A novel non-surgical method for mild peri-implantitis- a multicenter consecutive case series
Identifieur interne : 000978 ( Pmc/Curation ); précédent : 000977; suivant : 000979A novel non-surgical method for mild peri-implantitis- a multicenter consecutive case series
Auteurs : J. C. Wohlfahrt [Norvège] ; B. J. Evensen [Norvège] ; B. Zeza [Italie] ; H. Jansson [Suède] ; A. Pilloni [Italie] ; A. M. Roos-Jans Ker [Suède] ; G. L. Di Tanna [Royaume-Uni] ; A. M. Aass [Norvège] ; M. Klepp [Norvège] ; O. C. Koldsland [Norvège]Source :
- International Journal of Implant Dentistry [ 2198-4034 ] ; 2017.
Abstract
The aim of the present study was to evaluate the effect on peri-implant mucosal inflammation from the use of a novel instrument made of chitosan in the non-surgical treatment of mild peri-implantitis across several clinical centers.
In this 6-month multicenter prospective consecutive case series performed in six different periodontal specialist clinics, 63 implants in 63 patients were finally included. The subjects had mild peri-implantitis defined as radiographic bone loss of 1–2 mm, pocket probing depth (PPD) ≥4 mm and a positive bleeding on probing (mBoP) score. The patients were clinically examined at baseline and after 2, 4, 12 and 24 weeks, and radiographs were taken at baseline and at 3 and 6 months. Treatment of the implants with the chitosan brush seated in an oscillating dental drill piece was performed at baseline and at 3 months. Reductions in the clinical parameters (PPD and mBoP) were compared between baseline and the later examination time points.
Significant reductions in both PPD and mBoP were observed at all time points compared with the baseline clinical measurements (
This case series demonstrated that an oscillating chitosan brush is safe to use and seems to have merits in the non-surgical treatment of dental implants with mild peri-implantitis. To measure the effectiveness of the method, a multicenter randomized clinical trial needs to be undertaken.
Url:
DOI: 10.1186/s40729-017-0098-y
PubMed: 28776288
PubMed Central: 5543013
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<series><title level="j">International Journal of Implant Dentistry</title>
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<front><div type="abstract" xml:lang="en"><sec><title>Aim</title>
<p id="Par1">The aim of the present study was to evaluate the effect on peri-implant mucosal inflammation from the use of a novel instrument made of chitosan in the non-surgical treatment of mild peri-implantitis across several clinical centers.</p>
</sec>
<sec><title>Materials and methods</title>
<p id="Par2">In this 6-month multicenter prospective consecutive case series performed in six different periodontal specialist clinics, 63 implants in 63 patients were finally included. The subjects had mild peri-implantitis defined as radiographic bone loss of 1–2 mm, pocket probing depth (PPD) ≥4 mm and a positive bleeding on probing (mBoP) score. The patients were clinically examined at baseline and after 2, 4, 12 and 24 weeks, and radiographs were taken at baseline and at 3 and 6 months. Treatment of the implants with the chitosan brush seated in an oscillating dental drill piece was performed at baseline and at 3 months. Reductions in the clinical parameters (PPD and mBoP) were compared between baseline and the later examination time points.</p>
</sec>
<sec><title>Results</title>
<p id="Par3">Significant reductions in both PPD and mBoP were observed at all time points compared with the baseline clinical measurements (<italic>p</italic>
< 0.001). The mean PPD and mBoP at baseline were 5.15 mm (4.97; 5.32) and 1.86 (1.78; 1.93), respectively, whereas the mean PPD and mBoP at 6 months were 4.0 mm (3.91; 4.19) and 0.64 (0.54; 0.75), respectively. Stable reductions in PPD and mBoP were evident up to 6 months after the initial treatment and 3 months after the second treatment. All 63 implants were reported to have stable radiographic levels of osseous support.</p>
</sec>
<sec><title>Conclusions</title>
<p id="Par4">This case series demonstrated that an oscillating chitosan brush is safe to use and seems to have merits in the non-surgical treatment of dental implants with mild peri-implantitis. To measure the effectiveness of the method, a multicenter randomized clinical trial needs to be undertaken.</p>
</sec>
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</analytic>
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</TEI>
<pmc article-type="case-report"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Int J Implant Dent</journal-id>
<journal-id journal-id-type="iso-abbrev">Int J Implant Dent</journal-id>
<journal-title-group><journal-title>International Journal of Implant Dentistry</journal-title>
</journal-title-group>
<issn pub-type="epub">2198-4034</issn>
<publisher><publisher-name>Springer Berlin Heidelberg</publisher-name>
<publisher-loc>Berlin/Heidelberg</publisher-loc>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">28776288</article-id>
<article-id pub-id-type="pmc">5543013</article-id>
<article-id pub-id-type="publisher-id">98</article-id>
<article-id pub-id-type="doi">10.1186/s40729-017-0098-y</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject>
</subj-group>
</article-categories>
<title-group><article-title>A novel non-surgical method for mild peri-implantitis- a multicenter consecutive case series</article-title>
</title-group>
<contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Wohlfahrt</surname>
<given-names>J. C.</given-names>
</name>
<address><phone>+47-22852085</phone>
<email>johancw@odont.uio.no</email>
</address>
<xref ref-type="aff" rid="Aff1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Evensen</surname>
<given-names>B. J.</given-names>
</name>
<xref ref-type="aff" rid="Aff2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Zeza</surname>
<given-names>B.</given-names>
</name>
<xref ref-type="aff" rid="Aff3">3</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Jansson</surname>
<given-names>H.</given-names>
</name>
<xref ref-type="aff" rid="Aff4">4</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Pilloni</surname>
<given-names>A.</given-names>
</name>
<xref ref-type="aff" rid="Aff3">3</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Roos-Jansåker</surname>
<given-names>A. M.</given-names>
</name>
<xref ref-type="aff" rid="Aff5">5</xref>
<xref ref-type="aff" rid="Aff8">8</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Di Tanna</surname>
<given-names>G. L.</given-names>
</name>
<xref ref-type="aff" rid="Aff6">6</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Aass</surname>
<given-names>A. M.</given-names>
</name>
<xref ref-type="aff" rid="Aff1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Klepp</surname>
<given-names>M.</given-names>
</name>
<xref ref-type="aff" rid="Aff7">7</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Koldsland</surname>
<given-names>O. C.</given-names>
</name>
<xref ref-type="aff" rid="Aff1">1</xref>
</contrib>
<aff id="Aff1"><label>1</label>
<institution-wrap><institution-id institution-id-type="ISNI">0000 0004 1936 8921</institution-id>
<institution-id institution-id-type="GRID">grid.5510.1</institution-id>
<institution>Department of Periodontology, Institute of Clinical Dentistry,</institution>
<institution>University of Oslo,</institution>
</institution-wrap>
Pb. 1109 Blindern, 0317 Oslo, Norway</aff>
<aff id="Aff2"><label>2</label>
Private Practice, Tønsberg, Norway</aff>
<aff id="Aff3"><label>3</label>
<institution-wrap><institution-id institution-id-type="GRID">grid.7841.a</institution-id>
<institution>Department of Dental and Maxillofacial Sciences, Section of Periodontology, Sapienza,</institution>
<institution>University of Rome,</institution>
</institution-wrap>
Rome, Italy</aff>
<aff id="Aff4"><label>4</label>
<institution-wrap><institution-id institution-id-type="ISNI">0000 0004 0414 7587</institution-id>
<institution-id institution-id-type="GRID">grid.118888.0</institution-id>
<institution>Center for Oral Health, Department of Natural Science and Biomedicine, School of Health Sciences,</institution>
<institution>Jönköping University,</institution>
</institution-wrap>
Jönköping, Sweden</aff>
<aff id="Aff5"><label>5</label>
Department of Periodontology, Public Dental Health Service, Kristianstad, Sweden</aff>
<aff id="Aff6"><label>6</label>
<institution-wrap><institution-id institution-id-type="ISNI">0000 0001 2171 1133</institution-id>
<institution-id institution-id-type="GRID">grid.4868.2</institution-id>
<institution>Center for Primary Care and Public Health,</institution>
<institution>Queen Mary University of London,</institution>
</institution-wrap>
London, UK</aff>
<aff id="Aff7"><label>7</label>
Private Practice, Stavanger, Norway</aff>
<aff id="Aff8"><label>8</label>
Department of Periodontology, Public Specialist Dental Clinic, Karlskrona, Sweden</aff>
</contrib-group>
<pub-date pub-type="epub"><day>3</day>
<month>8</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>3</day>
<month>8</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="collection"><month>12</month>
<year>2017</year>
</pub-date>
<volume>3</volume>
<elocation-id>38</elocation-id>
<history><date date-type="received"><day>8</day>
<month>4</month>
<year>2017</year>
</date>
<date date-type="accepted"><day>13</day>
<month>7</month>
<year>2017</year>
</date>
</history>
<permissions><copyright-statement>© The Author(s). 2017</copyright-statement>
<license license-type="OpenAccess"><license-p><bold>Open Access</bold>
This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">http://creativecommons.org/licenses/by/4.0/</ext-link>
), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.</license-p>
</license>
</permissions>
<abstract id="Abs1"><sec><title>Aim</title>
<p id="Par1">The aim of the present study was to evaluate the effect on peri-implant mucosal inflammation from the use of a novel instrument made of chitosan in the non-surgical treatment of mild peri-implantitis across several clinical centers.</p>
</sec>
<sec><title>Materials and methods</title>
<p id="Par2">In this 6-month multicenter prospective consecutive case series performed in six different periodontal specialist clinics, 63 implants in 63 patients were finally included. The subjects had mild peri-implantitis defined as radiographic bone loss of 1–2 mm, pocket probing depth (PPD) ≥4 mm and a positive bleeding on probing (mBoP) score. The patients were clinically examined at baseline and after 2, 4, 12 and 24 weeks, and radiographs were taken at baseline and at 3 and 6 months. Treatment of the implants with the chitosan brush seated in an oscillating dental drill piece was performed at baseline and at 3 months. Reductions in the clinical parameters (PPD and mBoP) were compared between baseline and the later examination time points.</p>
</sec>
<sec><title>Results</title>
<p id="Par3">Significant reductions in both PPD and mBoP were observed at all time points compared with the baseline clinical measurements (<italic>p</italic>
< 0.001). The mean PPD and mBoP at baseline were 5.15 mm (4.97; 5.32) and 1.86 (1.78; 1.93), respectively, whereas the mean PPD and mBoP at 6 months were 4.0 mm (3.91; 4.19) and 0.64 (0.54; 0.75), respectively. Stable reductions in PPD and mBoP were evident up to 6 months after the initial treatment and 3 months after the second treatment. All 63 implants were reported to have stable radiographic levels of osseous support.</p>
</sec>
<sec><title>Conclusions</title>
<p id="Par4">This case series demonstrated that an oscillating chitosan brush is safe to use and seems to have merits in the non-surgical treatment of dental implants with mild peri-implantitis. To measure the effectiveness of the method, a multicenter randomized clinical trial needs to be undertaken.</p>
</sec>
</abstract>
<kwd-group xml:lang="en"><title>Keywords</title>
<kwd>Clinical study</kwd>
<kwd>Chitosan</kwd>
<kwd>Peri-implantitis</kwd>
<kwd>Dental implants</kwd>
<kwd>Non-surgical treatment</kwd>
</kwd-group>
<funding-group><award-group><funding-source><institution-wrap><institution-id institution-id-type="FundRef">http://dx.doi.org/10.13039/501100005416</institution-id>
<institution>Norges Forskningsråd</institution>
</institution-wrap>
</funding-source>
<award-id>234524</award-id>
</award-group>
</funding-group>
<custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name>
<meta-value>© The Author(s) 2017</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
</front>
</pmc>
</record>
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