Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Jun:50 Suppl 26:188-211.
doi: 10.1111/jcpe.13762. Epub 2023 Jan 23.

Efficacy of mechanical/physical approaches for implant surface decontamination in non-surgical submarginal instrumentation of peri-implantitis. A systematic review

Raluca Cosgarea  1   2   3 , Andrea Roccuzzo  4 , Karin Jepsen  1 , Anton Sculean  4 , Søren Jepsen  1 , Giovanni E Salvi  4
Affiliations
Free article

Efficacy of mechanical/physical approaches for implant surface decontamination in non-surgical submarginal instrumentation of peri-implantitis. A systematic review

Raluca Cosgarea et al. J Clin Periodontol. 2023 Jun.
Free article

Abstract

Aim: To evaluate the efficacy of non-surgical submarginal peri-implant instrumentation with mechanical/physical decontamination compared to non-surgical submarginal instrumentation alone or with placebo decontamination in patients with peri-implantitis.

Materials and methods: Three focused questions were addressed, and a systematic search for randomized controlled clinical trials (RCTs), controlled clinical trials, and prospective cohort studies with definitions of peri-implantitis and a minimal follow-up of 6 months was conducted. The main outcome variables were reduction in pocket probing depth (PD) and bleeding on probing (BOP). Suppuration on probing, marginal peri-implant bone level changes, patient-related outcomes and adverse events, implant survival, treatment success, and disease resolution were assessed as secondary outcomes.

Results: Out of 239 findings, full-text articles were assessed for eligibility, and 9 (n = 9 RCTs) were included in the present review. Five studies evaluated the effects of various laser types, and in four studies efficacy of air-abrasive mechanisms and of a novel ultrasonic device was determined. At 6 months, PD reductions were observed in nine studies but only Er, Cr:YSGG laser-treated group showed statistically significant higher reductions compared to the control group. BOP was statistically significantly reduced at 6 months in two studies following the application of Er:YAG laser compared to controls. One study reported statistically significant reduction in BOP following application of air-polishing device compared to control treatment. No statistically significant differences between treatment groups were reported for the secondary outcome variables. Owing to the large heterogeneity of study designs, no meta-analysis was performed.

Conclusions: Available evidence on the efficacy of non-surgical submarginal peri-implant instrumentation with mechanical/physical decontamination is limited by the small number of controlled studies and the high heterogeneity of study protocols. Clinical and patient-reported benefits remain to be demonstrated.

Keywords: air polishing; laser; non-surgical therapy; peri-implant diseases; peri-implantitis; submarginal instrumentation.

PubMed Disclaimer

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

REFERENCES

    1. Abduljabbar, T., Javed, F., Kellesarian, S. V., Vohra, F., & Romanos, G. E. (2017). Effect of Nd:YAG laser-assisted non-surgical mechanical debridement on clinical and radiographic peri-implant inflammatory parameters in patients with peri-implant disease. Journal of Photochemistry and Photobiology. B, 168, 16-19. https://doi.org/10.1016/j.jphotobiol.2017.01.015
    1. Alpaslan Yayli, N. Z., Talmac, A. C., Keskin Tunc, S., Akbal, D., Altindal, D., & Ertugrul, A. S. (2022). Erbium, chromium-doped: Yttrium, scandium, gallium, garnet and diode lasers in the treatment of peri-implantitis: Clinical and biochemical outcomes in a randomized-controlled clinical trial. Lasers in Medical Science, 37(1), 665-674. https://doi.org/10.1007/s10103-021-03436-5
    1. Berglundh, J., Romandini, M., Derks, J., Sanz, M., & Berglundh, T. (2021). Clinical findings and history of bone loss at implant sites. Clinical Oral Implants Research, 32(3), 314-323. https://doi.org/10.1111/clr.13701
    1. Berglundh, T., Armitage, G., Araujo, M. G., Avila-Ortiz, G., Blanco, J., Camargo, P. M., Chen, S., Cochran, D., Derks, J., Figuero, E., Hämmerle, C. H. F., Heitz-Mayfield, L. J. A., Huynh-Ba, G., Iacono, V., Koo, K.-T., Lambert, F., McCauley, L., Quirynen, M., Renvert, S., … Zitzmann, N. (2018a). Peri-implant diseases and conditions: Consensus report of workgroup 4 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. Journal of Periodontology, 89(Suppl 1), S313-S318. https://doi.org/10.1002/JPER.17-0739
    1. Berglundh, T., Armitage, G., Araujo, M. G., Avila-Ortiz, G., Blanco, J., Camargo, P. M., Chen, S., Cochran, D., Derks, J., Figuero, E., Hämmerle, C. H. F., Heitz-Mayfield, L. J. A., Huynh-Ba, G., Iacono, V., Koo, K.-T., Lambert, F., McCauley, L., Quirynen, M., Renvert, S., … Zitzmann, N. (2018b). Peri-implant diseases and conditions: Consensus report of workgroup 4 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. Journal of Clinical Periodontology, 45(Suppl 20), S286-S291. https://doi.org/10.1111/jcpe.12957

Publication types

Substances