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The effect of reconstructive techniques as treatment modality for peri-implant osseous defects - a systematic review and meta-analysis
Inst Postgrad Dent Educ, Sweden.
Univ Gothenburg, Sweden; NAL Hosp, Sweden.
Linköping University, Department of Biomedical and Clinical Sciences, Division of Sensory Organs and Communication. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Public Dental Health Care, Center for Oral Rehabilitation Linköping.
2023 (English)In: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850Article, review/survey (Refereed) Epub ahead of print
Abstract [en]

ObjectivesThe aim of this systematic review is to compare conventional peri-implant flap surgery and reconstructive surgical techniques regarding evidence of remission from peri-implantitis.Material and methodsSearches were made among randomized controlled trials evaluating clinical aspects and the changes in marginal bone level before and after surgical treatment of peri-implantitis, with and without bone substitute.ResultsNine published articles and 442 patients were eligible for inclusion in the study. Reconstructive techniques exhibited a greater extent of defect fill than conventional surgical techniques alone. No significant differences could be found for clinical measures of peri-implant disease (bleeding on probing and reduction of probing depth) from baseline to the 12-month follow-up.ConclusionsWith regards to the clinical measures of disease, our review shows that there are no differences between open flap debridement and regenerative surgery. From an esthetic standpoint, it may however be that regenerative measures may lead to improvement but further publications with this focus will be necessary to verify this.

Place, publisher, year, edition, pages
TAYLOR & FRANCIS LTD , 2023.
Keywords [en]
Peri-implantitis; reconstructive; reconstructive therapy; reconstructive surgery; reconstructive treatment; osseous defects; >
National Category
Dentistry
Identifiers
URN: urn:nbn:se:liu:diva-197422DOI: 10.1080/00016357.2023.2243325ISI: 001044246700001PubMedID: 37551914OAI: oai:DiVA.org:liu-197422DiVA, id: diva2:1794033
Note

Funding Agencies|Folktandvarden Vastra Gotaland (Public Dental Service), Research and Development Unit; Futurum, Academy for Health and Care, Region Jonkoping County

Available from: 2023-09-04 Created: 2023-09-04 Last updated: 2023-09-04

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Sayardoust, Shariel
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Division of Sensory Organs and CommunicationFaculty of Medicine and Health SciencesCenter for Oral Rehabilitation Linköping
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