Jakubowska Sylwia, Górski Bartłomiej
Department of Periodontology and Oral Mucosa Diseases, Medical University of Warsaw, Binieckiego 6 St., 02-097 Warsaw, Poland.
J Clin Med. 2025 Jan 8;14(2):346. doi: 10.3390/jcm14020346.
: The aim of the present narrative review is to synthesize the available scientific evidence on the effects of submarginal instrumentation with periodontal endoscopy and evaluate its' potential efficacy in terms of the non-surgical therapy of peri-implantitis. : The literature search was performed via electronic databases, including PubMed, Web of Science, Cochrane, and Scopus, and was supplemented by manual searching. A literature review was conducted addressing the following PICOS questions: (1) What is the efficacy of non-surgical submarginal instrumentation of the implant surface with the aid of a periodontal endoscope in patients with peri-implantitis? (2) What is the efficacy of non-surgical subgingival instrumentation performed with the aid of a periodontal endoscope compared with conventional subgingival instrumentation in patients with periodontitis, in terms of clinical parameters and patient-reported outcomes? Mechanical decontamination of the implant surface is crucial for resolving inflammation and arresting further bone loss. However, there is no consensus on the most effective treatment. Non-surgical therapy remains the initial intervention, focused on biofilm removal to control the disease, although with limited capability to achieve complete disease resolution as the presence of threads and the complex-structured implant surface hinder effective biofilm removal. This evokes the need for providing supporting technologies such as periodontal endoscopy, which enables direct visualization and precision, potentially enhancing the outcomes and reducing the necessity for surgical procedures and their associated risks. Within the limitations of this narrative review, periodontal endoscopy may offer a less tissue-invasive approach. Larger prospective studies and RCTs are needed to confirm these findings and guide clinicians in determining periodontal endoscopy's suitability based on specific case characteristics.
本叙述性综述的目的是综合关于牙周内窥镜辅助下边缘下器械操作效果的现有科学证据，并评估其在种植体周围炎非手术治疗方面的潜在疗效。通过电子数据库进行文献检索，包括PubMed、科学网、Cochrane和Scopus，并辅以手工检索。进行了一项文献综述，涉及以下PICOS问题：（1）在种植体周围炎患者中，借助牙周内窥镜对种植体表面进行非手术边缘下器械操作的疗效如何？（2）与传统龈下器械操作相比，在牙周炎患者中，借助牙周内窥镜进行非手术龈下器械操作在临床参数和患者报告结局方面的疗效如何？种植体表面的机械去污对于解决炎症和阻止进一步的骨质流失至关重要。然而，对于最有效的治疗方法尚无共识。非手术治疗仍然是初始干预措施，重点是去除生物膜以控制疾病，尽管由于种植体螺纹的存在和复杂结构的种植体表面阻碍了有效的生物膜去除，实现疾病完全缓解的能力有限。这引发了对提供诸如牙周内窥镜等支持技术的需求，牙周内窥镜能够实现直接可视化和精确操作，有可能提高治疗效果并减少手术程序及其相关风险的必要性。在本叙述性综述的局限性内，牙周内窥镜可能提供一种对组织侵袭性较小的方法。需要更大规模的前瞻性研究和随机对照试验来证实这些发现，并指导临床医生根据具体病例特征确定牙周内窥镜的适用性。
