Zeza Blerina, Wohlfahrt Caspar, Pilloni Andrea
Section of Periodontics, Department of Dentistry and Maxillofacial Surgery, School of Dentistry, Sapienza University of Rome, Rome, Italy -
Department of Periodontology, Institute of Clinical Dentistry, University of Oslo, Oslo, Norway.
Minerva Stomatol. 2017 Aug;66(4):163-168. doi: 10.23736/S0026-4970.17.04040-7. Epub 2017 May 10.
The aim of the study was to evaluate the effectiveness of a chitosan brush on the treatment of mild peri-implantitis.
Fifteen patients diagnosed with mild peri-implantitis contributing with single implant were treated with a chitosan brush. Modified plaque index (mPll), Modified Bleeding Index (mBoP) and probing depth (PPD) were recorded at baseline, 2, 4, 12 and 24 weeks. Chitosan brush was used at 12 weeks if diagnosis was still present. Periapical radiographs were taken at the beginning of the study and 6 months after to control the stability of bone level.
None of the patients reported discomfort or side effects during treatment. Bone level was maintained stable during the entire study. Plaque index remained almost 0 at every control visit. PPD and mBoP were significantly reduced at 2 weeks and when compared to baseline. At 24 weeks 73% of patients presented no further bleeding on probing with stable bone level.
Chitosan brush could be a reliable instrument for the professionally administered plaque removal and resolution of clinical signs of initial stages of peri-implant inflammation.
本研究的目的是评估壳聚糖刷治疗轻度种植体周围炎的有效性。
15例诊断为轻度种植体周围炎且仅有单个种植体的患者接受了壳聚糖刷治疗。在基线、2周、4周、12周和24周记录改良菌斑指数（mPll）、改良出血指数（mBoP）和探诊深度（PPD）。如果在12周时仍诊断为种植体周围炎，则使用壳聚糖刷。在研究开始时和6个月后拍摄根尖片，以控制骨水平的稳定性。
所有患者在治疗期间均未报告不适或副作用。在整个研究过程中骨水平保持稳定。在每次复查时菌斑指数几乎保持为0。与基线相比，PPD和mBoP在2周时显著降低。在24周时，73%的患者探诊时无进一步出血，骨水平稳定。
壳聚糖刷可能是一种可靠的工具，用于专业清除菌斑和消除种植体周围炎初始阶段的临床症状。
