Surgical Methods for Treating Peri-Implantitis
Author Information
Author(s): Shahbazi Soheil, Esmaeili Saharnaz, Shirvani Armin, Amid Reza, Kadkhodazadeh Mahdi
Primary Institution: Shahid Beheshti University of Medical Sciences, Tehran, Iran
Hypothesis
Which surgical regenerative protocols lead to more significant improvements in clinical and radiographic parameters during a minimum follow-up duration of 12 months?
Conclusion
Using bone grafts did not significantly improve bleeding on probing, probing depth, and bone gain, but plaque index and bone level showed significant enhancements.
Supporting Evidence
- Fifteen studies were included in the qualitative synthesis.
- The overall effect size for using bone grafts at the one-year follow-up was 0.04 for BoP.
- Bone grafts did not significantly influence the amount of bone gain following a one-year interval.
- Using bone grafts significantly boosted the decrease in plaque index values.
- Using a bone graft during surgical regeneration had a significant positive impact on bone level improvements.
Takeaway
This study looked at different ways to fix problems around dental implants. It found that while some methods helped with certain issues, others didn't make much difference.
Methodology
The study reviewed literature and performed a meta-analysis on surgical regenerative treatments for peri-implantitis, extracting data on various clinical parameters.
Potential Biases
Some studies raised concerns about bias, while others had a low risk.
Limitations
Variability in treatment components and definitions of peri-implantitis affected the reliability of comparisons.
Participant Demographics
Mean age of participants was 63.13 years, with 31.85% being smokers.
Statistical Information
P-Value
P=0.01 for plaque index, P=0.03 for bone level
Confidence Interval
95% CI: -0.26‒0.35 for BoP, -0.08 (95% CI: -0.42‒0.27) for PD, 0.37 (95% CI: 0.08‒0.65) for PI, -0.44 (95% CI: -0.84 to -0.03) for BL, 0.16 (95% CI: -0.68‒1.01) for BG
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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