Surgical treatment of peri‐implantitis using a bone substitute with or without a resorbable membrane: a prospective cohort study
- 6 June 2007
- journal article
- clinical trial
- Published by Wiley in Journal of Clinical Periodontology
- Vol. 34 (7), 625-632
- https://doi.org/10.1111/j.1600-051x.2007.01102.x
Abstract
The aim of this prospective cohort study was to compare two regenerative surgical treatment modalities for peri-implantitis. Thirty-six patients having a minimum of one osseointegrated implant, with a progressive loss of bone amounting to > or =3 threads (1.8 mm) following the first year of healing, combined with bleeding and/or pus on probing, were involved in this study. The patients were assigned to two different treatment strategies. After surgical exposure of the defect, granulomatous tissue was removed and the infected implant surface was treated using 3% hydrogen peroxide. The bone defects were filled with a bone substitute (Algipore). In 17 patients (Group 1), a resorbable membrane (Osseoquest) was placed over the grafted defect before suturing. In 19 patients (Group 2), the graft was used alone. One-year follow-up demonstrated clinical and radiographic improvements. Probing depths were reduced by 2.9 mm in Group 1 and by 3.4 mm in Group 2. Defect fill amounted to 1.5 and 1.4 mm, respectively. There was no significant difference between the groups. It is possible to treat peri-implant defects with a bone substitute, with or without a resorbable membrane.Keywords
This publication has 35 references indexed in Scilit:
- Effect of material characteristics and/or surface topography on biofilm developmentClinical Oral Implants Research, 2006
- Healing of intrabony peri‐implantitis defects following application of a nanocrystalline hydroxyapatite (Ostim™) or a bovine‐derived xenograft (Bio‐Oss™) in combination with a collagen membrane (Bio‐Gide™). A case seriesJournal of Clinical Periodontology, 2006
- Nine‐ to fourteen‐year follow‐up of implant treatment. Part III: factors associated with peri‐implant lesionsJournal of Clinical Periodontology, 2006
- Lethal photosensitization and guided bone regeneration in treatment of peri‐implantitis: an experimental study in dogsClinical Oral Implants Research, 2006
- Implant surface preparation in the surgical treatment of experimental peri‐implantitis with autogenous bone graft and ePTFE membrane in cynomolgus monkeysClinical Oral Implants Research, 2003
- Autogenous bone graft and ePTFE membrane in the treatment of peri‐implantitis. II. Stereologic and histologic observations in cynomolgus monkeysClinical Oral Implants Research, 2003
- Comparison of periodontal and peri‐implant probing by depth‐force pattern analysisClinical Oral Implants Research, 1997
- Compartmentalization of inflammatory cell phenotypes in normal gingiva and peri‐implant keratinized mucosaJournal of Clinical Periodontology, 1995
- Scores of plaque, bleeding, suppuration and probing depth to predict probing attachment loss 5 years of observation following nonsurgical periodontal therapyJournal of Clinical Periodontology, 1990
- Healing after treatment of periodontal intraosseous defects I. Comparative study of clinical methodsJournal of Clinical Periodontology, 1981