Discussion : A novel non-surgical method for mild peri-implantitis- a multicenter consecutive case series [1]
Identifying peri-implant disease at an early stage and promptly treating the inflammatory condition is crucial to prevent the progression of peri-implant bone loss and ensure long-term implant survival [23,24,25]. After completion of active treatment and when the condition is controlled, supportive peri-implant therapy will reduce the risk of disease re-occurrence [9]. A number of scientific reports on various methods for non-surgical peri-implant therapy have been presented, but limited and short-term effects have been reported [26, 27]. Instruments for the removal of submucosal microbial deposits from implant surfaces should obviously be effective without causing damage to the implant. However, clinical devices specifically designed for this purpose are scarce, and the effectiveness and safety of most such devices have rarely been scientifically validated [28]. In a review paper by Schwarz et al. [29], it was reported that mechanical debridement with, e.g. carbon fibre, titanium or plastic curettes combined with measures of oral hygiene, was effective in the management of peri-implant mucositis and that alternative or adjunctive measures such as lasers, ultrasonic devices or air abrasives with glycine powder may improve the efficacy of the treatment of sites with peri-implantitis. The same group of researchers also performed a systematic review on studies evaluating air-polishing with glycine powder of implants with peri-implantitis and reported that this method may lead to improved reduction in parameters of inflammation as compared to mechanical debridement combined with antiseptic therapy [30]. Chitosan is a completely biocompatible biopolymer which also has been demonstrated to be bacteriostatic and exhibit anti-inflammatory properties [31,32,33]. A recent in vitro experimental study demonstrated that chitosan inhibits the growth of the periodontal pathogens Porphyromonas gingivalis and Aggregatibacter actinomycetemcomitans and exerts an anti-inflammatory effect by reducing the levels of prostaglandin E-2 (PGE2) [34]. From these perspectives, chitosan may be considered a potential candidate to be used in a device for implant debridement.
Serial posts:
- Abstract : A novel non-surgical method for mild peri-implantitis- a multicenter consecutive case series
- Background : A novel non-surgical method for mild peri-implantitis- a multicenter consecutive case series [1]
- Background : A novel non-surgical method for mild peri-implantitis- a multicenter consecutive case series [2]
- Case presentation : A novel non-surgical method for mild peri-implantitis- a multicenter consecutive case series [1]
- Case presentation : A novel non-surgical method for mild peri-implantitis- a multicenter consecutive case series [2]
- Case presentation : A novel non-surgical method for mild peri-implantitis- a multicenter consecutive case series [3]
- Results : A novel non-surgical method for mild peri-implantitis- a multicenter consecutive case series [1]
- Results : A novel non-surgical method for mild peri-implantitis- a multicenter consecutive case series [2]
- Discussion : A novel non-surgical method for mild peri-implantitis- a multicenter consecutive case series [1]
- Discussion : A novel non-surgical method for mild peri-implantitis- a multicenter consecutive case series [3]
- References : A novel non-surgical method for mild peri-implantitis- a multicenter consecutive case series [1]
- References : A novel non-surgical method for mild peri-implantitis- a multicenter consecutive case series [2]
- References : A novel non-surgical method for mild peri-implantitis- a multicenter consecutive case series [3]
- References : A novel non-surgical method for mild peri-implantitis- a multicenter consecutive case series [4]
- Author information : A novel non-surgical method for mild peri-implantitis- a multicenter consecutive case series [1]
- Author information : A novel non-surgical method for mild peri-implantitis- a multicenter consecutive case series [2]
- Ethics declarations : A novel non-surgical method for mild peri-implantitis- a multicenter consecutive case series
- Rights and permissions : A novel non-surgical method for mild peri-implantitis- a multicenter consecutive case series
- About this article : A novel non-surgical method for mild peri-implantitis- a multicenter consecutive case series
- Table 1 Demographics : A novel non-surgical method for mild peri-implantitis- a multicenter consecutive case series
- Table 2 Demographics by center : A novel non-surgical method for mild peri-implantitis- a multicenter consecutive case series
- Table 3 Level of crown margin at the different time points : A novel non-surgical method for mild peri-implantitis- a multicenter consecutive case series
- Fig. 1. A chitosan brush (LBC, BioClean®, LABRIDA AS) seated in an oscillating dental handpiece : A novel non-surgical method for mild peri-implant
- Fig. 2. Changes in PPD values between baseline and the various examination time points : A novel non-surgical method for mild peri-implant
- Fig. 3. Changes in BoP values between baseline and the various examination time points : A novel non-surgical method for mild peri-implant
- Fig. 4. Percentages of sites with PPD 1–3, 4–5 and ≥6 mm by visit (p < 0.0001) : A novel non-surgical method for mild peri-implant
- Fig. 5. Change in BoP values according to the percentage of sites with a score of 1, 2 or 3 by visit : A novel non-surgical method for mild peri-implant