Department of Periodontology, Hamidiye Dental Faculty, University of Health Sciences, Istanbul, Turkey.
Int J Implant Dent. 2024 Nov 28;10(1):60. doi: 10.1186/s40729-024-00574-7.
There is a need for studies assessing the efficacy of different therapeutic approaches in the reconstructive surgical treatment of peri-implantitis. The aim of this case series is to evaluate the clinical outcomes and radiographic bone fill of reconstructive surgical treatment using the oscilating chitosan brush for implant surface decontamination.
Nine patients with 11 Class I and III peri-implantitis defects were included. Following implant surface decontamination performed with a chitosan brush, guided bone regeneration (GBR) was performed by means of a bovine derived cancellous bone graft and collagen membrane. Clinical parameters such as full mouth plaque score (FMPS), probing depth (PD), bleeding on probing (BoP), recession, and radiographic bone level (RBL) were recorded at baseline and 1 year following treatment.
All evaluated parameters, including PD, BoP, recession, RBL, and full mouth plaque scores, revealed significant improvements at 1 year follow-up compared to baseline (p < 0.05). The mean PD values reduced from 7.30 ± 1.29 to 3.78 ± 0.65 (p = 0.000). RBL was detected 5.50 ± 1.31 and 1.38 ± 0.74 at baseline and 1-year, respectively (p = 0.010).
Reconstructive surgical treatment of Class I and III peri-implantitis defects with GBR may be an effective treatment protocol when an oscilitating chitosan brush is used for surface decontamination.
Not applicable.
需要研究评估不同治疗方法在种植体周围炎重建性外科治疗中的疗效。本病例系列研究的目的是评估使用振荡壳聚糖刷对种植体表面进行去污处理后，重建性外科治疗的临床效果和影像学骨填充情况。
纳入了 9 名患有 11 个 I 类和 III 类种植体周围炎缺损的患者。使用壳聚糖刷对种植体表面进行去污处理后，通过牛源松质骨移植物和胶原膜进行引导骨再生（GBR）。在基线和治疗后 1 年时记录了全口菌斑评分（FMPS）、探诊深度（PD）、探诊出血（BoP）、退缩和影像学骨水平（RBL）等临床参数。
所有评估参数，包括 PD、BoP、退缩、RBL 和全口菌斑评分，与基线相比，在 1 年随访时均有显著改善（p<0.05）。PD 值从 7.30 ± 1.29 降至 3.78 ± 0.65（p=0.000）。RBL 在基线和 1 年时分别为 5.50 ± 1.31 和 1.38 ± 0.74（p=0.010）。
当使用振荡壳聚糖刷进行表面去污时，GBR 治疗 I 类和 III 类种植体周围炎缺损可能是一种有效的治疗方案。
不适用。
