Peri-implantitis and its treatment perspective

: overview of systematic reviews

Abstract

Objectives: Systematically review the best available literature on the treatment of peri-implantitis, in order to try and find the best available treatment option.
Materials and Methods: Eletronic databases (MEDLINE (PubMed®), Web of Science®, Cochrane Library and Cochrane Evidence) were searched for systematic reviews on peri-implantitis treatment. To gather the best available scientific evidence, search was limited to systematic reviews that included Randomized Controlled Trials/Controlled Clinical Trials. Articles from January 2014 till January 2021 were included, in English and in peer reviewed journals. Only peri-implantitis and Randomized Controlled Trial data was assessed. Results: Nine systematic reviews were gathered for full review. Six out of the nine had randomized controlled trials investigating non-surgical techniques and eight out of the nine had approached surgical (augmentative/regenerative and corrective/resective techniques). In total 98 primary studies were included among the 9 systematic reviews, 59 of them being not repeated between reviews. Conclusion: Non-surgical interventions appear to offer some degree of clinical improvement, especially on bleeding on probing levels, but they are not likely enough to fully treat peri-implantitis. Surgical techniques seem to be more effective on improving overall clinical parameters, especially probing depth, bleeding on probing and to some extent, marginal bone level, but no specific surgical technique or material (graft or membrane) seem to have clear advantage over other. Surgical interventions predictability is still also a concern.

Date of Award	30 Jul 2021
Original language	English
Awarding Institution	Universidade Católica Portuguesa
Supervisor	Gustavo Fernandes (Supervisor) & Rogerio Moraes Castilho (Co-Supervisor)