The effectiveness of adjunctive measures in managing peri-implant mucositis: an umbrella review

Abstract

Objectives The purpose of this umbrella review was to gather and summarize the data from published systematic reviews (SRs) that compared non-surgical mechanical debridement (NSMD) with and without the use of adjunctive treatments on the management of peri-implant mucositis (PIM). Materials and methods A protocol was developed and registered in PROSPERO (CRD42021254350) before the systematic search for the SRs. Seven electronic databases, including Cochrane Library, Embase (via Ovid), MEDLINE (via Pubmed), Proquest, Prospero, Scopus and Web of Science, were searched for published reviews. The search for unpublished and informally published reviews was further attempted in the last four databases. The methodological quality of the included reviews was assessed using AMSTAR 2. Results Twelve included SRs assessed clinical studies published between 2014 and 2020, including a total of seventeen primary clinical trials. All SRs summarized data from individual studies and provided a narrative conclusion regarding the effectiveness of the adjunctive treatments. Only six SRs performed a meta-analysis (MA) of additional benefits of the adjunctive therapy for PIM, with results indicating no significant difference between the different treatment modalities. The overall confidence was adjudged ranging from critically low to low using AMSTAR 2 and significant additional benefits of any adjunctive treatments in comparison with NSMD were not apparent. Conclusion Overall, the reviewed evidence did not support the use of adjunctive treatments for improvement of clinical outcomes in PM management as compared to NSMD alone.

The referral pattern and treatment modality for peri-implant disease between periodontists and non-periodontist dentists

“…This implied these subjects could sense the different severity of peri-implant mucositis or peri-implantitis, so they change their decisions for treatment modality and referral. This was also in line with previous studies which indicated different therapeutic methods for peri-implant mucosisit and peri-imlantitis [ 31 – 33 ].…”

“…This was similar to the finding of previous studies in other countries showing postgraduate specialty training significantly impacted clinical decision-making of dentists [ 29 , 30 ]. Interestingly, the above mentioned treatment procedures were also considered as the most effective and useful therapeutic procedures to treat peri-implant diseases [ 31 – 33 ].…”

Evaluation of the adjunctive use of Er:YAG laser or erythritol powder air‐polishing in the treatment of peri‐implant mucositis: A randomized clinical trial

“…Despite the current scientific evidence available showing the efficacy of the non‐surgical PM treatment in improving clinical parameters, a complete disease resolution is seldom reported, regardless of the treatment protocol adopted (Barootchi et al, 2020; Chuachamsai et al, 2022; Salvi & Ramseier, 2015; Schwarz, Becker, & Renvert, 2015; Schwarz, Becker, & Sager, 2015).…”