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The Comparison of Porous Titanium Granule and Xenograft in the Surgical Treatment of Peri‐Implantitis: A Prospective Clinical Study
Author(s) -
Guler Berceste,
Uraz Ahu,
Yalım Mehmet,
Bozkaya Suleyman
Publication year - 2017
Publication title -
clinical implant dentistry and related research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.338
H-Index - 85
eISSN - 1708-8208
pISSN - 1523-0899
DOI - 10.1111/cid.12453
Subject(s) - peri implantitis , medicine , implant , dentistry , titanium , bleeding on probing , cone beam computed tomography , prospective cohort study , granule (geology) , surgery , computed tomography , materials science , periodontitis , metallurgy , composite material
Background Regarding the current approach, there is no evidence to show which treatment technique is the most accurate and useful in peri‐implant defects. Purpose The aim of this study is comparing the effect of porous titanium granule (PTG) with rotary titanium brush and the use of xenograft and collagen membrane in the treatment of intra‐bony peri‐implant defects. Materials and Methods Twenty‐two patients, suffering peri‐implantitis defects were included this study. Patients were divided into two groups: The PTG group used rotary titanium brush, PTG, and platelet rich fibrin (PRF) membrane. The XGF group used xenograft bone substitute, collagen membrane, and PRF membrane. Clinical measurements and cone beam computed tomography per region were recorded as baseline and sixth month after surgery. Results The mean CAL values were improved from 5.29 ± 1.06 to 3.59 ± 0.88 mm in PTG group, while in XGF group; these values were improved from 4.77 ± 1.05 to 3.30 ± 0.58 mm. Radiographic bone filling values displayed a statistically significant difference between of groups. In PTG groups, these radiological values increased more than the XGF group. Conclusions PTG may be more appropriate for peri‐implantitis surgery than xenograft due to inert structure and comfortable use of PTG to provide mechanical support for enlarging the surface area of the implant.