Glycine air-polishing versus curette debridement for the treatment of peri-implant mucositis: A systematic review and meta-analysis

The authors aimed to evaluate the effectiveness of glycine air-polishing compared to curette debridement on the treatment of peri-implant diseases. PRISMA guidelines for systematic reviews were followed. Clinical trials of patients diagnosed with peri-implant mucositis or peri-implantitis treated wi...

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Main Authors: Peterson Oliveira Boeira, Cinthia Studzinski dos Santos, Mateus de Azevedo Kinalski, Lucas Pradebon Brondani, Tatiana Pereira-Cenci, Giana da Silveira Lima
Format: Article
Language:English
Published: Elsevier 2021-12-01
Series:Dentistry Review
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2772559621000031
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author Peterson Oliveira Boeira
Cinthia Studzinski dos Santos
Mateus de Azevedo Kinalski
Lucas Pradebon Brondani
Tatiana Pereira-Cenci
Giana da Silveira Lima
author_facet Peterson Oliveira Boeira
Cinthia Studzinski dos Santos
Mateus de Azevedo Kinalski
Lucas Pradebon Brondani
Tatiana Pereira-Cenci
Giana da Silveira Lima
author_sort Peterson Oliveira Boeira
collection DOAJ
description The authors aimed to evaluate the effectiveness of glycine air-polishing compared to curette debridement on the treatment of peri-implant diseases. PRISMA guidelines for systematic reviews were followed. Clinical trials of patients diagnosed with peri-implant mucositis or peri-implantitis treated with glycine air-polishing or curette debridement were selected. Six electronic databases (Cochrane Central Register of Controlled Trials, MEDLINE via PubMed, EMBASE, Scopus, Web of Science and BVS) were searched until july 2021. The risk of bias was assessed using RoB 2 and ROBINS-I tools and the certainty of the evidence using GRADE. Bleeding on probing (BOP), probing depth (PD) and plaque index (PI) were assessed. Subgroup analyses were performed considering the follow-up period for peri-implant mucositis. Seven studies were included and meta-analyses were performed with three randomized clinical trials (RCTs), all presenting a low risk of bias. Low quality of evidence was achieved. Both treatments presented similar global results on the BOP and PI peri-implant mucositis analyses. Glycine air-polishing showed better results (p=0.04; I2=90%) on PD peri-implant mucositis meta-analysis. Data was insufficient to perform any analysis considering peri-implantitis. Although there was modest effect of glycine air polishing on probing depth compared to manual curatagge, there is insufficient evidence to suggest either glycine air-polishing or curette debridement to reduce signs of peri-implant diseases (CRD42019128599).
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spelling doaj.art-a22c51e64070459e8eb567d19411bece2022-12-22T02:00:26ZengElsevierDentistry Review2772-55962021-12-0111100003Glycine air-polishing versus curette debridement for the treatment of peri-implant mucositis: A systematic review and meta-analysisPeterson Oliveira Boeira0Cinthia Studzinski dos Santos1Mateus de Azevedo Kinalski2Lucas Pradebon Brondani3Tatiana Pereira-Cenci4Giana da Silveira Lima5Graduate Program in Dentistry, Federal University of Pelotas, 457, Gonçalves Chaves St., Pelotas, Rio Grande do Sul, BrazilGraduate Program in Dentistry, Federal University of Pelotas, 457, Gonçalves Chaves St., Pelotas, Rio Grande do Sul, BrazilGraduate Program in Dentistry, Federal University of Pelotas, 457, Gonçalves Chaves St., Pelotas, Rio Grande do Sul, BrazilGraduate Program in Dentistry, Federal University of Pelotas, 457, Gonçalves Chaves St., Pelotas, Rio Grande do Sul, BrazilAssociate Professor, Department of Operative Dentistry, Graduate Program in Dentistry, School of Dentistry, Federal University of Pelotas, 457, Gonçalves Chaves, St., Pelotas, Rio Grande do Sul, BrazilProfessor, Department of Operative Dentistry, Graduate Program in Dentistry, School of Dentistry, Federal University of Pelotas, 457, Gonçalves Chaves, St., Pelotas, Rio Grande do Sul, Brazil; Corresponding author. Giana da Silveira Lima, Department of Operative Dentistry, Graduate Program in Dentistry. School of Dentistry, Federal University of Pelotas, Rio Grande do Sul, Brazil, 457, Gonçalves Chaves St, 96015-560, Phone/Fax: +55 53 32602801The authors aimed to evaluate the effectiveness of glycine air-polishing compared to curette debridement on the treatment of peri-implant diseases. PRISMA guidelines for systematic reviews were followed. Clinical trials of patients diagnosed with peri-implant mucositis or peri-implantitis treated with glycine air-polishing or curette debridement were selected. Six electronic databases (Cochrane Central Register of Controlled Trials, MEDLINE via PubMed, EMBASE, Scopus, Web of Science and BVS) were searched until july 2021. The risk of bias was assessed using RoB 2 and ROBINS-I tools and the certainty of the evidence using GRADE. Bleeding on probing (BOP), probing depth (PD) and plaque index (PI) were assessed. Subgroup analyses were performed considering the follow-up period for peri-implant mucositis. Seven studies were included and meta-analyses were performed with three randomized clinical trials (RCTs), all presenting a low risk of bias. Low quality of evidence was achieved. Both treatments presented similar global results on the BOP and PI peri-implant mucositis analyses. Glycine air-polishing showed better results (p=0.04; I2=90%) on PD peri-implant mucositis meta-analysis. Data was insufficient to perform any analysis considering peri-implantitis. Although there was modest effect of glycine air polishing on probing depth compared to manual curatagge, there is insufficient evidence to suggest either glycine air-polishing or curette debridement to reduce signs of peri-implant diseases (CRD42019128599).http://www.sciencedirect.com/science/article/pii/S2772559621000031Dental implantsPeri-implantitisGlycineAir-powder polishingCurettage subgingival
spellingShingle Peterson Oliveira Boeira
Cinthia Studzinski dos Santos
Mateus de Azevedo Kinalski
Lucas Pradebon Brondani
Tatiana Pereira-Cenci
Giana da Silveira Lima
Glycine air-polishing versus curette debridement for the treatment of peri-implant mucositis: A systematic review and meta-analysis
Dentistry Review
Dental implants
Peri-implantitis
Glycine
Air-powder polishing
Curettage subgingival
title Glycine air-polishing versus curette debridement for the treatment of peri-implant mucositis: A systematic review and meta-analysis
title_full Glycine air-polishing versus curette debridement for the treatment of peri-implant mucositis: A systematic review and meta-analysis
title_fullStr Glycine air-polishing versus curette debridement for the treatment of peri-implant mucositis: A systematic review and meta-analysis
title_full_unstemmed Glycine air-polishing versus curette debridement for the treatment of peri-implant mucositis: A systematic review and meta-analysis
title_short Glycine air-polishing versus curette debridement for the treatment of peri-implant mucositis: A systematic review and meta-analysis
title_sort glycine air polishing versus curette debridement for the treatment of peri implant mucositis a systematic review and meta analysis
topic Dental implants
Peri-implantitis
Glycine
Air-powder polishing
Curettage subgingival
url http://www.sciencedirect.com/science/article/pii/S2772559621000031
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