Clinical and radiographic outcomes of a combined resective and regenerative approach in the treatment of peri‐implantitis: a prospective case series
Identifieur interne : 007A43 ( Istex/Corpus ); précédent : 007A42; suivant : 007A44Clinical and radiographic outcomes of a combined resective and regenerative approach in the treatment of peri‐implantitis: a prospective case series
Auteurs : Sergio Matarasso ; Vincenzo Iorio Siciliano ; Marco Aglietta ; Gianmaria Andreuccetti ; Giovanni E. SalviSource :
- Clinical Oral Implants Research [ 0905-7161 ] ; 2014-07.
Abstract
To assess the clinical and radiographic outcomes applying a combined resective and regenerative approach in the treatment of peri‐implantitis.
Url:
DOI: 10.1111/clr.12183
Links to Exploration step
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<profileDesc><abstract xml:lang="en" style="main" xml:id="clr12183-abs-0001"><head>Abstract</head>
Aim
<p>To assess the clinical and radiographic outcomes applying a combined resective and regenerative approach in the treatment of peri‐implantitis.</p>
Materials and methods
<p>Subjects with implants diagnosed with peri‐implantitis (i.e., pocket probing depth (<hi rend="fc">PPD</hi>
) ≥5 mm with concomitant bleeding on probing (BoP) and ≥2 mm of marginal bone loss or exposure of ≥1 implant thread) were treated by means of a combined approach including the application of a deproteinized bovine bone mineral and a collagen membrane in the intrabony and implantoplasty in the suprabony component of the peri‐implant lesion, respectively. The soft tissues were apically repositioned allowing for a non‐submerged healing. Clinical and radiographic parameters were evaluated at baseline and 12 months after treatment.</p>
Results
<p>Eleven subjects with 11 implants were treated and completed the 12‐month follow‐up. No implant was lost yielding a 100% survival rate. At baseline, the mean <hi rend="fc">PPD</hi>
and mean clinical attachment level (<hi rend="fc">CAL</hi>
) were 8.1 ± 1.8 mm and 9.7 ± 2.5 mm, respectively. After 1 year, a mean <hi rend="fc">PPD</hi>
of 4.0 ± 1.3 mm and a mean <hi rend="fc">CAL</hi>
of 6.7 ± 2.5 mm were assessed. The differences between the baseline and the follow‐up examinations were statistically significant (<hi rend="italic">P</hi>
= 0.001). The mucosal recession increased from 1.7 ± 1.5 at baseline to 3.0 ± 1.8 mm at the 12‐month follow‐up (<hi rend="italic">P</hi>
= 0.003). The mean% of sites with BoP+ around the selected implants decreased from 19.7 ± 40.1 at baseline to 6.1 ± 24.0 after 12 months (<hi rend="italic">P</hi>
= 0.032).</p>
<p>The radiographic marginal bone level decreased from 8.0 ± 3.7 mm at baseline to 5.2 ± 2.2 mm at the 12‐month follow‐up (<hi rend="italic">P</hi>
= 0.000001). The radiographic fill of the intrabony component of the defect amounted to 93.3 ± 13.0%.</p>
Conclusion
<p>Within the limits of this study, a combined regenerative and resective approach for the treatment of peri‐implant defects yielded positive outcomes in terms of <hi rend="fc">PPD</hi>
reduction and radiographic defect fill after 12 months.</p>
</abstract>
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<country>Italy</country>
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</affiliation>
<affiliation countryCode="CH" type="organization" xml:id="clr12183-aff-0002"><orgDiv>Department of Periodontology</orgDiv>
<orgDiv>School of Dental Medicine</orgDiv>
<orgName>University of Bern</orgName>
<address><city>Bern</city>
<country>Switzerland</country>
</address>
</affiliation>
</affiliationGroup>
<keywordGroup type="author"><keyword xml:id="clr12183-kwd-0001">bone loss</keyword>
<keyword xml:id="clr12183-kwd-0002">bone substitutes</keyword>
<keyword xml:id="clr12183-kwd-0003">dental implants</keyword>
<keyword xml:id="clr12183-kwd-0004">guided bone regeneration</keyword>
<keyword xml:id="clr12183-kwd-0005">peri‐implantitis</keyword>
<keyword xml:id="clr12183-kwd-0006">periodontitis</keyword>
<keyword xml:id="clr12183-kwd-0007">transmucosal healing</keyword>
</keywordGroup>
<abstractGroup><abstract type="main" xml:id="clr12183-abs-0001" xml:lang="en"><title type="main">Abstract</title>
<section xml:id="clr12183-sec-0001"><title type="main">Aim</title>
<p>To assess the clinical and radiographic outcomes applying a combined resective and regenerative approach in the treatment of peri‐implantitis.</p>
</section>
<section xml:id="clr12183-sec-0002"><title type="main">Materials and methods</title>
<p>Subjects with implants diagnosed with peri‐implantitis (i.e., pocket probing depth (<fc>PPD</fc>
) ≥5 mm with concomitant bleeding on probing (BoP) and ≥2 mm of marginal bone loss or exposure of ≥1 implant thread) were treated by means of a combined approach including the application of a deproteinized bovine bone mineral and a collagen membrane in the intrabony and implantoplasty in the suprabony component of the peri‐implant lesion, respectively. The soft tissues were apically repositioned allowing for a non‐submerged healing. Clinical and radiographic parameters were evaluated at baseline and 12 months after treatment.</p>
</section>
<section xml:id="clr12183-sec-0003"><title type="main">Results</title>
<p>Eleven subjects with 11 implants were treated and completed the 12‐month follow‐up. No implant was lost yielding a 100% survival rate. At baseline, the mean <fc>PPD</fc>
and mean clinical attachment level (<fc>CAL</fc>
) were 8.1 ± 1.8 mm and 9.7 ± 2.5 mm, respectively. After 1 year, a mean <fc>PPD</fc>
of 4.0 ± 1.3 mm and a mean <fc>CAL</fc>
of 6.7 ± 2.5 mm were assessed. The differences between the baseline and the follow‐up examinations were statistically significant (<i>P</i>
= 0.001). The mucosal recession increased from 1.7 ± 1.5 at baseline to 3.0 ± 1.8 mm at the 12‐month follow‐up (<i>P</i>
= 0.003). The mean% of sites with BoP+ around the selected implants decreased from 19.7 ± 40.1 at baseline to 6.1 ± 24.0 after 12 months (<i>P</i>
= 0.032).</p>
<p>The radiographic marginal bone level decreased from 8.0 ± 3.7 mm at baseline to 5.2 ± 2.2 mm at the 12‐month follow‐up (<i>P</i>
= 0.000001). The radiographic fill of the intrabony component of the defect amounted to 93.3 ± 13.0%.</p>
</section>
<section xml:id="clr12183-sec-0004"><title type="main">Conclusion</title>
<p>Within the limits of this study, a combined regenerative and resective approach for the treatment of peri‐implant defects yielded positive outcomes in terms of <fc>PPD</fc>
reduction and radiographic defect fill after 12 months.</p>
</section>
</abstract>
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<name type="personal"><namePart type="given">Sergio</namePart>
<namePart type="family">Matarasso</namePart>
<affiliation>Department of Periodontology, University Federico II, Naples, Italy</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">Vincenzo</namePart>
<namePart type="family">Iorio Siciliano</namePart>
<affiliation>Department of Periodontology, University Federico II, Naples, Italy</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">Marco</namePart>
<namePart type="family">Aglietta</namePart>
<affiliation>Department of Periodontology, University Federico II, Naples, Italy</affiliation>
<affiliation>Belpbergstrasse 1B 3123 Belp,SwitzerlandTel.: +41 (0)77 41 67 186Fax: +41 (0)31 819 20 96e‐mail:</affiliation>
<affiliation>E-mail: agliettamarco@gmail.com</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">Gianmaria</namePart>
<namePart type="family">Andreuccetti</namePart>
<affiliation>Department of Periodontology, University Federico II, Naples, Italy</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">Giovanni E.</namePart>
<namePart type="family">Salvi</namePart>
<affiliation>Department of Periodontology, School of Dental Medicine, University of Bern, Bern, Switzerland</affiliation>
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<edition>Matarasso S, Iorio Siciliano V, Aglietta M, Andreuccetti G, Salvi GE. Clinical and radiographic outcomes of a combined resective and regenerative approach in the treatment of peri‐implantitis: a prospective case series. Clin. Oral Impl. Res. 25, 2014, 761–767 doi: 10.1111/clr.12183</edition>
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<abstract>To assess the clinical and radiographic outcomes applying a combined resective and regenerative approach in the treatment of peri‐implantitis.</abstract>
<abstract>Subjects with implants diagnosed with peri‐implantitis (i.e., pocket probing depth (PPD) ≥5 mm with concomitant bleeding on probing (BoP) and ≥2 mm of marginal bone loss or exposure of ≥1 implant thread) were treated by means of a combined approach including the application of a deproteinized bovine bone mineral and a collagen membrane in the intrabony and implantoplasty in the suprabony component of the peri‐implant lesion, respectively. The soft tissues were apically repositioned allowing for a non‐submerged healing. Clinical and radiographic parameters were evaluated at baseline and 12 months after treatment.</abstract>
<abstract>Eleven subjects with 11 implants were treated and completed the 12‐month follow‐up. No implant was lost yielding a 100% survival rate. At baseline, the mean PPD and mean clinical attachment level (CAL) were 8.1 ± 1.8 mm and 9.7 ± 2.5 mm, respectively. After 1 year, a mean PPD of 4.0 ± 1.3 mm and a mean CAL of 6.7 ± 2.5 mm were assessed. The differences between the baseline and the follow‐up examinations were statistically significant (P = 0.001). The mucosal recession increased from 1.7 ± 1.5 at baseline to 3.0 ± 1.8 mm at the 12‐month follow‐up (P = 0.003). The mean% of sites with BoP+ around the selected implants decreased from 19.7 ± 40.1 at baseline to 6.1 ± 24.0 after 12 months (P = 0.032). The radiographic marginal bone level decreased from 8.0 ± 3.7 mm at baseline to 5.2 ± 2.2 mm at the 12‐month follow‐up (P = 0.000001). The radiographic fill of the intrabony component of the defect amounted to 93.3 ± 13.0%.</abstract>
<abstract>Within the limits of this study, a combined regenerative and resective approach for the treatment of peri‐implant defects yielded positive outcomes in terms of PPD reduction and radiographic defect fill after 12 months.</abstract>
<subject><genre>keywords</genre>
<topic>bone loss</topic>
<topic>bone substitutes</topic>
<topic>dental implants</topic>
<topic>guided bone regeneration</topic>
<topic>peri‐implantitis</topic>
<topic>periodontitis</topic>
<topic>transmucosal healing</topic>
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<identifier type="ISSN">0905-7161</identifier>
<identifier type="eISSN">1600-0501</identifier>
<identifier type="DOI">10.1111/(ISSN)1600-0501</identifier>
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<part><date>2014</date>
<detail type="volume"><caption>vol.</caption>
<number>25</number>
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<detail type="issue"><caption>no.</caption>
<number>7</number>
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<extent unit="pages"><start>761</start>
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