Peri-implantitis Oral Health
Conditions
Interventions
First, cases will be diagnosed clinically and radiographically to ensure the matching of inclusion criteria.
After local anesthesia, a full thickness flap will be made in the implant s
Sponsors
Damascus University
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. =1 implant with peri-implantitis with a peri-implant pocket depth =6 mm, bleeding on probing, and bone loss of <50% of the implant's surface area 2. The surface of the affected dental implant is treated with acid etching and sandblasting (SLA) technique 3. The bone defect surrounding the implant is =2 walls and is estimated to be =3 mm of the implant length 4. Good oral health 5. No periodontitis on remaining teeth and no history of periodontitis leading to the loss of teeth 6. Presence of a gum strip adhered to the implant area of ??=2 mm
Exclusion criteria
Exclusion criteria: 1. Implant movement 2. An excessive occlusal load on the implant 3. Being treated with drugs that cause bone metabolism disorder such as corticosteroids, oral contraceptives, hormonal and chemical treatments, or have undergone radiotherapy in the face area 4. Pregnancy or breastfeeding 5. Smoking (>10 units per day) 6. General systemic diseases (such as diabetes, cardiovascular disorders, leukemia, high arterial tension, coagulation disorders, and metabolic diseases)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Microscopic topography of the implant surface formed after applying each method of mechanical treatments measured using scanning electronic microscope SEM at baseline and 6 months after the grafting process 2. Dimensions of the grafted alveolar ridge in the area of the implant at the transverse plane measured (clinically) using cone-beam computed tomography systems (CBCT) the day following the surgery and 6 months after the grafting process 3. Dimensions of the grafted alveolar ridge in the implantation area at the transverse and vertical levels measured using cone-beam computed tomography systems (CBCT) at baseline and 6 months after the grafting process 4. Gingival health measured using assessment of gingival indices, bleeding on probing (BOP), and peri-implant pocket depth (PPD) at baseline and 6 months after the grafting process | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Effect on the keratinized gingiva measured using keratinized gingival width will be measured by a periodontal probe from a reference point at the buccal side of the implant (mid buccal surface of the gingival former) to the MGJ (muco-gingival junction) before the surgery and 6 months after the grafting process 2. Pain after surgery measured using a visual analogue score (VAS) at baseline, 24 h, 48 h, and one week after surgery at baseline and 6 months after the grafting process 3. Patient satisfaction with the surgical procedure measured using patient satisfaction questionnaire (PSQ-18) at 6 months after the grafting process | — |
Countries
Syria
Outcome results
None listed