Abstract : Clinical outcomes following surgical treatment of peri-implantitis at grafted and non-grafted implant sites: a retrospective analysis
This retrospective analysis aimed at comparing the clinical outcomes following combined surgical therapy of peri-implantitis at initially grafted and non-grafted (i.e., pristine) implant sites.
A total of 39 patients exhibiting 57 implants diagnosed with peri-implantitis (i.e., 16 implants at grafted and 41 implants at non-grafted sites) were included. Each subject had received a combined (i.e., implantoplasty and augmentative therapy) surgical treatment procedures at respective implants (grafted sites: 10 patients, 16 implants, non-grafted sites: 29 patients, 41 implants). A chi-squared test (χ2) was used to assess whether the initial grafting procedure did affect the treatment outcomes (i.e., disease resolution, bleeding on probing (BOP), probing pocket depths (PD)). The mean follow-up period was 41.9 ± 34.75 months.
At the patient level, disease resolution (i.e., absence of BOP and PD ≥ 6 mm) was obtained in 4/10 (40%) at grafted and in 7/27 (24.1%) at non-grafted implant sites (p = 0.579). BOP reductions was found to be 60.64 ± 40.81% at non-grafted and 77.45 ± 30.92% at grafted sites (p = 0.778). PD reductions amounted to 2.20 ± 2.22 mm at non-grafted and 1.57 ± 1.54 mm at grafted sites (p = 0.969).
The initial bone-grafting procedures at the implant sites did not influence the effectiveness of combined surgical therapy of peri-implantitis.
Serial posts:
- Abstract : Clinical outcomes following surgical treatment of peri-implantitis at grafted and non-grafted implant sites: a retrospective analysis
- Background : Clinical outcomes following surgical treatment of peri-implantitis at grafted and non-grafted implant sites: a retrospective analysis
- Methods : Clinical outcomes following surgical treatment of peri-implantitis at grafted and non-grafted implant sites: a retrospective analysis [1]
- Methods : Clinical outcomes following surgical treatment of peri-implantitis at grafted and non-grafted implant sites: a retrospective analysis [2]
- Methods : Clinical outcomes following surgical treatment of peri-implantitis at grafted and non-grafted implant sites: a retrospective analysis [3]
- Results : Clinical outcomes following surgical treatment of peri-implantitis at grafted and non-grafted implant sites: a retrospective analysis [1]
- Results : Clinical outcomes following surgical treatment of peri-implantitis at grafted and non-grafted implant sites: a retrospective analysis [2]
- Discussion : Clinical outcomes following surgical treatment of peri-implantitis at grafted and non-grafted implant sites: a retrospective analysis [1]
- Discussion : Clinical outcomes following surgical treatment of peri-implantitis at grafted and non-grafted implant sites: a retrospective analysis [2]
- Conclusions : Clinical outcomes following surgical treatment of peri-implantitis at grafted and non-grafted implant sites: a retrospective analysis
- References : Clinical outcomes following surgical treatment of peri-implantitis at grafted and non-grafted implant sites: a retrospective analysis [1]
- References : Clinical outcomes following surgical treatment of peri-implantitis at grafted and non-grafted implant sites: a retrospective analysis [2]
- References : Clinical outcomes following surgical treatment of peri-implantitis at grafted and non-grafted implant sites: a retrospective analysis [3]
- Funding : Clinical outcomes following surgical treatment of peri-implantitis at grafted and non-grafted implant sites: a retrospective analysis
- Author information : Clinical outcomes following surgical treatment of peri-implantitis at grafted and non-grafted implant sites: a retrospective analysis
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- About this article : Clinical outcomes following surgical treatment of peri-implantitis at grafted and non-grafted implant sites: a retrospective analysis
- Table 1 Implant site characteristics : Clinical outcomes following surgical treatment of peri-implantitis at grafted and non-grafted implant sites: a retrospective analysis
- Table 2 Disease resolution between the non-grafted and grafted implant sites : Clinical outcomes following surgical treatment of peri-implantitis at grafted and non-grafted implant sites: a retrospective analysis
- Table 3 Reduction of mean BOP (%) : Clinical outcomes following surgical treatment of peri-implantitis at grafted and non-grafted implant sites: a retrospective analysis
- Table 4 Reduction of maximum PD (mm) : Clinical outcomes following surgical treatment of peri-implantitis at grafted and non-grafted implant sites: a retrospective analysis
- Fig. 1. Combined surgical therapy of peri-implantitis at respective defect sites: class I: intrabony component showing either a buccal dehiscency with a semicircular component (Ib) or a buccal dehiscency with a cicumferential component (Ic). Class II: supracrestal component. The red rectangles indicate the surface areas undergoing an implantoplasty, while the green areas indicate the defect areas undergoing augmentative therapy : Clinical outcomes following surgical treatment of peri-implant
- Fig. 2. Box plot depicting no significant differences of the baseline maximum PD values between the grafted and non-grafted patient groups (p = 0.353) : Clinical outcomes following surgical treatment of peri-implant
- Fig. 3. Dumbbell—dot plots illustrating (a) disease resolution and no resolution at non-grafted and grafted sites at the patient level analysis with no significant difference between the two groups (p = 0.579). Patents with improvement, deterioration, and no improvement following the treatment based on the max PD changes are depicted; (b) disease resolution and no resolution at the implants in non-grafted and grafted sites. Significantly higher disease resolution in the grafted implant group (p = 0.048) : Clinical outcomes following surgical treatment of peri-implant
- Fig. 4. Box plot presenting mean BOP reduction between the two patient groups (grafted and non-grafted) with no significant difference (p = 0.778) : Clinical outcomes following surgical treatment of peri-implant
- Fig. 5. Box plot illustrating maximum PD reduction between the grafted and non-grafted patient groups that did not reach a significant difference (p = 0.968) : Clinical outcomes following surgical treatment of peri-implant