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Non‐surgical treatment of peri‐implant mucositis and peri‐implantitis at zirconia implants: a prospective case series
Author(s) -
Schwarz Frank,
John Gordon,
Hegewald Andrea,
Becker Jürgen
Publication year - 2015
Publication title -
journal of clinical periodontology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.456
H-Index - 151
eISSN - 1600-051X
pISSN - 0303-6979
DOI - 10.1111/jcpe.12439
Subject(s) - peri implantitis , mucositis , medicine , dentistry , peri , implant , surgery , chemotherapy
Objectives To assess the efficacy of non‐surgical therapy for the management of peri‐implant diseases at a two‐piece zirconium implant system. Material & Methods Thirty‐four patients with 45 implants participated in this study. Seventeen patients (24 implants) were diagnosed with peri‐implant mucositis and received mechanical debridement + local antiseptic therapy using chlorhexidine digluconate ( MD + CXH ), while 17 patients (21 implants) diagnosed with peri‐implantitis were assigned to Er: YAG laser therapy. In both groups, post‐operative maintenance care included supramucosal plaque removal and local pocket irrigation using CHX . The primary endpoint was defined as disease resolution at 6 months (i.e. absence of bleeding upon probing ( BOP ) at mucositis sites/absence of BOP and probing pocket depths ( PD ) ≥6 mm at peri‐implantitis sites). Results Resolution of peri‐implant mucositis and peri‐implantitis was obtained in 9/17 (52.9%) ( p = 0.001) and 5/17 (29.4%) ( p = 0.02) of the patients respectively. Conclusion Non‐surgical treatment of either peri‐implant mucositis using MD + CHX or peri‐implantitis using ERL at zirconia implants was associated with significant short‐term clinical improvements. A complete disease resolution, however, was not achieved in the majority of the patients.