Alveolar Bone Loss, Peri-Implantitis
Conditions
Brief summary
As the frequency of dental implants increases, the incidence of complications and peri-implant diseases also increases. Early diagnosis and treatment of the disease is important to prevent consequences up to implant loss. Non-surgical treatment is the recommended treatment in the first stage due to its shorter duration and low morbidity rate. Non-surgical treatment of peri-implantitis provides clinical improvements such as reduced bleeding on probing (20-50%) and, in some cases, reduced pocket depth (≤ 1 mm). This study aims to clinically and radiographically compare two different mechanical treatments in patients with mild and moderate peri-implantitis.
Detailed description
60 patients with at least one implant with mild to moderate peri-implantitis, defined as 2-4 mm radiographic reduced bone level, bleeding index (BI) ≥ 2, and probing pocket depth (PPD) ≥ 4 mm will be randomly allocated to test and control groups, receiving titanium curettes or ultrasonic Carbon tips debridement, respectively. Treatment was performed at baseline. Plaque index (PI), gingival index (GI), Periodontal pocket depth (PD), Bleeding on probing (BOP) gingival recession (GR) and Clinical attachment level (CAL) will be measured at four sites per implant and recorded by examiner at baseline, one, three, six and twelve months. Pus will be recorded as present/not present. The radiographic marginal bone level changes will be calculated at baseline, third months, sixth months and 12 months.
Interventions
PROCEDUREUltrasonic Carbon Tip
Using Ultrasonic Carbon Tip for Non-surgical Peri-implantitis Treatment
PROCEDURETitanium Curette
Using Titanium Curettes for for Non-surgical Peri-implantitis Treatment
Sponsors
Kutahya Health Sciences University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Masking description
For Outcomes Assessor Masking, Groups were not defined and anonymized and assessor will be blind.
Intervention model description
Group I: Using Ultrasonic Carbon Tip for Non-surgical Peri-implantitis Treatment Group II: Using Titanium Curettes for for Non-surgical Peri-implantitis Treatment
Eligibility
Sex/Gender
ALL
Age
18 Years to 99 Years
Healthy volunteers
Yes
Inclusion criteria
1. Adult patients (≥18 years old) 2. Systemically healthy (ASA class 1 and ASA class 2) 3. Full-mouth plaque scores ≤20% 4. Implant had been in function for more than 6 months 5. Absence of plaque around the implant 6. Consent to complete all follow-up visits
Exclusion criteria
1. Mobile implant 2. Overhanging restorations that prevent access to the implant for clinical measurements 3. Unresolvable technical complications that can cause peri-implantitis 4. Presence of active periodontal disease 5. Implants with a history of peri-implantitis treated using graft materials 6. Use of drugs that cause gingival hyperplasia 7. Systemic antibiotic use in the last 3 months 8. Acute and chronic medical conditions that prevent the patient from participating in the study 9. Presence of uncontrolled severe peri-implantitis from neighbouring implants 10. History of radiotherapy in the head and neck region 11. Receiving acute chemotherapy 12. Current corticosteroid therapy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Periodontal depth decrease | Baseline to 12th month | Periodontal pocket depth (PD) decreasing baseline to 12th month |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| marginal bone level changes | Baseline to 12th month | Marginal bone level changes will be calculated at standardized periapical radiography |
Countries
Turkey (Türkiye)
Contacts
Primary ContactBerceste Guler Ayyildiz, d
Outcome results
None listed