peri-implant disease peri-implant infection
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - The patient is * 18 years of age; - Unsuccessful treatment outcome in non-surgical treatment phase (see concomitant METC proposal). The patient has at least one endosseous implant in the oral cavity with remaining clinical and radiographical signs of peri-implantitis. Peri-implantitis is defined as probing pockets depths (PPD) of * 5mm in combination with bleeding and/or suppuration on probing and radiographic bone loss * 2 mm after placing the definitive restoration. - The implants have been in function for at least two years; - The patient is capable of understanding and giving informed consent.
Exclusion criteria
Exclusion criteria: - Medical and general contra-indications for the procedures; - A history of local radiotherapy to the head and neck region; - Pregnancy and lactation; - Uncontrolled diabetes (HbA1c
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| - Mean peri-implant bleeding score | — |
Secondary
| Measure | Time frame |
|---|---|
| - Full-mouth periodontal bleeding score; - Mean peri-implant and full-mouth periodontal suppuration on probing score (%); - Mean peri-implant and full-mouth periodontal probing pocket depth; - Mean peri-implant and full-mouth periodontal plaque score (%); - Marginal soft tissue recession (REC); - Radiographic marginal peri-implant bone level and bone defect configuration on standardized intraoral radiographs; - Microbiological composition of the peri-implant and periodontal area; - Implant failure, defined as implant mobility of previously clinically osseointegrated implants and removal of non-mobile implants because of progressive marginal bone loss or infection; - Tooth loss, defined as removal of teeth because of progressive marginal bone loss or infection; - Complications and adverse events. | — |
Countries
The Netherlands