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Hentenaar DFM, De Waal YCM, Stewart RE, et al. Erythritol air polishing in the surgical treatment of peri-implantitis: A randomized controlled trial. Clin Oral Implants Res. 2021;doi: 10.1111/clr.13881.
Hentenaar, D. F. M., De Waal, Y. C. M., Stewart, R. E., Van Winkelhoff, A. J., Meijer, H. J. A., & Raghoebar, G. M. (2021). Erythritol air polishing in the surgical treatment of peri-implantitis: A randomized controlled trial. Clinical oral implants research, . https://doi.org/10.1111/clr.13881
Hentenaar, Diederik F M, et al. "Erythritol air polishing in the surgical treatment of peri-implantitis: A randomized controlled trial." Clinical oral implants research vol. (2021). doi: https://doi.org/10.1111/clr.13881
Hentenaar DFM, De Waal YCM, Stewart RE, Van Winkelhoff AJ, Meijer HJA, Raghoebar GM. Erythritol air polishing in the surgical treatment of peri-implantitis: A randomized controlled trial. Clin Oral Implants Res. 2021 Nov 22; doi: 10.1111/clr.13881. Epub 2021 Nov 22. PMID: 34808006.
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Clin Oral Implants Res. 2021 Nov 22; doi: 10.1111/clr.13881. Epub 2021 Nov 22.

Erythritol air polishing in the surgical treatment of peri-implantitis: A randomized controlled trial.

Clinical oral implants research

Diederik F M Hentenaar, Yvonne C M De Waal, Roy E Stewart, Arie Jan Van Winkelhoff, Henny J A Meijer, Gerry M Raghoebar

Affiliations

  1. Department of Oral and Maxillofacial Surgery, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
  2. Center for Dentistry and Oral Hygiene, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
  3. Department of Health Sciences, Community and Occupational Medicine, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.

PMID: 34808006 DOI: 10.1111/clr.13881

Abstract

OBJECTIVES: To compare erythritol air polishing with implant surface cleansing using saline during the surgical treatment of peri-implantitis.

MATERIAL AND METHODS: During a resective surgical intervention, implant surfaces were randomly treated with either air polishing (test group n = 26 patients/53 implants) or saline-soaked cotton gauzes (control group n = 31 patients/ 40 implants). Primary outcome was change in mean bleeding on probing (BoP) from baseline to 12 months follow-up. Secondary outcomes were changes in mean suppuration on probing (SoP), plaque score (Plq), probing pocket depth (PPD), marginal bone loss (MBL), periodontal full-mouth scores (PFMS), and levels of 8 classical periodontal pathogens. Clinical and radiographical parameters were analyzed using multilevel regression analyses. Microbiological outcomes were analyzed using the Mann-Whitney U test.

RESULTS: No differences between the test and control group were found for BoP over 12 months of follow-up, nor for the secondary parameters Plq, PPD, and MBL. Between both groups, a significant difference was found for the levels of SoP (p = 0.035). No significant effect on microbiological levels was found. A total number of 6 implants were lost in the test group and 10 in the control group. At 1-year follow-up, a successful treatment outcome (PPD<5 mm, max 1 out of 6 sites BoP, no suppuration and no progressive bone loss >0.5 mm) was achieved for a total of 18 implants (19.2%).

CONCLUSIONS: Erythritol air polishing as implant surface cleansing method was not more effective than saline during resective surgical treatment of peri-implantitis in terms of clinical, radiographical, and microbiological parameters. Both therapies resulted in low treatment success.

TRIAL REGISTRY: https://www.trialregister.nl/ Identifier: NL8621.

© 2021 The Authors. Clinical Oral Implants Research published by John Wiley & Sons Ltd.

Keywords: dental implant; intervention study; peri-implantitis; randomized controlled trial; surgery

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