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Impact of the method of surface debridement and decontamination on the clinical outcome following combined surgical therapy of peri‐implantitis: a randomized controlled clinical study

Identifieur interne : 001960 ( Istex/Corpus ); précédent : 001959; suivant : 001961

Impact of the method of surface debridement and decontamination on the clinical outcome following combined surgical therapy of peri‐implantitis: a randomized controlled clinical study

Auteurs : Frank Schwarz ; Narja Sahm ; Gerhard Iglhaut ; Jürgen Becker

Source :

RBID : ISTEX:349B2E92C98BE24DA2A6800F0221C4521B53404D

English descriptors

Abstract

Schwarz F, Sahm N, Iglhaut G, Becker J. Impact of the method of surface debridement and decontamination on the clinical outcome following combined surgical therapy of peri‐implantitis: a randomized controlled clinical study. J Clin Peridontol 2011; 38: 276–284. 38: 276–284. doi: 10.1111/j.1600‐051X.2010.01690.x.

Url:
DOI: 10.1111/j.1600-051X.2010.01690.x

Links to Exploration step

ISTEX:349B2E92C98BE24DA2A6800F0221C4521B53404D

Le document en format XML

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<p>Schwarz F, Sahm N, Iglhaut G, Becker J. Impact of the method of surface debridement and decontamination on the clinical outcome following combined surgical therapy of peri‐implantitis: a randomized controlled clinical study. J Clin Peridontol 2011; 38: 276–284. 38: 276–284. doi: 10.1111/j.1600‐051X.2010.01690.x.</p>
Abstract
<p>
<hi rend="bold">Objectives: </hi>
The study aimed at investigating the impact of two surface debridement/decontamination (DD) methods on the clinical outcomes of combined surgical treatment of peri‐implantitis.</p>
<p>
<hi rend="bold">Material and Methods: </hi>
Thirty‐two patients suffering from advanced peri‐implantitis (
<hi rend="italic">n</hi>
=38 combined supra‐ and intra‐bony defects) were treated with flap surgery, granulation tissue removal, and implantoplasty at buccally and supracrestally exposed implant parts. The intra‐bony aspects were randomly allocated to surface DD using either (i) an Er:YAG laser (ERL) device, or (ii) plastic curets+cotton pellets+sterile saline (CPS). In both groups, the intra‐bony component was augmented with a natural bone mineral and covered with a collagen membrane. Clinical and radiographic parameters were recorded at baseline and after 6 months of non‐submerged healing.</p>
<p>
<hi rend="bold">Results: </hi>
Two patients were lost during follow‐up. At 6 months, ERL‐treated sites failed to reveal higher reductions in mean bleeding on probing (ERL: 47.8 ± 35.5
<hi rend="italic">versus</hi>
CPS: 55.0 ± 31.1%) and CAL values (ERL: 1.5 ± 1.4
<hi rend="italic">versus</hi>
CPS: 2.2 ± 1.4 mm) when compared with the CPS group. Both groups exhibited a comparable radiographic bone fill at the intra‐bony defect component.</p>
<p>
<hi rend="bold">Conclusion: </hi>
The study failed to demonstrate a significant impact of the method of surface DD on the clinical outcome following combined surgical therapy of advanced peri‐implantitis lesions.</p>
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<p>Schwarz F, Sahm N, Iglhaut G, Becker J. Impact of the method of surface debridement and decontamination on the clinical outcome following combined surgical therapy of peri‐implantitis: a randomized controlled clinical study. J Clin Peridontol 2011; 38: 276–284. 38: 276–284. doi: 10.1111/j.1600‐051X.2010.01690.x.</p>
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<p>
<b>Objectives: </b>
The study aimed at investigating the impact of two surface debridement/decontamination (DD) methods on the clinical outcomes of combined surgical treatment of peri‐implantitis.</p>
<p>
<b>Material and Methods: </b>
Thirty‐two patients suffering from advanced peri‐implantitis (
<i>n</i>
=38 combined supra‐ and intra‐bony defects) were treated with flap surgery, granulation tissue removal, and implantoplasty at buccally and supracrestally exposed implant parts. The intra‐bony aspects were randomly allocated to surface DD using either (i) an Er:YAG laser (ERL) device, or (ii) plastic curets+cotton pellets+sterile saline (CPS). In both groups, the intra‐bony component was augmented with a natural bone mineral and covered with a collagen membrane. Clinical and radiographic parameters were recorded at baseline and after 6 months of non‐submerged healing.</p>
<p>
<b>Results: </b>
Two patients were lost during follow‐up. At 6 months, ERL‐treated sites failed to reveal higher reductions in mean bleeding on probing (ERL: 47.8 ± 35.5
<i>versus</i>
CPS: 55.0 ± 31.1%) and CAL values (ERL: 1.5 ± 1.4
<i>versus</i>
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<p>
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The study failed to demonstrate a significant impact of the method of surface DD on the clinical outcome following combined surgical therapy of advanced peri‐implantitis lesions.</p>
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<b>Conflict of interests and source of funding statement</b>

The authors declare that they have no conflict of interests.
The study was in part funded by Geistlich Biomaterials, Wolhusen, Switzerland. The study materials were kindly provided by Elexxion AG, Radolfzell, Germany and Geistlich Biomaterials.</p>
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<abstract>Objectives: The study aimed at investigating the impact of two surface debridement/decontamination (DD) methods on the clinical outcomes of combined surgical treatment of peri‐implantitis. Material and Methods: Thirty‐two patients suffering from advanced peri‐implantitis (n=38 combined supra‐ and intra‐bony defects) were treated with flap surgery, granulation tissue removal, and implantoplasty at buccally and supracrestally exposed implant parts. The intra‐bony aspects were randomly allocated to surface DD using either (i) an Er:YAG laser (ERL) device, or (ii) plastic curets+cotton pellets+sterile saline (CPS). In both groups, the intra‐bony component was augmented with a natural bone mineral and covered with a collagen membrane. Clinical and radiographic parameters were recorded at baseline and after 6 months of non‐submerged healing. Results: Two patients were lost during follow‐up. At 6 months, ERL‐treated sites failed to reveal higher reductions in mean bleeding on probing (ERL: 47.8 ± 35.5 versus CPS: 55.0 ± 31.1%) and CAL values (ERL: 1.5 ± 1.4 versus CPS: 2.2 ± 1.4 mm) when compared with the CPS group. Both groups exhibited a comparable radiographic bone fill at the intra‐bony defect component. Conclusion: The study failed to demonstrate a significant impact of the method of surface DD on the clinical outcome following combined surgical therapy of advanced peri‐implantitis lesions.</abstract>
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   |texte=   Impact of the method of surface debridement and decontamination on the clinical outcome following combined surgical therapy of peri‐implantitis: a randomized controlled clinical study
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Wicri

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