating bacteria from implant surfaces especially in more severe cases (Persson, Samuelsson, Lindahl, & Renvert, 2010; Renvert, Hirooka, Polyzois, Kelekis‐Cholakis, & Wang, 2019). Surgical therapy has proven to be more effective in the reduction of probing pocket depths and bleeding on probing as well as in promoting new bone fill, possibly because it provides access to the defect area for removal of the granulation tissue and debridement/decontamination of the exposed implant threads (Berglundh, Wennstrom, & Lindhe, 2018; Froum et al., 2016; Sarmiento, Norton, Korostoff, Ko, & Fiorellini, 2018). The addition of bone substitutes with or without barrier membranes has demonstrated promising results in terms of radiographic defect reduction and improvement of clinical parameters, especially in well‐contained (4‐wall and 3‐wall) intrabony defects (Jepsen et al., 2016; Renvert, Roos‐Jansaker, & Persson, 2018; Roos‐Jansaker, Persson, Lindahl, & Renvert, 2014; Schwarz, Sahm, Bieling, & Becker, 2009; Schwarz, Sahm, Schwarz, & Becker, 2010; Wiltfang et al., 2012).…”

Section: Introductionmentioning

confidence: 99%

Surgical treatment of peri‐implantitis defects with two different xenograft granules: A randomized clinical pilot study

Polymeri

Anssari-Moin

Horst

et al. 2020

Clinical Oral Implants Res

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Objectives To investigate whether xenograft EB (EndoBon) is non‐inferior to xenograft BO (Bio‐Oss) when used in reconstructive surgery of peri‐implant osseous defects. Materials and methods Dental patients with one implant each demonstrating peri‐implantitis were randomized to receive surgical debridement and defect fill with either BO or EB. Changes in bone level (BL) and intrabony defect depth (IDD) evaluated radiographically were the primary outcomes. The secondary outcomes included changes in probing pocket depth (PPD), bleeding on probing (BoP), and suppuration on probing (SoP). All outcomes were recorded before treatment and at 6 and 12 months post‐treatment. Results Twenty‐four patients (n = 11 BO, n = 13 EB) completed the study. Both groups demonstrated significant within‐group improvements in all clinical and radiographic parameters at 6 and 12 months (p ≤ .001). At 12 months, both groups presented with IDD reductions of 2.5–3.0 mm on average. The inter‐group differences were not statistically significant at all time points and for all the examined parameters (p > .05). While the radiographic defect fill in both groups exceeded > 1 mm and can be considered treatment success, successful treatment outcomes as defined by Consensus Reporting (no further bone loss, PPD ≤ 5 mm, no BOP, and no SoP) were identified in 2/11 (18%) BO and 0/13 (0%) EB individuals (Fisher's exact test, p = .199). Conclusions Within the limitations of this pilot study, the application of xenograft EB showed to be non‐inferior to xenograft BO when used in reconstructive surgery of peri‐implant osseous defects.

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Successful Surgical Protocols in the Treatment of Peri-Implantitis

Abstract: The current review failed to reveal any correlation between any particular method for SDC or defect treatment protocol and positive clinical outcomes. Further comparative studies are warranted to determine the most appropriate approach for both of these topics.

Cited by 31 publications

References 57 publications

Clinical and radiographic outcomes of a surgical reconstructive approach in the treatment of peri‐implantitis lesions: A 5‐year prospective case series

Clinical and radiographic outcomes of a surgical reconstructive approach in the treatment of peri‐implantitis lesions: A 5‐year prospective case series

Surgical treatment of peri‐implantitis lesions with or without the use of a bone substitute—a randomized clinical trial

Surgical treatment of peri‐implantitis defects with two different xenograft granules: A randomized clinical pilot study

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