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• W4366236522 endingPage "178" @default.
• W4366236522 startingPage "168" @default.
• W4366236522 abstract "The present systematic review evaluated the efficacy of adjunctive therapies in the treatment of peri-implantitis. Studies comparing the outcome of conventional surgical- or nonsurgical mechanical debridement with the addition of an adjunctive therapeutic modality were identified through an electronic and hand search of available literature. Following data extraction, meta-analyses were performed on the primary outcome measures. The effects of the adjunctive therapies on bleeding on probing (13 studies), probing pocket depth (9 studies), and radiographic bone level changes (7 studies) were analyzed to evaluate potential clinical benefit. Heterogeneity was expressed as the I2 index. Fixed and random effect models were demonstrated. The potential benefit of adjunctive therapies over control procedures was evaluated in 18 studies, representing a total of 773 implants. Quality assessment of the studies found only 3 studies to be at a low risk of bias. Meta-analysis among the different additional modalities revealed chemical therapy demonstrating significant effects in probing pocket depth reduction (0.58 mm; 0.44-0.72) and radiographic bone level gain (0.54 mm; 0.16-0.92). No significant improvements in bleeding on probing reduction were found using any adjunctive therapy. Available evidence on the benefits of adjunctive therapy to nonsurgical or surgical mechanical debridement in the treatment of peri-implantitis is limited by low numbers of standardized, controlled studies for individual therapies, heterogeneity between studies, and a variety of outcome measures. The lack of effect of any adjunctive therapy in reducing bleeding on probing questions the overall effectiveness over conventional treatment. The long-term clinical benefit potential of these therapies is not demonstrated." @default.
• W4366236522 created "2023-04-20" @default.
• W4366236522 creator A5010362194 @default.
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• W4366236522 creator A5069215419 @default.
• W4366236522 creator A5069432461 @default.
• W4366236522 date "2023-02-16" @default.
• W4366236522 modified "2023-10-18" @default.
• W4366236522 title "A Systematic Review and Meta-Analysis of the Clinical Outcomes for Adjunctive Physical, Chemical, and Biological Treatment of Dental Implants With Peri-Implantitis" @default.
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• W4366236522 doi "https://doi.org/10.1563/aaid-joi-d-21-00204" @default.
• W4366236522 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/37071563" @default.
• W4366236522 hasPublicationYear "2023" @default.
• W4366236522 type Work @default.
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