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Efficacy of air polishing for the non‐surgical treatment of peri‐implant diseases: a systematic review
Author(s) -
Schwarz Frank,
Becker Kathrin,
Renvert Stefan
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.12454
Subject(s) - medicine , bleeding on probing , mucositis , peri implantitis , debridement (dental) , antiseptic , dentistry , implant , surgery , periodontal disease , chemotherapy , pathology
Focused Question In patients suffering from peri‐implant diseases, what is the efficacy of air polishing on changing signs of inflammation compared with control treatments (i.e. alternative measures for plaque removal with or without adjunctive antiseptic and/ or antibiotic therapy)? Material & Methods After electronic database and hand search, 10 full‐text articles were independently screened by two reviewers. Finally, a total of five studies (six publications) fulfilled the inclusion criteria. The weighted mean difference ( WMD ) [ p ; 95% CI ] in bleeding on probing‐ ( BOP ) (primary outcome) and probing pocket depth‐ ( PD ) reductions was estimated using a random effect model. Results All studies reported on residual BOP scores after therapy. A narrative data synthesis did not reveal any major improvement of bleeding index/ BOP or disease resolution following air polishing over mechanical debridement at mucositis sites. At peri‐implantitis sites, WMD in BOP reduction between test and control (mechanical debridement with or without local antiseptic therapy, Er: YAG laser) groups was −23.83% [ p = 0.048; 95% CI (−47.47, −0.20)] favouring air polishing over control measures. Conclusions While glycine powder air polishing is as effective as the control treatments at mucositis sites, it may improve the efficacy of non‐surgical treatment of peri‐implantitis over the control measures investigated. A complete disease resolution was commonly not obtained.