Anti-infective surgical therapy of peri-implantitis. A 12-month prospective clinical study

被引:126
作者
Heitz-Mayfield, L. J. A. [1 ]
Salvi, G. E. [2 ]
Mombelli, A. [3 ]
Faddy, M. [4 ]
Lang, N. P. [5 ]
机构
[1] Univ Western Australia, Ctr Rural & Remote Oral Hlth, Crawley, WA, Australia
[2] Univ Bern, Sch Dent Med, Bern, Switzerland
[3] Univ Geneva, Sch Dent Med, Geneva, Switzerland
[4] Queensland Univ Technol, Brisbane, Qld 4001, Australia
[5] Univ Hong Kong, Hong Kong, Hong Kong, Peoples R China
关键词
anti-infective treatment; chlorhexidine; implant surface; peri-implantitis; surgical debridement; systemic antimicrobials; SPONTANEOUS PROGRESSION; EUROPEAN WORKSHOP; PART II; DISEASES; METRONIDAZOLE; AMOXICILLIN; PREVALENCE; DIAGNOSIS; CONSENSUS; DOGS;
D O I
10.1111/j.1600-0501.2011.02276.x
中图分类号
R78 [口腔科学];
学科分类号
100302 [口腔临床医学];
摘要
Aim: The aim of this prospective cohort study was to evaluate an anti-infective surgical protocol for the treatment of peri-implantitis. Materials and methods: Thirty-six implants in 24 partially dentate patients with moderate to advanced peri-implantitis were treated using an anti-infective surgical protocol incorporating open flap debridement and implant surface decontamination, with adjunctive systemic amoxicillin and metronidazole. Treatment outcomes were assessed at 3, 6 and 12 months. Patient-based statistical analyses using multiple regression analyses were performed. Results: There was 100% survival of treated implants at 12 months. At 3 months, there were statistically significant (P < 0.01) reductions in mean probing depths (PD), Bleeding on Probing (BoP) and suppuration. The greater the mean PD at baseline, the greater the PD reduction at 3 months. At 3 months, there was also a significant mean facial mucosal recession of 1 mm (P < 0.001). All these changes were maintained at 6 and 12 months. At 12 months, all treated implants had a mean PD < 5 mm, while 47% of the implants had complete resolution of inflammation (BoP negative). At 12 months, 92% of implants had stable crestal bone levels or bone gain. There were no significant effects of smoking on any of the treatment outcomes. Conclusions: For the treatment of peri-implantitis, an anti-infective protocol incorporating surgical access, implant surface decontamination and systemic antimicrobials followed by a strict postoperative protocol was effective at 3 months with the results maintained for up to 12 months after treatment.
引用
收藏
页码:205 / 210
页数:6
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