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Interventions for replacing missing teeth: maintaining and re-establishing healthy tissues around dental implants
M Esposito1, H V Worthington, P Coulthard
1Department of Biomaterials, The Sahlgrenska Academy at Goteborg University, PO Box 412, Medicinaregatan 8B, Goteborg, Sweden, SE-40530. marco.esposito@biomaterials.gu.se
The Cochrane Database of Systematic Reviews
|July 26, 2002
Summary
Limited evidence exists for effective peri-implant tissue maintenance and treatment. While Listerine shows weak benefits, more research is needed for long-term care and peri-implantitis interventions.
Area of Science:
- Dental Implantology
- Periodontology
- Preventive Dentistry
Background:
- Maintaining healthy peri-implant tissues is crucial for oral implant success.
- Preventive and therapeutic interventions are necessary for pathologic conditions around implants.
- Current evidence on the effectiveness of various regimens is limited.
Purpose of the Study:
- To evaluate the effectiveness of different interventions for maintaining or restoring healthy peri-implant tissues.
- To test the null hypothesis of no difference between various interventions.
Main Methods:
- A systematic review of randomized controlled trials (RCTs) was conducted.
- Searches included major databases (Cochrane, MEDLINE, EMBASE) and hand searching.
- Data extraction and quality assessment were performed by two independent reviewers.
Main Results:
- Five RCTs involving 127 patients were included.
- No evidence supports powered or sonic toothbrushes over manual ones.
- Listerine mouthwash showed weak evidence of efficacy in reducing plaque and bleeding.
Conclusions:
- Reliable evidence for optimal peri-implant tissue maintenance and treatment is scarce.
- Further high-quality RCTs with longer follow-up are needed, especially for peri-implantitis.
- Phosphoric etching gel provided no clinical advantage over mechanical debridement.