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Interventions for replacing missing teeth: treatment of perimplantitis
M Esposito1, H V Worthington, P Coulthard
1Department of Biomaterials, Sahlgrenska Academy at Goteborg University, PO Box 412, Medicinaregatan 8B, Goteborg, SE-405 30, Sweden. marco.esposito@biomaterials.gu.se
The Cochrane Database of Systematic Reviews
|October 21, 2004
Summary
Limited research indicates no significant difference between metronidazole gel and ultrasonic debridement for treating perimplantitis. More high-quality studies are needed to determine effective interventions for this condition.
Area of Science:
- Dental Implantology
- Periodontology
- Biomaterials Science
Background:
- Maintaining healthy peri-implant tissues is crucial for the longevity of oral implants.
- Bacterial plaque accumulation can lead to inflammatory changes, perimplantitis, and potential implant failure.
- Current treatment strategies for perimplantitis lack definitive evidence of efficacy.
Purpose of the Study:
- To identify the most effective interventions for treating perimplantitis around osseointegrated dental implants.
Main Methods:
- Comprehensive literature search of multiple databases (Cochrane, MEDLINE, EMBASE) and handsearching.
- Inclusion of all randomized controlled trials (RCTs) comparing interventions for perimplantitis.
- Duplicate screening, quality assessment, and data extraction, with attempts to find unpublished trials.
Main Results:
- Only one eligible RCT with sufficient data was included, comparing metronidazole gel with ultrasonic debridement.
- No statistically significant difference in probing pocket depths was observed between the two interventions at 12 weeks.
- The included trial was assessed as having a high risk of bias.
Conclusions:
- There is currently insufficient reliable evidence to determine the most effective treatments for perimplantitis.
- Existing interventions may be effective, but robust clinical data is lacking.
- Further high-quality research is essential to guide perimplantitis treatment protocols.