Details

Autor(en) / Beteiligte

• Kotsailidi, Elli Anna
• Michelogiannakis, Dimitrios
• Al-Zawawi, Abeer Sami
• Javed, Fawad

Titel

Surgical or non-surgical treatment of peri-implantitis — what is the verdict?

Ist Teil von

• Surgery in practice and science, 2020-06, Vol.1, p.100010, Article 100010

Ort / Verlag

Elsevier Ltd

Erscheinungsjahr

2020

Quelle

Alma/SFX Local Collection

Beschreibungen/Notizen

• •The aim was to compare ST and NST in relation to peri-implantitis.•Indexed databases were searched.•Only one experimental study addressed the focused question.•Standardized protocols are needed in this regard. It remains unclear whether treatment of peri‑implantitis should be performed surgically after mucoperiosteal flap elevation or non-surgically. The aim of the present evidence-based literature review was to assess whether surgical or non-surgical treatment should be performed for the treatment of peri‑implantitis. The focused question was “Should peri‑implantitis be treated surgically or non-surgically?”. Clinical and experimental studies on animal-models were included. In-vitro studies, letters-to-the-Editor, reviews and commentaries were excluded. Indexed databases were searched up to and including May 2020 using guidelines of the preferred reporting guidelines for systematic reviews and meta-analysis. Hand searching was also performed. Initially, 588 studies were identified out of which, 587 were excluded. One split-mouth study on dogs with 3-months’ follow-up was included. In this study, test- and control-sites underwent surgical and non-surgical treatment, respectively. There was no statistically significant difference in bleeding on probing, probing depth and crestal bone loss between the test- and control-sites. Histomorphometic results that new bone formation was significantly higher at the most apical part of the peri‑implant defects in the test- than control-sites. Clinical attachment levels were significantly higher in the test- versus control-sites. In conclusion, due to the lack of clinical comparative studies, the selection of the therapeutic protocol (surgical or non-surgical) for the treatment of peri‑implantitis remains unclear. Hence, evidence-based protocols are needed to determine whether peri‑implantitis treatment should be performed surgically or non-surgically.