Combined surgical therapy of advanced peri‐implantitis evaluating two methods of surface decontamination: a 7‐year follow‐up observation
Objectives To assess the long‐term outcomes (>4 years) following combined surgical resective/regenerative therapy of advanced peri‐implantitis lesions using two surface decontamination methods. Material & Methods Fifteen patients (n = 15 combined supra‐ and intrabony defects) completed a foll...
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| Veröffentlicht in: | Journal of clinical periodontology 2017-03, Vol.44 (3), p.337-342 |
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| container_title | Journal of clinical periodontology |
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| creator | Schwarz, Frank John, Gordon Schmucker, Andrea Sahm, Narja Becker, Jürgen |
| description | Objectives
To assess the long‐term outcomes (>4 years) following combined surgical resective/regenerative therapy of advanced peri‐implantitis lesions using two surface decontamination methods.
Material & Methods
Fifteen patients (n = 15 combined supra‐ and intrabony defects) completed a follow‐up observation period of 7 years. The treatment procedure included access flap surgery, granulation tissue removal and implantoplasty at buccally and supracrestally exposed implant parts, and a randomly assigned decontamination of the unmodified intrabony implant surface areas using either (i) an Er:YAG laser (ERL) or (ii) plastic curettes + cotton pellets + sterile saline (CPS). Intrabony defects were filled using a natural bone mineral and covered by a native collagen membrane.
Results
At 7 years, both ERL and CPS were associated with similar mean bleeding on probing reductions (CPS: 89.99 ± 11.65% versus ERL: 86.66 ± 18.26%) and clinical attachment level gains (CPS: 2.76 ± 1.92 mm versus ERL: 2.06 ± 2.52 mm).
Conclusion
Combined surgical resective/regenerative therapy of advanced peri‐implantitis was effective on the long‐term, but not influenced by the initial method of surface decontamination. |
| doi_str_mv | 10.1111/jcpe.12648 |
| format | Article |
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To assess the long‐term outcomes (>4 years) following combined surgical resective/regenerative therapy of advanced peri‐implantitis lesions using two surface decontamination methods.
Material & Methods
Fifteen patients (n = 15 combined supra‐ and intrabony defects) completed a follow‐up observation period of 7 years. The treatment procedure included access flap surgery, granulation tissue removal and implantoplasty at buccally and supracrestally exposed implant parts, and a randomly assigned decontamination of the unmodified intrabony implant surface areas using either (i) an Er:YAG laser (ERL) or (ii) plastic curettes + cotton pellets + sterile saline (CPS). Intrabony defects were filled using a natural bone mineral and covered by a native collagen membrane.
Results
At 7 years, both ERL and CPS were associated with similar mean bleeding on probing reductions (CPS: 89.99 ± 11.65% versus ERL: 86.66 ± 18.26%) and clinical attachment level gains (CPS: 2.76 ± 1.92 mm versus ERL: 2.06 ± 2.52 mm).
Conclusion
Combined surgical resective/regenerative therapy of advanced peri‐implantitis was effective on the long‐term, but not influenced by the initial method of surface decontamination.</description><identifier>ISSN: 0303-6979</identifier><identifier>EISSN: 1600-051X</identifier><identifier>DOI: 10.1111/jcpe.12648</identifier><identifier>PMID: 28101947</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Bacterial infections ; bone graft ; collagen membrane ; Dental surgery ; Dentistry ; Female ; Follow-Up Studies ; Guided Tissue Regeneration, Periodontal ; Humans ; implantoplasty ; Male ; Middle Aged ; Oral Surgical Procedures - methods ; Peri-Implantitis - surgery ; peri‐implantitis ; Surgical outcomes ; surgical regenerative therapy ; Time Factors ; Transplants & implants ; Treatment Outcome</subject><ispartof>Journal of clinical periodontology, 2017-03, Vol.44 (3), p.337-342</ispartof><rights>2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd</rights><rights>2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.</rights><rights>Copyright © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3908-7f8cc67f0275418b413b3ec27e143d29da065fb14880e7492589965e9da7afef3</citedby><cites>FETCH-LOGICAL-c3908-7f8cc67f0275418b413b3ec27e143d29da065fb14880e7492589965e9da7afef3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjcpe.12648$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjcpe.12648$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28101947$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Schwarz, Frank</creatorcontrib><creatorcontrib>John, Gordon</creatorcontrib><creatorcontrib>Schmucker, Andrea</creatorcontrib><creatorcontrib>Sahm, Narja</creatorcontrib><creatorcontrib>Becker, Jürgen</creatorcontrib><title>Combined surgical therapy of advanced peri‐implantitis evaluating two methods of surface decontamination: a 7‐year follow‐up observation</title><title>Journal of clinical periodontology</title><addtitle>J Clin Periodontol</addtitle><description>Objectives
To assess the long‐term outcomes (>4 years) following combined surgical resective/regenerative therapy of advanced peri‐implantitis lesions using two surface decontamination methods.
Material & Methods
Fifteen patients (n = 15 combined supra‐ and intrabony defects) completed a follow‐up observation period of 7 years. The treatment procedure included access flap surgery, granulation tissue removal and implantoplasty at buccally and supracrestally exposed implant parts, and a randomly assigned decontamination of the unmodified intrabony implant surface areas using either (i) an Er:YAG laser (ERL) or (ii) plastic curettes + cotton pellets + sterile saline (CPS). Intrabony defects were filled using a natural bone mineral and covered by a native collagen membrane.
Results
At 7 years, both ERL and CPS were associated with similar mean bleeding on probing reductions (CPS: 89.99 ± 11.65% versus ERL: 86.66 ± 18.26%) and clinical attachment level gains (CPS: 2.76 ± 1.92 mm versus ERL: 2.06 ± 2.52 mm).
Conclusion
Combined surgical resective/regenerative therapy of advanced peri‐implantitis was effective on the long‐term, but not influenced by the initial method of surface decontamination.</description><subject>Bacterial infections</subject><subject>bone graft</subject><subject>collagen membrane</subject><subject>Dental surgery</subject><subject>Dentistry</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Guided Tissue Regeneration, Periodontal</subject><subject>Humans</subject><subject>implantoplasty</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Oral Surgical Procedures - methods</subject><subject>Peri-Implantitis - surgery</subject><subject>peri‐implantitis</subject><subject>Surgical outcomes</subject><subject>surgical regenerative therapy</subject><subject>Time Factors</subject><subject>Transplants & implants</subject><subject>Treatment Outcome</subject><issn>0303-6979</issn><issn>1600-051X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkc-KFDEQh4Mo7uzqxQeQgBdZ6DWVpDtpbzKs_1jQg4K3Jp2u7Gbo7rRJ9wxz8wnEZ_RJzOysHjyIdSmK-uqD4kfIE2AXkOvFxk54AbyS-h5ZQcVYwUr4cp-smGCiqGpVn5DTlDaMgRJCPCQnXAODWqoV-b4OQ-tH7Gha4rW3pqfzDUYz7Wlw1HRbM9q8nDD6n99--GHqzTj72SeKW9MvZvbjNZ13gQ4434QuHa6yyRmLtEMbxtkMfsxYGF9SQ1WW7NFE6kLfh12elomGNmHc3jKPyANn-oSP7_oZ-fz68tP6bXH14c279aurwoqa6UI5bW2lHOOqlKBbCaIVaLlCkKLjdWdYVboWpNYMlax5qeu6KjEvlHHoxBl5fvROMXxdMM3N4JPFPn-HYUkNaKU050zW_4FWUKoKuMzos7_QTVjimB85CDlknS4zdX6kbAwpRXTNFP1g4r4B1hwCbQ6BNreBZvjpnXJpB-z-oL8TzAAcgZ3vcf8PVfN-_fHyKP0F512vnQ</recordid><startdate>201703</startdate><enddate>201703</enddate><creator>Schwarz, Frank</creator><creator>John, Gordon</creator><creator>Schmucker, Andrea</creator><creator>Sahm, Narja</creator><creator>Becker, Jürgen</creator><general>Blackwell Publishing Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201703</creationdate><title>Combined surgical therapy of advanced peri‐implantitis evaluating two methods of surface decontamination: a 7‐year follow‐up observation</title><author>Schwarz, Frank ; John, Gordon ; Schmucker, Andrea ; Sahm, Narja ; Becker, Jürgen</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3908-7f8cc67f0275418b413b3ec27e143d29da065fb14880e7492589965e9da7afef3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Bacterial infections</topic><topic>bone graft</topic><topic>collagen membrane</topic><topic>Dental surgery</topic><topic>Dentistry</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Guided Tissue Regeneration, Periodontal</topic><topic>Humans</topic><topic>implantoplasty</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Oral Surgical Procedures - methods</topic><topic>Peri-Implantitis - surgery</topic><topic>peri‐implantitis</topic><topic>Surgical outcomes</topic><topic>surgical regenerative therapy</topic><topic>Time Factors</topic><topic>Transplants & implants</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Schwarz, Frank</creatorcontrib><creatorcontrib>John, Gordon</creatorcontrib><creatorcontrib>Schmucker, Andrea</creatorcontrib><creatorcontrib>Sahm, Narja</creatorcontrib><creatorcontrib>Becker, Jürgen</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical periodontology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Schwarz, Frank</au><au>John, Gordon</au><au>Schmucker, Andrea</au><au>Sahm, Narja</au><au>Becker, Jürgen</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Combined surgical therapy of advanced peri‐implantitis evaluating two methods of surface decontamination: a 7‐year follow‐up observation</atitle><jtitle>Journal of clinical periodontology</jtitle><addtitle>J Clin Periodontol</addtitle><date>2017-03</date><risdate>2017</risdate><volume>44</volume><issue>3</issue><spage>337</spage><epage>342</epage><pages>337-342</pages><issn>0303-6979</issn><eissn>1600-051X</eissn><abstract>Objectives
To assess the long‐term outcomes (>4 years) following combined surgical resective/regenerative therapy of advanced peri‐implantitis lesions using two surface decontamination methods.
Material & Methods
Fifteen patients (n = 15 combined supra‐ and intrabony defects) completed a follow‐up observation period of 7 years. The treatment procedure included access flap surgery, granulation tissue removal and implantoplasty at buccally and supracrestally exposed implant parts, and a randomly assigned decontamination of the unmodified intrabony implant surface areas using either (i) an Er:YAG laser (ERL) or (ii) plastic curettes + cotton pellets + sterile saline (CPS). Intrabony defects were filled using a natural bone mineral and covered by a native collagen membrane.
Results
At 7 years, both ERL and CPS were associated with similar mean bleeding on probing reductions (CPS: 89.99 ± 11.65% versus ERL: 86.66 ± 18.26%) and clinical attachment level gains (CPS: 2.76 ± 1.92 mm versus ERL: 2.06 ± 2.52 mm).
Conclusion
Combined surgical resective/regenerative therapy of advanced peri‐implantitis was effective on the long‐term, but not influenced by the initial method of surface decontamination.</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>28101947</pmid><doi>10.1111/jcpe.12648</doi><tpages>6</tpages></addata></record> |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Bacterial infections bone graft collagen membrane Dental surgery Dentistry Female Follow-Up Studies Guided Tissue Regeneration, Periodontal Humans implantoplasty Male Middle Aged Oral Surgical Procedures - methods Peri-Implantitis - surgery peri‐implantitis Surgical outcomes surgical regenerative therapy Time Factors Transplants & implants Treatment Outcome |
| title | Combined surgical therapy of advanced peri‐implantitis evaluating two methods of surface decontamination: a 7‐year follow‐up observation |
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