Effectiveness of Mechanical Debridement Combined With Adjunctive Therapies for Nonsurgical Treatment of Periimplantitis: A Systematic Review

This study aimed to perform a systematic review of the effectiveness of nonsurgical treatment associated with different adjuvant therapies on periimplantitis. Different individuals, following a research process, performed a network research of controlled and randomized controlled clinical trials on...

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Veröffentlicht in:Implant dentistry 2017-02, Vol.26 (1), p.137-144
Hauptverfasser: de Almeida, Juliano Milanezi, Matheus, Henrique Rinaldi, Rodrigues Gusman, David Jonathan, Faleiros, Paula Lazilha, Januário de Araújo, Nathália, Noronha Novaes, Vivian Cristina
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container_end_page 144
container_issue 1
container_start_page 137
container_title Implant dentistry
container_volume 26
creator de Almeida, Juliano Milanezi
Matheus, Henrique Rinaldi
Rodrigues Gusman, David Jonathan
Faleiros, Paula Lazilha
Januário de Araújo, Nathália
Noronha Novaes, Vivian Cristina
description This study aimed to perform a systematic review of the effectiveness of nonsurgical treatment associated with different adjuvant therapies on periimplantitis. Different individuals, following a research process, performed a network research of controlled and randomized controlled clinical trials on PubMed, Embase/MEDLINE, with 20 years' time constraint and the last search in January 2016. From 108 articles found by the first search, they analyzed 10 full texts, and in none did they find a standard control group. When compared, mechanical therapies combined with adjuvant therapy decreased prevalence of periimplant ratios; however, some groups showed unsatisfactory results, mainly related to the probing depth and bleeding index. When comparing debridement with other nonsurgical therapies (Er:YAG, Vector, air abrasive with amino acid glycine powder), increased periimplant levels were noticed in the test and control groups, although in different periods. Despite the improvement in the periimplant indices, there is no sufficient evidence to score the best results or even to choose the best association for nonsurgical treatment of periimplantitis; hence, more trials are necessary to answer this question.
doi_str_mv 10.1097/ID.0000000000000469
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source MEDLINE; Journals@Ovid LWW Legacy Archive; EZB-FREE-00999 freely available EZB journals
subjects Dentistry
Humans
Peri-Implantitis - therapy
Periodontal Debridement - methods
Treatment Outcome
title Effectiveness of Mechanical Debridement Combined With Adjunctive Therapies for Nonsurgical Treatment of Periimplantitis: A Systematic Review
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