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A novel non-surgical method for mild peri-implantitis- a multicenter consecutive case series
Department of Periodontology, Institute of Clinical Dentistry, University of Oslo, Oslo, Norway.
Private Practice, Tønsberg, Norway.
Department of Dental and Maxillofacial Sciences, Section of Periodontology, Sapienza, University of Rome, Rome, Italy.
Jönköping University, School of Health and Welfare, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. Oral health. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).ORCID iD: 0000-0001-5145-8220
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2017 (English)In: International Journal of Implant Dentistry, ISSN 2198-4034, Vol. 3, no 1Article in journal (Refereed) Published
Abstract [en]

AIM:

The aim of the present study was to evaluate the effect on peri-implant mucosal inflammation from the use of a novel instrument made of chitosan in the non-surgical treatment of mild peri-implantitis across several clinical centers.

MATERIALS AND METHODS:

In this 6-month multicenter prospective consecutive case series performed in six different periodontal specialist clinics, 63 implants in 63 patients were finally included. The subjects had mild peri-implantitis defined as radiographic bone loss of 1-2 mm, pocket probing depth (PPD) ≥4 mm and a positive bleeding on probing (mBoP) score. The patients were clinically examined at baseline and after 2, 4, 12 and 24 weeks, and radiographs were taken at baseline and at 3 and 6 months. Treatment of the implants with the chitosan brush seated in an oscillating dental drill piece was performed at baseline and at 3 months. Reductions in the clinical parameters (PPD and mBoP) were compared between baseline and the later examination time points.

RESULTS:

Significant reductions in both PPD and mBoP were observed at all time points compared with the baseline clinical measurements (p < 0.001). The mean PPD and mBoP at baseline were 5.15 mm (4.97; 5.32) and 1.86 (1.78; 1.93), respectively, whereas the mean PPD and mBoP at 6 months were 4.0 mm (3.91; 4.19) and 0.64 (0.54; 0.75), respectively. Stable reductions in PPD and mBoP were evident up to 6 months after the initial treatment and 3 months after the second treatment. All 63 implants were reported to have stable radiographic levels of osseous support.

CONCLUSIONS:

This case series demonstrated that an oscillating chitosan brush is safe to use and seems to have merits in the non-surgical treatment of dental implants with mild peri-implantitis. To measure the effectiveness of the method, a multicenter randomized clinical trial needs to be undertaken.

Place, publisher, year, edition, pages
Springer, 2017. Vol. 3, no 1
Keywords [en]
Chitosan; Clinical study; Dental implants; Non-surgical treatment; Peri-implantitis
National Category
Dentistry
Identifiers
URN: urn:nbn:se:hj:diva-37107DOI: 10.1186/s40729-017-0098-yISI: 000407386100001PubMedID: 28776288OAI: oai:DiVA.org:hj-37107DiVA, id: diva2:1137634
Available from: 2017-08-31 Created: 2017-08-31 Last updated: 2018-01-23Bibliographically approved

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Jansson, Henrik

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