peri-implant disease peri-implant infection
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - The patient is >= 18 years of age; - The patient has at least one endosseous implant in the oral cavity with clinical and radiographical signs of peri-implantitis. Peri-implantitis is defined as progressive loss of marginal bone >= 2mm, as compared to the baseline radiograph (after placing the definitive restoration) in combination with bleeding and/or suppuration on probing (Lang and Berglundh 2011); - 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 contraindications for the procedures; - A history of local radiotherapy to the head and neck region; - Pregnancy and lactation; - Uncontrolled diabetes mellitus (HbA1c
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| - Mean peri-implant 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 (%); | — |
Secondary
| Measure | Time frame |
|---|---|
| Full-mouth periodontal bleeding score; - Marginal soft tissue recession (REC); - Radiographic marginal peri-implant bone level - Microbiological composition of the peri-implant and periodontal area; - Need for additional surgery at teeth and implants; - 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. - Haematological parameters (only for 20 edentulous patiënts already participating in the non-surgical RCT): - number of leucocytes, - number of erythrocytes, - erythrocyte sedimentation rate (ESR), - number of thrombocytes, - level of interleukin 6, - concentration of C-reactive protein (CRP). | — |
Countries
The Netherlands