infection of mucosa surrounding a dental implant peri-implant mucositis
Conditions
Interventions
Implants with peri-implant mucositis will be cleaned mechanically both supra-
and submucosal, using plastic scalers and curettes, rubber cups and polishing
paste, followed by 4 weeks of mouthrinses
Sponsors
Universitair Medisch Centrum Groningen
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: 1) The patient is >=18 years of age; 2) The patient has at least one endosseous implant in the oral cavity with clinical signs of peri-implant mucositis. Peri-implant mucositis is defined as bleeding of the peri-implant mucosa on probing, with no signs of loss of supporting bone; 3) The implants have been exposed to the oral environment for at least one year; 4) The patient is capable of understanding and giving informed consent.
Exclusion criteria
Exclusion criteria: 1) Medical and general contraindications for the interventions; 2) A history of local radiotherapy to the head and neck region; 3) Diabetes; 4) Patients who are allergic to chlorhexidine; 5) Systemic use of antibiotics during the last 3 months; 6) Long-term use of anti-inflammatory drugs; 7) Incapability of performing basal oral hygiene measures as a result of physical or mental disorders; 8) Active, uncontrolled periodontal pathology of the remaining dentition. 9) Local use of antibiotics or use of other anti-septic / antimicrobial therapies in the oral cavity during the last 3 months; 10) Use of mouthrinses during the last 6 weeks or during the course of the study; 11) Implants placed in skin grafted areas; 12) Peri-implantitis; 13) Implant mobility; 14) Implants at which no surface can be identified where proper probing measurements can be performed; 15) Previous treatment of peri-implant mucositis lesions during the last 6 months.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The main study parameter is bleeding on probing; | — |
Secondary
| Measure | Time frame |
|---|---|
| - Modified bleeding index; - Probing pocket depth (PPD); - Modified plaque index; - Implant calculus index; - Marginal soft tissue recession (REC); - Width of keratinized epithelium; - Suppuration on probing; - Microbiological status of the peri-implant sulcus; - Radiographic marginal bone level on standardized intraoral radiographs. | — |
Countries
Netherlands
Outcome results
None listed