Implantoplasty- provoking or reducing inflammation? - a systematic scoping review

Area of Science:

• Periodontology
• Dental Implantology
• Surgical Dentistry

Background:

• Peri-implantitis, a prevalent inflammatory condition, necessitates effective treatment strategies.
• Surgical interventions are crucial for managing peri-implantitis, with adjunctive procedures being explored for enhanced outcomes.

Purpose of the Study:

• To evaluate clinical parameters, specifically bleeding on probing (BoP), following implantoplasty as an adjunct to surgical peri-implantitis treatment.
• To assess the impact of adjunctive implantoplasty on inflammation markers in patients with peri-implantitis.

Main Methods:

• A systematic literature search was conducted in two databases up to December 29, 2020.
• Included studies reported clinical parameters after surgical peri-implantitis treatment with adjunctive implantoplasty.
• Studies focusing on BoP as a primary outcome were prioritized, though other clinical and radiographic outcomes were also considered.

Main Results:

• Eighteen articles met the inclusion criteria for the review.
• Results demonstrated significant improvements in bleeding on probing (BoP) and other clinical parameters.
• These improvements were observed following surgical peri-implantitis treatment incorporating adjunctive implantoplasty.

Conclusions:

• Adjunctive implantoplasty, when combined with surgical peri-implantitis treatment, leads to a reduction in bleeding on probing (BoP).
• The observed improvement in BoP is comparable to that achieved with surgical peri-implantitis treatment alone.
• The findings suggest that adjunctive implantoplasty is a viable approach for managing inflammation in peri-implantitis.