The effect of the local use of chlorhexidine in surgical treatment of experimental peri‐implantitis in dogs

Carcuac, Olivier; Abrahamsson, Ingemar; Charalampakis, Georgios; Berglundh, Tord

doi:10.1111/jcpe.12332

Cited by 52 publications

(70 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In contrast to previous studies, 36 , 44 the present results show that peri‐implantitis progression around an anodized implant surface ceased after treatment, as did additional tissue breakdown. This could be explained by the different treatment methods used in the previous studies.…”

Section: Discussioncontrasting

confidence: 99%

Decontamination of Anodized Implant Surface With Different Modalities for Peri‐Implantitis Treatment: Lasers and Mechanical Debridement With Citric Acid

Htet

Madi

Zakaria

et al. 2016

Journal of Periodontology

View full text Add to dashboard Cite

show abstract

Section: Discussioncontrasting

confidence: 99%

Decontamination of Anodized Implant Surface With Different Modalities for Peri‐Implantitis Treatment: Lasers and Mechanical Debridement With Citric Acid

Htet

Madi

Zakaria

et al. 2016

Journal of Periodontology

View full text Add to dashboard Cite

show abstract

“…Furthermore, they exhibited the lowest overall frequency of implants/patients with treatment success (16% and 13%, respectively) and had no cases with treatment success when treatment protocols without adjunctive systemic antibiotics (groups 3 and 4) were used. The observed lack of effect of the local use of chlorhexidine on treatment outcomes reported in the study by Carcuac et al (2015) is also consistent with findings in the present investigation.…”

Section: Discussionsupporting

confidence: 95%

Adjunctive Systemic and Local Antimicrobial Therapy in the Surgical Treatment of Peri-implantitis

et al. 2015

View full text Add to dashboard Cite

The aim of the present randomized controlled clinical trial was to investigate the adjunctive effect of systemic antibiotics and the local use of chlorhexidine for implant surface decontamination in the surgical treatment of peri-implantitis. One hundred patients with severe peri-implantitis were recruited. Surgical therapy was performed with or without adjunctive systemic antibiotics or the local use of chlorhexidine for implant surface decontamination. Treatment outcomes were evaluated at 1 y. A binary logistic regression analysis was used to identify factors influencing the probability of treatment success, that is, probing pocket depth ≤5 mm, absence of bleeding/suppuration on probing, and no additional bone loss. Treatment success was obtained in 45% of all implants but was higher in implants with a nonmodified surface (79%) than those with a modified surface (34%). The local use of chlorhexidine had no overall effect on treatment outcomes. While adjunctive systemic antibiotics had no impact on treatment success at implants with a nonmodified surface, a positive effect on treatment success was observed at implants with a modified surface. The likelihood for treatment success using adjunctive systemic antibiotics in patients with implants with a modified surface, however, was low. As the effect of adjunctive systemic antibiotics depended on implant surface characteristics, recommendations for their use in the surgical treatment of peri-implantitis should be based on careful assessments of the targeted implant (ClinicalTrials.gov NCT01857804).

show abstract

“…There are several plausible explanations for this finding; first, an extensive peri‐implant defect exposes a larger implant surface. Exposed surfaces, especially rough/modified surfaces, give an increase to the total microbiological load (Albouy, Abrahamsson, Persson, & Berglundh, ; Carcuac, Abrahamsson, Charalampakis, & Berglundh, ). Second, larger defects might be located deeper in the mandibular or maxillary bone, apically to the vestibulum, hampering the possibility for surgical apically positioning of the flap and thus preventing biofilm removal postsurgically.…”

Section: Discussionmentioning

confidence: 99%

Surgical treatment of peri‐implantitis: Prognostic indicators of short‐term results

Koldsland

Wohlfahrt

Aass

2017

J Clinic Periodontology

View full text Add to dashboard Cite

Aim: To evaluate the clinical and radiographic short-term (6 months) effect of surgical treatment of peri-implantitis, and to identify prognostic indicators affecting the outcome using a multilevel statistical model. Materials & Methods:A total of 143 implants (45 patients) with a diagnosis of progressive peri-implantitis (progressive bone loss (PBL) ≥2.0 mm and bleeding on probing (BoP)/suppuration) received surgical treatment. Clinical and radiographic parameters were assessed 6 months postoperatively. Potential prognostic indicators on subject, implant and site level prior to surgery were analysed to evaluate the effect on individual and composite outcomes using multilevel logistic regression analysis.Results: At the 6-month evaluation, none of the implants demonstrated PBL and 14% of the implants were registered with the absence of bleeding and no pocket probing depth ≥6 mm. Multilevel regression analysis identified, among others, suppuration, pocket probing depth >8 mm, bone loss >7 mm and the presence of plaque as criteria associated with the outcome. Conclusion:Resective peri-implantitis surgery seemed to reduce the amount of periimplant inflammation. However, most of the sites continued to have BoP/suppuration. Thus, long-term maintenance and evaluation is warranted. The effect of treatment was reduced by some prognostic indicators such as the presence of suppuration prior to interception and peri-implant bone loss exceeding 7 mm. K E Y W O R D Sdental/oral implants, multilevel logistic regression, peri-implant surgery, Peri-implantitis, prognostic indicators, resective surgery, risk factors

show abstract

The effect of the local use of chlorhexidine in surgical treatment of experimental peri‐implantitis in dogs

Cited by 52 publications

References 31 publications

Decontamination of Anodized Implant Surface With Different Modalities for Peri‐Implantitis Treatment: Lasers and Mechanical Debridement With Citric Acid

Decontamination of Anodized Implant Surface With Different Modalities for Peri‐Implantitis Treatment: Lasers and Mechanical Debridement With Citric Acid

Adjunctive Systemic and Local Antimicrobial Therapy in the Surgical Treatment of Peri-implantitis

Surgical treatment of peri‐implantitis: Prognostic indicators of short‐term results

Contact Info

Product

Resources

About