Adjunctive effect of modifying the implant-supported prosthesis in the treatment of peri-implant mucositis.
dental implant
dental prosthesis
implant-supported
non-surgical treatment
peri-implant mucositis
Journal
Journal of clinical periodontology
ISSN: 1600-051X
Titre abrégé: J Clin Periodontol
Pays: United States
ID NLM: 0425123
Informations de publication
Date de publication:
10 2019
10 2019
Historique:
received:
21
05
2019
revised:
23
06
2019
accepted:
06
07
2019
pubmed:
12
7
2019
medline:
18
12
2019
entrez:
12
7
2019
Statut:
ppublish
Résumé
To evaluate the adjunctive effect of modifying the implant-supported prosthesis to facilitate access to oral hygiene when treating peri-implant mucositis. A 6-month randomized clinical trial was designed. Patients with peri-implant mucositis were treated by implant surface debridement with plastic curettes and a plastic tipped ultrasonic device. Then, they were randomly assigned to either modifying their prosthesis to allow for better oral hygiene (test group) or not (control group). Subsequently in both groups, individualized oral hygiene instructions were provided. Clinical and radiographical outcomes were evaluated at baseline and 1, 3 and 6 months after treatment. 48 patients were included, and 45 completed the clinical trial (24 test and 21 control patients). After 6 months, changes in the modified bleeding index between the control and test groups were 0.50 (standard deviation -SD = 0.70) and 1.14 (SD = 0.96), respectively (p = 0.01). The changes in implant probing pocket depth at 6 months were -0.02 (SD = 0.61) and 0.31 (SD = 1.20) mm, respectively (p = 0.04). Modifying the contour of the prostheses to improve access for oral hygiene significantly improved the clinical outcomes after standard mechanical treatment of peri-implant mucositis.
Substances chimiques
Dental Implants
0
Types de publication
Journal Article
Randomized Controlled Trial
Langues
eng
Sous-ensembles de citation
IM
Pagination
1050-1060Informations de copyright
© 2019 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
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