LONGITUDINAL CLINICAL EVALUATION OF THE EFFECT OF IMPLANTOPLASTY IN PATIENTS WITH PERI-IMPLANTITIS: 24-MONTH FOLLOW-UP.
Peri-implantitis; Implantoplasty; Clinical study
Peri-implantitis is a biofilm-induced inflammatory disease that affects the tissues around functionally osseointegrated implants, characterized by inflammation of the peri-implant mucosa along with progressive resorption of the supporting bone. Surgical therapy for the treatment of moderate to severe peri-implantitis is an indicated method for the treatment of peri-implant disease, which comprises access procedures for decontamination, resection or regeneration. Implantoplasty is an approach performed during surgical access that will propose the mechanical and/or biological modification of the implant surface including the removal of exposed threads and surface smoothing to allow less biofilm formation. The aim of this clinical observational study is to longitudinally evaluate clinical parameters comparing the effect of implantoplasty with mechanical debridement in patients with peri-implantitis over time. Study participants were randomly distributed into two groups with 13 participants and 33 implants: a) Control group: surgical access + mechanical debridement and b) Test group: surgical access + mechanical debridement + implantoplasty. Patients were examined according to the following clinical parameters: Visible Plaque Index (VPI), Gingival Bleeding Index (GBI), Probing Depth (PD), Bleeding on Probing (BOP) and Keratinized Mucosa Width (KMW). The parameters were evaluated at baseline and will be followed up after an approximate period of 24 months. Data will be statistically evaluated by Friedman and Mann-Whitney tests, using a significance level of 5%.