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Effects of Mechanical Methods Used in Peri-implantitis Treatment on Implant Surface Decontamination and Roughness
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In vivo study of titanium healing screws surface modifications after different debridment procedure
S Marconcini1, A M Genovesi, O Marchisio
1School of Dental Medicine, Department of Prosthodontics , University of Pisa, Pisa, Italy - s.marconcini1977@libero.it.
Minerva Stomatologica
|January 16, 2014
Summary
Air powder effectively removed debris from implant abutments, outperforming laser and curette methods. SEM analysis confirmed that air powder cleaning did not significantly alter titanium abutment surfaces, ensuring implant health.
Area of Science:
- Dental Implantology
- Biomaterials Science
- Periodontology
Background:
- Dental implant rehabilitation indications have expanded, with high success rates reported.
- Complications, including loss of osseointegration, still occur, necessitating diligent oral hygiene.
- Implants, like natural teeth, are prone to bacterial plaque and calculus accumulation.
Purpose of the Study:
- To evaluate and compare the in vivo cleaning efficacy of air powder, curette, and laser systems.
- To assess titanium abutment surface alterations (roughness) after cleaning with these three systems.
Main Methods:
- Forty-two patients (25 males, 17 females) were included in the study.
- Forty-two healing abutments were treated by a single clinician using air powder, curette, or laser.
- Scanning Electron Microscopy (SEM) was used to analyze abutment surface roughness.
Main Results:
- Air powder demonstrated a higher rate of debris removal compared to laser and curette methods.
- SEM analysis revealed no significant differences in abutment surface roughness between the air powder, curette, and laser systems.
Conclusions:
- Air powder is an effective method for in vivo implant abutment cleaning.
- The evaluated cleaning systems, including air powder, do not cause significant detrimental alterations to titanium abutment surfaces.

