infection of the gingiva surrounding a dental implant peri-implantitis
Conditions
Interventions
Peri-implant pockets will be irrigated using the Pocketirrigator 2 times per
week during a period of 3 weeks. Patients will receive oral hygiene
instructions and the remaining dentition and supramuc
Sponsors
Universitair Medisch Centrum Groningen
Eligibility
Age
18 Years to 99 Years
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; - Uncontrolled diabetes (HbA1c 5 mm); - Incapability of performing basal oral hygiene measures as a result of physical or mental disorders; - Implants with bone loss exceeding 2/3 of the length of the implant or implants with bone loss beyond the transverse openings in hollow implants; - Implant mobility; - Implants at which no position can be identified where proper probing measurements can be performed; - Previous treatment of the peri-implantitis lesions during the last 3 months (scaling or curettage).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The main study parameter is the 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); - 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. - Patient satisfaction | — |
Countries
Netherlands
Outcome results
None listed