Management of Peri-Implantitis Lesions without the Use of Systemic Antibiotics: A Systematic Review
Background: This systematic review aims to assess the current evidence on the efficacy of surgical and non-surgical debridement techniques in the treatment of peri-implantitis lesions without the use of any antimicrobials. Method: Five electronic databases (MEDLINE, Pubmed, Scopus, CINAHL and Cochra...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2020-09-01
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| Series: | Dentistry Journal |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2304-6767/8/3/106 |
| _version_ | 1827706252214403072 |
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| author | Ahsen Khan Ankit Goyal Scott D. Currell Dileep Sharma |
| author_facet | Ahsen Khan Ankit Goyal Scott D. Currell Dileep Sharma |
| author_sort | Ahsen Khan |
| collection | DOAJ |
| description | Background: This systematic review aims to assess the current evidence on the efficacy of surgical and non-surgical debridement techniques in the treatment of peri-implantitis lesions without the use of any antimicrobials. Method: Five electronic databases (MEDLINE, Pubmed, Scopus, CINAHL and Cochrane) were used, alongside hand searches, to find relevant articles. Full-text articles that were randomised controlled trials, published in the English language from 2011 onwards without pre-operative, peri-operative and post-operative antibiotic usage were included. The study was conducted according to the latest Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA)-P protocols, the latest Cochrane Risk of Bias tool and each investigated intervention was evaluated using the grading of recommendation, assessment, development and evaluation (GRADE) system. Results: The search yielded 2718 results. After initial screening, 38 full-text articles were assessed for eligibility. From these, 11 studies satisfied all inclusion criteria. These 11 articles described six non-surgical and five surgical debridement therapies. Most articles were classified as having either a high risk of bias or presenting with some concerns. Small sample sizes, in combination with this risk of bias, meant that all interventions were adjudged to be of either low or very low quality of evidence. Conclusion: While all investigated modalities displayed some sort of efficacy, this review suggests that a surgical approach may be best suited to treating peri-implantitis lesions in the absence of antibiotic therapy. Despite this weak indication, further research is required in this field. |
| first_indexed | 2024-03-10T16:20:54Z |
| format | Article |
| id | doaj.art-c403679b749e438fbbb5fc8cd09971f3 |
| institution | Directory Open Access Journal |
| issn | 2304-6767 |
| language | English |
| last_indexed | 2024-03-10T16:20:54Z |
| publishDate | 2020-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Dentistry Journal |
| spelling | doaj.art-c403679b749e438fbbb5fc8cd09971f32023-11-20T13:41:03ZengMDPI AGDentistry Journal2304-67672020-09-018310610.3390/dj8030106Management of Peri-Implantitis Lesions without the Use of Systemic Antibiotics: A Systematic ReviewAhsen Khan0Ankit Goyal1Scott D. Currell2Dileep Sharma3College of Medicine and Dentistry, James Cook University, 14-88 McGregor Road, Smithfield, QLD 4878, AustraliaCollege of Medicine and Dentistry, James Cook University, 14-88 McGregor Road, Smithfield, QLD 4878, AustraliaCollege of Medicine and Dentistry, James Cook University, 14-88 McGregor Road, Smithfield, QLD 4878, AustraliaCollege of Medicine and Dentistry, James Cook University, 14-88 McGregor Road, Smithfield, QLD 4878, AustraliaBackground: This systematic review aims to assess the current evidence on the efficacy of surgical and non-surgical debridement techniques in the treatment of peri-implantitis lesions without the use of any antimicrobials. Method: Five electronic databases (MEDLINE, Pubmed, Scopus, CINAHL and Cochrane) were used, alongside hand searches, to find relevant articles. Full-text articles that were randomised controlled trials, published in the English language from 2011 onwards without pre-operative, peri-operative and post-operative antibiotic usage were included. The study was conducted according to the latest Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA)-P protocols, the latest Cochrane Risk of Bias tool and each investigated intervention was evaluated using the grading of recommendation, assessment, development and evaluation (GRADE) system. Results: The search yielded 2718 results. After initial screening, 38 full-text articles were assessed for eligibility. From these, 11 studies satisfied all inclusion criteria. These 11 articles described six non-surgical and five surgical debridement therapies. Most articles were classified as having either a high risk of bias or presenting with some concerns. Small sample sizes, in combination with this risk of bias, meant that all interventions were adjudged to be of either low or very low quality of evidence. Conclusion: While all investigated modalities displayed some sort of efficacy, this review suggests that a surgical approach may be best suited to treating peri-implantitis lesions in the absence of antibiotic therapy. Despite this weak indication, further research is required in this field.https://www.mdpi.com/2304-6767/8/3/106peri-implantitisdecontaminationdebridementnonsurgical therapy |
| spellingShingle | Ahsen Khan Ankit Goyal Scott D. Currell Dileep Sharma Management of Peri-Implantitis Lesions without the Use of Systemic Antibiotics: A Systematic Review Dentistry Journal peri-implantitis decontamination debridement nonsurgical therapy |
| title | Management of Peri-Implantitis Lesions without the Use of Systemic Antibiotics: A Systematic Review |
| title_full | Management of Peri-Implantitis Lesions without the Use of Systemic Antibiotics: A Systematic Review |
| title_fullStr | Management of Peri-Implantitis Lesions without the Use of Systemic Antibiotics: A Systematic Review |
| title_full_unstemmed | Management of Peri-Implantitis Lesions without the Use of Systemic Antibiotics: A Systematic Review |
| title_short | Management of Peri-Implantitis Lesions without the Use of Systemic Antibiotics: A Systematic Review |
| title_sort | management of peri implantitis lesions without the use of systemic antibiotics a systematic review |
| topic | peri-implantitis decontamination debridement nonsurgical therapy |
| url | https://www.mdpi.com/2304-6767/8/3/106 |
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