Suarez Fernando, Monje Alberto, Galindo-Moreno Pablo, Wang Hom-Lay
*Visiting Scholar, Graduate Periodontics, Department of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, MI. †Professor, Department of Oral Surgery, University of Granada, Granada, Spain. ‡Professor and Director of Graduate Periodontics, Graduate Periodontics, Department of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, MI.
Implant Dent. 2013 Oct;22(5):465-73. doi: 10.1097/ID.0b013e3182a2b8f4.
Nonsurgical treatment has been shown to be effective in dealing with inflammatory lesions around implant without bone loss. However, when bone loss is noticed, surgical treatment may be needed. Nonetheless, before the surgical approaches can be effective, the contaminated implant surface has to be detoxified. Many detoxifying agents/techniques have been proposed and have shown varieties of outcomes, these include but not limited to: citric acid, chlorhexidine, local and systemic antibiotics, hydrogen peroxide, air-powder abrasive, laser and photodynamic therapy, and implantoplasty using burs. Hence, the aim of this review was to evaluate them in terms of their ability in achieving implant surface detoxification.
A search of PubMed and a hand search of articles were conducted up to December 2011. Different keywords related to the treatment of peri-implant diseases were used.
At this time, all techniques/agents have shown to be equally effective to detoxify the contaminated implant surface.
Comparative studies of different detoxification methods are heterogeneous, leaving a few voids when selecting a specific technique for detoxifying the contaminated implant surface.
非手术治疗已被证明在处理无骨质流失的种植体周围炎性病变方面有效。然而，当发现骨质流失时，可能需要手术治疗。尽管如此，在手术方法有效之前，受污染的种植体表面必须进行解毒处理。已经提出了许多解毒剂/技术，并显示出各种不同的结果，这些包括但不限于：柠檬酸、洗必泰、局部和全身抗生素、过氧化氢、气粉磨蚀、激光和光动力疗法，以及使用车针的种植体成形术。因此，本综述的目的是根据它们实现种植体表面解毒的能力对其进行评估。
检索截至2011年12月的PubMed并人工检索相关文章。使用了与种植体周围疾病治疗相关的不同关键词。
目前，所有技术/药剂在对受污染的种植体表面进行解毒方面均显示出同等效果。
不同解毒方法的比较研究存在异质性，在选择用于对受污染的种植体表面进行解毒的特定技术时存在一些空白。
