Surgical approach combining implantoplasty and reconstructivetherapy with locally delivered antibiotic in the treatment ofperi-implantitis: A prospective clinical case series

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dc.contributor.authorGonzález Regueiro, Iria
dc.contributor.authorMartínez Rodriguez, Natalia
dc.contributor.authorBarona Dorado, Cristina
dc.contributor.authorSanz Sánchez, Ignacio
dc.contributor.authorMontero Solís, Eduardo
dc.contributor.authorAta-Ali, Javier
dc.contributor.authorDuarte, Fernando
dc.contributor.authorMartínez González, José María
dc.date.accessioned2024-01-10T11:06:47Z
dc.date.available2024-01-10T11:06:47Z
dc.date.issued2021-12-21
dc.description.abstractBackground: Nonsurgical treatment, resective surgery, reconstructive surgery, or combined approaches have been proposed for the treatment of peri-implantitis, with variable results. Purpose: To evaluate the 1-year clinical and radiographic outcomes following combined resective and reconstructive surgical treatment with topical piperacillin/tazobactam antibiotic in the management of peri-implantitis. Material and methods: Forty-three patients diagnosed with peri-implantitis were included. Surgical treatment consisted of implantoplasty of the supra-crestal component of the defect, the application of a topical antibiotic solution over the implant surface, and subsequent reconstruction of the intra-osseous component of the peri-implant defect. The primary outcome was disease resolution, defined as the absence of bleeding on probing (BoP) and/or suppuration on probing (SoP), a peri-implant pocket probing depth (PPD) ≤5 mm, and no bone loss >0.5 mm 1 year after surgery. Secondary outcomes included changes in BoP, PPD, SoP, and peri-implant marginal bone levels. One implant per patient was included in the analysis. Results: The treatment success rate of the 43 dental implants included in the study was 86% at 1 year after surgery. Mean PPD and BoP decreased from 6.41 ± 2.11 mm and 100% at baseline to 3.19 ± 0.99 mm (p < 0.001) and 14% (p < 0.001) at 1 year, respectively. SoP was significantly reduced from 48.8% at baseline to 0% 1 year after surgery (p < 0.001). Radiographically, a mean defect fill of 2.64 ± 1.59 mm was recorded (p < 0.001). Conclusions: The combination of a resective and reconstructive surgical approach together with locally delivered antibiotic achieved a high disease resolution rate after 1 year of follow-up and constitutes a viable option for the management of peri-implantitis.
dc.description.departmentDepto. de Especialidades Clínicas Odontológicas
dc.description.facultyFac. de Odontología
dc.description.refereedTRUE
dc.description.statuspub
dc.identifier.citationGonzález Regueiro I, Martínez Rodriguez N, Barona Dorado C, et al. Surgical approach combining implantoplasty and reconstructive therapy with locally delivered antibiotic in the treatment of peri-implantitis: A prospective clinical case series. Clin Implant Dent Relat Res. 2021; 23(6): 864-873
dc.identifier.doi10.1111/cid.13049
dc.identifier.essn1708-8208
dc.identifier.issn1523-0899
dc.identifier.officialurlhttps://onlinelibrary.wiley.com/doi/epdf/10.1111/cid.13049
dc.identifier.pmid34651432
dc.identifier.relatedurlwileyonlinelibrary.com/journal/cid
dc.identifier.urihttps://hdl.handle.net/20.500.14352/92210
dc.issue.number6
dc.journal.titleClin Implant Dent Relat Res = Clinical Implant Dentistry and Related Research
dc.language.isoeng
dc.page.final873
dc.page.initial864
dc.publisherWiley Periodicals
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 Internationalen
dc.rights.accessRightsopen access
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subject.cdu616.314-089
dc.subject.cdu616.314-089.843
dc.subject.keywordBone loss; Case report; Implantoplasty; Local anti-infective agent; Peri-implantitis; Regenerative surgery
dc.subject.ucmCirugía bucofacial
dc.subject.ucmImplantes dentales
dc.subject.unesco3213 Cirugía
dc.subject.unesco32 Ciencias Médicas
dc.subject.unesco3213.13 Ortodoncia-Estomatología
dc.titleSurgical approach combining implantoplasty and reconstructivetherapy with locally delivered antibiotic in the treatment ofperi-implantitis: A prospective clinical case series
dc.typejournal article
dc.type.hasVersionVoR
dc.volume.number23
dspace.entity.typePublication
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