A novel non-surgical method for mild peri-implantitis- a multicenter consecutive case series

Area of Science:

• Periodontology
• Biomaterials Science

Background:

• Peri-implantitis is a prevalent complication following dental implant placement.
• Non-surgical interventions are crucial for managing mild forms of peri-implantitis.
• Novel biomaterials offer potential for enhanced therapeutic outcomes.

Purpose of the Study:

• To assess the efficacy of a new chitosan instrument in treating peri-implant mucosal inflammation.
• To evaluate the impact of this instrument on clinical parameters in mild peri-implantitis.
• To determine the safety and potential benefits of chitosan in non-surgical peri-implantitis management.

Main Methods:

• A 6-month, multicenter prospective case series involving 63 patients with mild peri-implantitis.
• Mild peri-implantitis defined by specific radiographic bone loss and probing depth criteria.
• Treatment involved an oscillating chitosan brush applied at baseline and 3 months; clinical parameters assessed regularly.

Main Results:

• Significant reductions in pocket probing depth (PPD) and bleeding on probing (mBoP) were observed at all time points (p < 0.001).
• Mean PPD decreased from 5.15 mm to 4.0 mm, and mBoP from 1.86 to 0.64 at 6 months.
• Stable reductions were maintained, and radiographic bone levels remained stable throughout the study.

Conclusions:

• The oscillating chitosan brush appears safe and beneficial for non-surgical treatment of mild peri-implantitis.
• Further investigation via a multicenter randomized clinical trial is warranted to confirm effectiveness.
• Chitosan-based instruments represent a promising approach in implant dentistry.