Efficacy of mechanical/physical approaches for implant surface decontamination in non-surgical submarginal instrumentation of peri-implantitis. A systematic review.
air polishing
laser
non-surgical therapy
peri-implant diseases
peri-implantitis
submarginal instrumentation
Journal
Journal of clinical periodontology
ISSN: 1600-051X
Titre abrégé: J Clin Periodontol
Pays: United States
ID NLM: 0425123
Informations de publication
Date de publication:
06 2023
06 2023
Historique:
revised:
02
11
2022
received:
26
09
2022
accepted:
13
12
2022
medline:
6
7
2023
pubmed:
23
12
2022
entrez:
22
12
2022
Statut:
ppublish
Résumé
To evaluate the efficacy of non-surgical submarginal peri-implant instrumentation with mechanical/physical decontamination compared to non-surgical submarginal instrumentation alone or with placebo decontamination in patients with peri-implantitis. Three focused questions were addressed, and a systematic search for randomized controlled clinical trials (RCTs), controlled clinical trials, and prospective cohort studies with definitions of peri-implantitis and a minimal follow-up of 6 months was conducted. The main outcome variables were reduction in pocket probing depth (PD) and bleeding on probing (BOP). Suppuration on probing, marginal peri-implant bone level changes, patient-related outcomes and adverse events, implant survival, treatment success, and disease resolution were assessed as secondary outcomes. Out of 239 findings, full-text articles were assessed for eligibility, and 9 (n = 9 RCTs) were included in the present review. Five studies evaluated the effects of various laser types, and in four studies efficacy of air-abrasive mechanisms and of a novel ultrasonic device was determined. At 6 months, PD reductions were observed in nine studies but only Er, Cr:YSGG laser-treated group showed statistically significant higher reductions compared to the control group. BOP was statistically significantly reduced at 6 months in two studies following the application of Er:YAG laser compared to controls. One study reported statistically significant reduction in BOP following application of air-polishing device compared to control treatment. No statistically significant differences between treatment groups were reported for the secondary outcome variables. Owing to the large heterogeneity of study designs, no meta-analysis was performed. Available evidence on the efficacy of non-surgical submarginal peri-implant instrumentation with mechanical/physical decontamination is limited by the small number of controlled studies and the high heterogeneity of study protocols. Clinical and patient-reported benefits remain to be demonstrated.
Substances chimiques
Dental Implants
0
Types de publication
Systematic Review
Journal Article
Review
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
188-211Informations de copyright
© 2022 The Authors. Journal of Clinical Periodontology published by John Wiley & Sons Ltd.
Références
Abduljabbar, T., Javed, F., Kellesarian, S. V., Vohra, F., & Romanos, G. E. (2017). Effect of Nd:YAG laser-assisted non-surgical mechanical debridement on clinical and radiographic peri-implant inflammatory parameters in patients with peri-implant disease. Journal of Photochemistry and Photobiology. B, 168, 16-19. https://doi.org/10.1016/j.jphotobiol.2017.01.015
Alpaslan Yayli, N. Z., Talmac, A. C., Keskin Tunc, S., Akbal, D., Altindal, D., & Ertugrul, A. S. (2022). Erbium, chromium-doped: Yttrium, scandium, gallium, garnet and diode lasers in the treatment of peri-implantitis: Clinical and biochemical outcomes in a randomized-controlled clinical trial. Lasers in Medical Science, 37(1), 665-674. https://doi.org/10.1007/s10103-021-03436-5
Berglundh, J., Romandini, M., Derks, J., Sanz, M., & Berglundh, T. (2021). Clinical findings and history of bone loss at implant sites. Clinical Oral Implants Research, 32(3), 314-323. https://doi.org/10.1111/clr.13701
Berglundh, T., Armitage, G., Araujo, M. G., Avila-Ortiz, G., Blanco, J., Camargo, P. M., Chen, S., Cochran, D., Derks, J., Figuero, E., Hämmerle, C. H. F., Heitz-Mayfield, L. J. A., Huynh-Ba, G., Iacono, V., Koo, K.-T., Lambert, F., McCauley, L., Quirynen, M., Renvert, S., … Zitzmann, N. (2018a). Peri-implant diseases and conditions: Consensus report of workgroup 4 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. Journal of Periodontology, 89(Suppl 1), S313-S318. https://doi.org/10.1002/JPER.17-0739
Berglundh, T., Armitage, G., Araujo, M. G., Avila-Ortiz, G., Blanco, J., Camargo, P. M., Chen, S., Cochran, D., Derks, J., Figuero, E., Hämmerle, C. H. F., Heitz-Mayfield, L. J. A., Huynh-Ba, G., Iacono, V., Koo, K.-T., Lambert, F., McCauley, L., Quirynen, M., Renvert, S., … Zitzmann, N. (2018b). Peri-implant diseases and conditions: Consensus report of workgroup 4 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. Journal of Clinical Periodontology, 45(Suppl 20), S286-S291. https://doi.org/10.1111/jcpe.12957
Berglundh, T., Jepsen, S., Stadlinger, B., & Terheyden, H. (2019). Peri-implantitis and its prevention. Clinical Oral Implants Research, 30(2), 150-155. https://doi.org/10.1111/clr.13401
Carcuac, O., Derks, J., Abrahamsson, I., Wennstrom, J. L., & Berglundh, T. (2020). Risk for recurrence of disease following surgical therapy of peri-implantitis-a prospective longitudinal study. Clinical Oral Implants Research, 31(11), 1072-1077. https://doi.org/10.1111/clr.13653
Cosgarea, R., Sculean, A., Shibli, J. A., & Salvi, G. E. (2019). Prevalence of peri-implant diseases - a critical review on the current evidence. Brazilian Oral Research, 33(Suppl 1), e063. https://doi.org/10.1590/1807-3107bor-2019.vol33.0063
Derks, J., Ichioka, Y., Dionigi, C., Trullenque-Eriksson, A., Berglundh, J., Tomasi, C., & Graziani, F. (2022). Prevention and management of peri-implant mucositis and peri-implantitis: A systematic review of outcome measures used in clinical studies in the last 10 years. Journal of Clinical Periodontology. https://doi.org/10.1111/jcpe.13608. online ahead of print.
Derks, J., Schaller, D., Hakansson, J., Wennstrom, J. L., Tomasi, C., & Berglundh, T. (2016). Peri-implantitis - onset and pattern of progression. Journal of Clinical Periodontology, 43(4), 383-388. https://doi.org/10.1111/jcpe.12535
Derks, J., & Tomasi, C. (2015). Peri-implant health and disease. A systematic review of current epidemiology. Journal of Clinical Periodontology, 42(Suppl 16), S158-S171. https://doi.org/10.1111/jcpe.12334
Garaicoa-Pazmino, C., Lin, G. H., Alkandery, A., Parra-Carrasquer, C., & Suarez-Lopez Del Amo, F. (2021). Influence of implant surface characteristics on the initiation, progression and treatment outcomes of peri-implantitis: A systematic review and meta-analysis based on animal model studies. International Journal of Oral Implantology, 14(4), 367-382.
Heitz-Mayfield, L. J. A., Salvi, G. E., Mombelli, A., Loup, P. J., Heitz, F., Kruger, E., & Lang, N. P. (2018). Supportive peri-implant therapy following anti-infective surgical peri-implantitis treatment: 5-year survival and success. Clinical Oral Implants Research, 29(1), 1-6. https://doi.org/10.1111/clr.12910
Jepsen, S., Schwarz, F., Cordaro, L., Derks, J., Hammerle, C. H. F., Heitz-Mayfield, L. J., Hernández-Alfaro, F., Meijer, H. J. A., Naenni, N., Ortiz-Vigón, A., Pjetursson, B., Raghoebar, G. M., Renvert, S., Rocchietta, I., Roccuzzo, M., Sanz-Sánchez, I., Simion, M., Tomasi, C., Trombelli, L., … Urban, I. (2019). Regeneration of alveolar ridge defects. Consensus report of group 4 of the 15th European Workshop on Periodontology on Bone Regeneration. Journal of Clinical Periodontology, 46(Suppl 21), 277-286. https://doi.org/10.1111/jcpe.13121
Joshi, A. A., Gaikwad, A. M., Padhye, A. M., & Nadgere, J. B. (2022). Overview of systematic reviews and meta-analyses investigating the efficacy of different nonsurgical therapies for the treatment of peri-implant diseases. The International Journal of Oral & Maxillofacial Implants, 37(1), e13-e27. https://doi.org/10.11607/jomi.9088
Karring, E. S., Stavropoulos, A., Ellegaard, B., & Karring, T. (2005). Treatment of peri-implantitis by the vector system. Clinical Oral Implants Research, 16(3), 288-293. https://doi.org/10.1111/j.1600-0501.2005.01141.x
Landis, J. R., & Koch, G. G. (1977). The measurement of observer agreement for categorical data. Biometrics, 33(1), 159-174.
Merli, M., Bernardelli, F., Giulianelli, E., Carinci, F., Mariotti, G., Merli, M., Pini-Prato, G., & Nieri, M. (2020). Short-term comparison of two non-surgical treatment modalities of peri-implantitis: Clinical and microbiological outcomes in a two-factorial randomized controlled trial. Journal of Clinical Periodontology, 47(10), 1268-1280. https://doi.org/10.1111/jcpe.13345
Monje, A., Amerio, E., Farina, R., Nart, J., Ramanauskaite, A., Renvert, S., Roccuzzo, A., Salvi, G. E., Schwarz, F., Trombelli, L., & Wang, H. L. (2021a). Significance of probing for monitoring peri-implant diseases. International Journal of Oral Implantology, 14(4), 385-399.
Monje, A., Vera, M., Munoz-Sanz, A., Wang, H. L., & Nart, J. (2021b). Suppuration as diagnostic criterium of peri-implantitis. Journal of Periodontology, 92(2), 216-224. https://doi.org/10.1002/JPER.20-0159
Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., & Moher, D. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. Systematic Reviews, 10(1), 89. https://doi.org/10.1186/s13643-021-01626-4
Ramanauskaite, A., Fretwurst, T., & Schwarz, F. (2021). Efficacy of alternative or adjunctive measures to conventional non-surgical and surgical treatment of peri-implant mucositis and peri-implantitis: A systematic review and meta-analysis. International Journal of Implant Dentistry, 7(1), 112. https://doi.org/10.1186/s40729-021-00388-x
Renvert, S., Lindahl, C., Roos Jansaker, A. M., & Persson, G. R. (2011). Treatment of peri-implantitis using an Er:YAG laser or an air-abrasive device: A randomized clinical trial. Journal of Clinical Periodontology, 38(1), 65-73. https://doi.org/10.1111/j.1600-051X.2010.01646.x
Renvert, S., Samuelsson, E., Lindahl, C., & Persson, G. R. (2009). Mechanical non-surgical treatment of peri-implantitis: A double-blind randomized longitudinal clinical study. I: Clinical results. Journal of Clinical Periodontology, 36(7), 604-609. https://doi.org/10.1111/j.1600-051X.2009.01421.x
Roccuzzo, A., De Ry, S. P., Sculean, A., Roccuzzo, M., & Salvi, G. E. (2020). Current approaches dor the non-surgical Management of Peri-implant DIseases. Current Oral Health Reports, 7(3), 274-281.
Roccuzzo, A., Klossner, S., Stahli, A., Imber, J. C., Eick, S., Sculean, A., & Salvi, G. E. (2022). Non-surgical mechanical therapy of peri-implantitis with or without repeated adjunctive diode laser application. A 6-month double-blinded randomized clinical trial. Clinical Oral Implants Research, 33, 900-912. https://doi.org/10.1111/clr.13969
Sahm, N., Becker, J., Santel, T., & Schwarz, F. (2011). Non-surgical treatment of peri-implantitis using an air-abrasive device or mechanical debridement and local application of chlorhexidine: A prospective, randomized, controlled clinical study. Journal of Clinical Periodontology, 38(9), 872-878. https://doi.org/10.1111/j.1600-051X.2011.01762.x
Salvi, G. E., Cosgarea, R., & Sculean, A. (2017). Prevalence and mechanisms of peri-implant diseases. Journal of Dental Research, 96(1), 31-37. https://doi.org/10.1177/0022034516667484
Sanz, M., Chapple, I. L., & Working Group 4 of the VIII European Workshop on Periodontology. (2012). Clinical research on peri-implant diseases: Consensus report of Working Group 4. Journal of Clinical Periodontology, 39(Suppl 12), 202-206. https://doi.org/10.1111/j.1600-051X.2011.01837.x
Schwarz, F., Becker, K., & Renvert, S. (2015). Efficacy of air polishing for the non-surgical treatment of peri-implant diseases: A systematic review. Journal of Clinical Periodontology, 42(10), 951-959. https://doi.org/10.1111/jcpe.12454
Schwarz, F., Bieling, K., Bonsmann, M., Latz, T., & Becker, J. (2006). Nonsurgical treatment of moderate and advanced periimplantitis lesions: A controlled clinical study. Clinical Oral Investigations, 10(4), 279-288. https://doi.org/10.1007/s00784-006-0070-3
Schwarz, F., Sculean, A., Rothamel, D., Schwenzer, K., Georg, T., & Becker, J. (2005). Clinical evaluation of an Er:YAG laser for nonsurgical treatment of peri-implantitis: A pilot study. Clinical Oral Implants Research, 16(1), 44-52. https://doi.org/10.1111/j.1600-0501.2004.01051.x
Sterne, J. A., Hernan, M. A., Reeves, B. C., Savovic, J., Berkman, N. D., Viswanathan, M., Henry, D., Altman, D. G., Ansari, M. T., Boutron, I., Carpenter, J. R., Chan, A.-W., Churchill, R., Deeks, J. J., Hróbjartsson, A., Kirkham, J., Jüni, P., Loke, Y. K., Pigott, T. D., & Higgins, J. P. (2016). ROBINS-I: A tool for assessing risk of bias in non-randomised studies of interventions. BMJ, 355, i4919. https://doi.org/10.1136/bmj.i4919
Sterne, J. A. C., Savovic, J., Page, M. J., Elbers, R. G., Blencowe, N. S., Boutron, I., Cates, C. J., Cheng, H.-Y., Corbett, M. S., Eldridge, S. M., Emberson, J. R., Hernán, M. A., Hopewell, S., Hróbjartsson, A., Junqueira, D. R., Jüni, P., Kirkham, J. J., Lasserson, T., Li, T., & Higgins, J. P. T. (2019). RoB 2: A revised tool for assessing risk of bias in randomised trials. BMJ, 366, l4898. https://doi.org/10.1136/bmj.l4898
Stone, P. W. (2002). Popping the (PICO) question in research and evidence-based practice. Applied Nursing Research, 15(3), 197-198. https://doi.org/10.1053/apnr.2002.34181
Tonetti, M., Palmer, R., & Working Group 2 of the VIII European Workshop on Periodontology. (2012). Clinical research in implant dentistry: Study design, reporting and outcome measurements: Consensus report of Working Group 2 of the VIII European Workshop on Periodontology. Journal of Clinical Periodontology, 39(Suppl 12), 73-80. https://doi.org/10.1111/j.1600-051X.2011.01843.x