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Efficacy of air polishing for the non-surgical treatment of peri-implant diseases: a systematic review.

Authors :
Schwarz, Frank
Becker, Kathrin
Renvert, Stefan
Source :
Journal of Clinical Periodontology; Oct2015, Vol. 42 Issue 10, p951-959, 9p, 1 Diagram, 5 Charts
Publication Year :
2015

Abstract

Focused Question: In patients suffering from peri-implant diseases, what is the efficacy of air polishing on changing signs of inflammation compared with control treatments (i.e. alternative measures for plaque removal with or without adjunctive antiseptic and/ or antibiotic therapy)? Material & Methods: After electronic database and hand search, 10 full-text articles were independently screened by two reviewers. Finally, a total of five studies (six publications) fulfilled the inclusion criteria. The weighted mean difference (WMD) [p; 95% CI] in bleeding on probing-(BOP) (primary outcome) and probing pocket depth-(PD) reductions was estimated using a random effect model. Results: All studies reported on residual BOP scores after therapy. A narrative data synthesis did not reveal any major improvement of bleeding index/ BOP or disease resolution following air polishing over mechanical debridement at mucositis sites. At peri-implantitis sites, WMD in BOP reduction between test and control (mechanical debridement with or without local antiseptic therapy, Er:YAG laser) groups was -23.83% [p = 0.048; 95% CI (-47.47, -0.20)] favouring air polishing over control measures. Conclusions: While glycine powder air polishing is as effective as the control treatments at mucositis sites, it may improve the efficacy of non-surgical treatment of peri-implantitis over the control measures investigated. A complete disease resolution was commonly not obtained. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
03036979
Volume :
42
Issue :
10
Database :
Complementary Index
Journal :
Journal of Clinical Periodontology
Publication Type :
Academic Journal
Accession number :
111023778
Full Text :
https://doi.org/10.1111/jcpe.12454