Reconstructive Procedures for Treating Peri-implantitis: A Systematic Review

被引:68
作者
Khoshkam, V. [1 ]
Chan, H. L. [1 ]
Lin, G. H. [1 ]
MacEachern, M. P. [2 ]
Monje, A. [1 ]
Suarez, F. [1 ]
Giannobile, W. V. [1 ]
Wang, H. L. [1 ]
机构
[1] Univ Michigan, Sch Dent, Dept Periodont & Oral Med, Ann Arbor, MI 48109 USA
[2] Univ Michigan, Taubman Hlth Sci Lib, Ann Arbor, MI 48109 USA
关键词
dental; oral implants; osseointegration; peri-implant; guided bone regeneration; implantology; bone regeneration; SURGICAL-TREATMENT; REGENERATIVE TREATMENT; AUTOGENOUS BONE; DEFECTS; THERAPY; PREVALENCE; MEMBRANE; COMBINATION; SEVERITY; DISEASE;
D O I
10.1177/0022034513509279
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
This review aimed at evaluating the effectiveness of reconstructive procedures for treating peri-implantitis. Searches of electronic databases and cross-referencing were performed for human comparative clinical trials with 10 implants for 12 months of follow-up, reporting radiographic defect fill and at least one of the following parameters: probing depth reduction, clinical attachment level gain, bleeding on probing reduction, and mucosal recession. The searches retrieved 430 citations. Only 1 randomized controlled trial was identified, which compared reconstructive therapy and open flap debridement. Case series studies were also included to evaluate the overall performance of the reconstructive procedures. Twelve studies were finally included. Meta-analysis revealed that the weighted mean radiographic defect fill was 2.17 mm (95% confidence interval [CI]: 1.46-2.87 mm), probing depth reduction was 2.97 mm (95% CI: 2.38-3.56 mm), clinical attachment level gain was 1.65 mm (95% CI: 1.17-2.13 mm), and bleeding on probing reduction was 45.8% (95% CI: 38.5%-53.3%). Great variability in reparative outcomes was found, attributed to patient factors, defect morphology, and reconstructive agents used. Currently, there is a lack of evidence for supporting additional benefit of reconstructive procedures to the other treatment modalities for managing peri-implantitis.
引用
收藏
页码:131S / 138S
页数:8
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