Cited by Essential domains, core outcome sets, and measurements to capture benefits and harms of implant dentistry interventions: The ID‐COSM initiative*

Prevention and treatment of peri‐implant diseases—The EFP S3 level clinical practice guideline DOI

David Herrera, Tord Berglundh, Frank Schwarz

и другие.

Journal Of Clinical Periodontology, Год журнала: 2023, Номер 50(S26), С. 4 - 76

Опубликована: Июнь 1, 2023

Abstract Background The recently published Clinical Practice Guidelines (CPGs) for the treatment of stages I–IV periodontitis provided evidence‐based recommendations treating patients, defined according to 2018 classification. Peri‐implant diseases were also re‐defined in It is well established that both peri‐implant mucositis and peri‐implantitis are highly prevalent. In addition, particularly challenging manage accompanied by significant morbidity. Aim To develop an S3 level CPG prevention diseases, focusing on implementation interdisciplinary approaches required prevent development or their recurrence, treat/rehabilitate patients with dental implants following diseases. Materials Methods This was developed European Federation Periodontology, methodological guidance from Association Scientific Medical Societies Germany Grading Recommendations Assessment, Development Evaluation process. A rigorous transparent process included synthesis relevant research 13 specifically commissioned systematic reviews, evaluation quality strength evidence, formulation specific recommendations, a structured consensus involving leading experts broad base stakeholders. Results culminated recommendation various different interventions before, during after implant placement/loading. Prevention should commence when planned, surgically placed prosthetically loaded. Once loaded function, supportive care programme be structured, including periodical assessment tissue health. If detected, appropriate treatments management must rendered. Conclusion present informs clinical practice, health systems, policymakers and, indirectly, public available most effective modalities maintain healthy tissues, evidence at time publication.

Язык: Английский

Процитировано

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Relevant domains, core outcome sets and measurements for implant dentistry clinical trials: The Implant Dentistry Core Outcome Set and Measurement (ID‐COSM) international consensus report DOI

Maurizio S. Tonetti, Mariano Sanz, Gustavo Ávila‐Ortiz

и другие.

Journal Of Clinical Periodontology, Год журнала: 2023, Номер 50(S25), С. 5 - 21

Опубликована: Май 1, 2023

Abstract Aim Lack of consistently reported outcomes limits progress in evidence‐based implant dentistry and quality care. The objective this initiative was to develop a core outcome set (COS) measurements for clinical trials (ID‐COSM). Materials Methods This Core Outcome Measures Effectiveness Trials (COMET)‐registered international comprised six steps over 24 months: (i) systematic reviews the last 10 years; (ii) patient focus groups; (iii) Delphi project with broad range stakeholders (care providers, researchers, methodologists, patients industry representatives); (iv) expert group discussions organizing domains using theoretical framework identifying COSs; (v) identification valid measurement systems capture different (vi) final consensus formal approval involving experts patients. methods were modified from best practice approach following Rheumatoid Arthritis Clinical Trial COMET manuals. Results groups identified 754 (665 + 89, respectively) relevant measures. After elimination redundancies duplicates, 111 formally assessed project. By applying pre‐specified filters, process 22 essential outcomes. These reduced 13 after aggregating alternative assessments same features. committee organized them into four areas: pathophysiology, implant/prosthesis lifespan, life impact access In each area, both benefits harms therapy. Mandatory included assessment surgical morbidity complications, peri‐implant tissue health status, intervention‐related adverse events, complication‐free survival overall satisfaction comfort. Outcomes deemed mandatory specific circumstances function (mastication, speech, aesthetics denture retention), life, effort treatment maintenance cost effectiveness. Specialized COSs bone soft‐tissue augmentation procedures. validity instruments ranged (peri‐implant status) early important (patient‐reported by groups). Conclusions ID‐COSM reached on and/or soft tissue/bone augmentation. Adoption future protocols reporting respective domain areas currently ongoing will contribute improving evidence‐informed

Язык: Английский

Процитировано

Primordial and primary prevention of peri‐implant diseases: A systematic review and meta‐analysis DOI

Maria Clotilde Carra, Nicolas Blanc‐Sylvestre, Alexandre Courtet

и другие.

Journal Of Clinical Periodontology, Год журнала: 2023, Номер 50(S26), С. 77 - 112

Опубликована: Фев. 20, 2023

Abstract Aim This systematic review and meta‐analysis aims to assess the efficacy of risk factor control prevent occurrence peri‐implant diseases (PIDs) in adult patients awaiting dental implant rehabilitation (primordial prevention) or with implants surrounded by healthy tissues (primary prevention). Materials Methods A literature search was performed without any time limit on different databases up August 2022. Interventional observational studies at least 6 months follow‐up were considered. The mucositis and/or peri‐implantitis primary outcome. Pooled data analyses using random effect models according type Results Overall, 48 selected. None assessed primordial preventive interventions for PIDs. Indirect evidence prevention PID indicated that diabetic good glycaemic have a significantly lower (odds ratio [OR] = 0.16; 95% confidence interval [CI]: 0.03–0.96; I 2 : 0%), marginal bone level (MBL) changes (OR –0.36 mm; CI: −0.65 −0.07; 95%) compared poor control. Patients attending supportive periodontal/peri‐implant care (SPC) regularly overall PIDs 0.42; 0.24–0.75; 57%) irregular attendees. failure 3.76; 1.50–9.45; 0%) appears be greater under no SPC than regular SPC. Implants sites augmented keratinized mucosa (PIKM) show inflammation (SMD –1.18; −1.85 −0.51; 69%) MBL (MD –0.25; −0.45 −0.05; 62%) PIKM deficiency. Studies smoking cessation oral hygiene behaviors inconclusive. Conclusions Within limitations available evidence, present findings indicate diabetes, should promoted avoid development. involve augmentation procedures, where deficiency exists, may favour stability MBL. Further are needed impact behaviours, as well implementation standardized protocols

Язык: Английский

Процитировано

Etiology, pathogenesis and treatment of peri‐implantitis: A European perspective DOI

Tord Berglundh, Andrea Mombelli, Frank Schwarz

и другие.

Periodontology 2000, Год журнала: 2024, Номер unknown

Опубликована: Фев. 2, 2024

Abstract Peri‐implantitis is a plaque‐associated pathological condition occurring in tissues around dental implants. It characterized by inflammation the peri‐implant mucosa and progressive loss of supporting bone. Over last 30 years, peri‐implantitis has become major disease burden dentistry. An understanding diagnosis, etiology pathogenesis, epidemiology, treatment must be central component undergraduate postgraduate training programs In view strong role European research periodontology implant dentistry, focus this review was to address from perspective. One work summarize new reliable data on patients with implants underpin relevance population The nature lesion evaluated through results presented preclinical models evaluations human biopsy material together an appraisal microbiological characteristics. overview strategies outcomes clinical studies nonsurgical surgical discussed particular end points therapy recommendations S3 level Clinical Practice Guideline for prevention diseases.

Язык: Английский

Процитировано

Early marginal bone loss around dental implants to define success in implant dentistry: A retrospective study DOI

Pablo Galindo‐Moreno, Andrés Catena, Mario Pérez‐Sayáns

и другие.

Clinical Implant Dentistry and Related Research, Год журнала: 2022, Номер 24(5), С. 630 - 642

Опубликована: Июль 13, 2022

The aim of this study was to establish an objective criterion in terms marginal bone level (MBL) know the prognosis implant.A group 176 patients whom 590 implants were placed included retrospective study. Patients older than 18 years, presenting either Kennedy class I or II edentulous section, totally at least one dental arches Those with any type disturbance able alter metabolism nontreated periodontal disease excluded. Data on radiographic MBL loading, 6 and months later, age, gender, smoking habits, history periodontitis, substratum, implant, prosthetic features recorded. Nonparametric receiver operating curves (ROC) constructed for order a distinction among high loser (HBL) low (LBL) implants. Differences as function main variables also determined, particularly abutment height disease.HBL lost 0.48 mm after loading; they reached 2 loading. rate followed nonlinear trend, except restored over long abutments severe periodontitis; time nearly zero.Implants that lose more 0.5 loading are great risk not being radiographically successful anymore. Therefore, is proposed distinctive success Implant Dentistry within 6-month follow-up period. A ≥2 resulted most protective factor peri-implant maintenance.

Язык: Английский

Процитировано

Efficacy of mechanical/physical approaches for implant surface decontamination in non‐surgical submarginal instrumentation of peri‐implantitis. A systematic review DOI

Raluca Cosgarea, Andrea Roccuzzo, Karin Jepsen

и другие.

Journal Of Clinical Periodontology, Год журнала: 2022, Номер 50(S26), С. 188 - 211

Опубликована: Дек. 23, 2022

Abstract Aim To evaluate the efficacy of non‐surgical submarginal peri‐implant instrumentation with mechanical/physical decontamination compared to alone or placebo in patients peri‐implantitis. Materials and Methods Three focused questions were addressed, a systematic search for randomized controlled clinical trials (RCTs), trials, prospective cohort studies definitions peri‐implantitis minimal follow‐up 6 months was conducted. The main outcome variables reduction pocket probing depth (PD) bleeding on (BOP). Suppuration probing, marginal bone level changes, patient‐related outcomes adverse events, implant survival, treatment success, disease resolution assessed as secondary outcomes. Results Out 239 findings, full‐text articles eligibility, 9 ( n = RCTs) included present review. Five evaluated effects various laser types, four air‐abrasive mechanisms novel ultrasonic device determined. At months, PD reductions observed nine but only Er, Cr:YSGG laser‐treated group showed statistically significant higher control group. BOP significantly reduced at two following application Er:YAG controls. One study reported air‐polishing treatment. No differences between groups variables. Owing large heterogeneity designs, no meta‐analysis performed. Conclusions Available evidence is limited by small number high protocols. Clinical patient‐reported benefits remain be demonstrated.

Язык: Английский

Процитировано

Relevant domains, core outcome sets and measurements for implant dentistry clinical trials: The Implant Dentistry Core Outcome Set and Measurement (ID‐COSM) international consensus report DOI

Maurizio S. Tonetti, Mariano Sanz, Gustavo Ávila‐Ortiz

и другие.

Clinical Oral Implants Research, Год журнала: 2023, Номер 34(S25), С. 4 - 21

Опубликована: Май 1, 2023

Язык: Английский

Процитировано

The adjunctive effect of a resorbable membrane to a xenogeneic bone replacement graft in the reconstructive surgical therapy of peri‐implantitis: A randomized clinical trial DOI

Erik Regidor, Alberto Ortiz‐Vigón, Mario Romandini

и другие.

Journal Of Clinical Periodontology, Год журнала: 2023, Номер 50(6), С. 765 - 783

Опубликована: Фев. 20, 2023

Abstract Aim To evaluate the potential adjunctive effect of a resorbable collagen membrane covering xenogeneic bone replacement graft in reconstructive surgical therapy peri‐implantitis. Materials and Methods Forty‐three patients (43 implants) diagnosed with peri‐implantitis associated intra‐bony defects were treated approach that included substitute material. Additionally, membranes placed over grafting material at sites randomly allocated to test group; conversely, no control group. Clinical outcomes, namely probing pocket depth (PPD), bleeding suppuration on (BoP SoP), marginal mucosal level (REC) keratinized mucosa width (KMW), recorded baseline 6 12 months after surgery. Radiographic levels (MBLs) patient‐reported outcomes (PROs) assessed months. A composite outcome (success) was evaluated months, which absence BoP/SoP, PPD ≤5 mm reduction buccal (buccal REC) ≤1 mm. Results At implants lost treatment success observed 36.8% 45.0% groups, respectively ( p = .61). Similarly, there significant differences between groups terms changes PPD, KMW, MBL or REC. Post‐surgical complications group only (e.g., soft tissue dehiscence, exposure particulate and/or membrane). Longer times (~10 min; < .05) higher self‐reported pain 2 weeks .01) Conclusions This study failed demonstrate presence added clinical radiographic benefits use cover within defects.

Язык: Английский

Процитировано

Resolution of peri‐implant mucositis at tissue‐ and bone‐level implants: A 6‐month prospective controlled clinical trial DOI

Vincenzo Iorio‐Siciliano, A Blasi, Gaetano Isola

и другие.

Clinical Oral Implants Research, Год журнала: 2023, Номер 34(5), С. 450 - 462

Опубликована: Фев. 21, 2023

Abstract Objective The objective of the study was to compare resolution inflammation naturally occurring peri‐implant mucositis (PM) at tissue‐level (TL) and bone‐level (BL) implants after non‐surgical mechanical debridement. Materials Methods Fifty‐four patients with 74 Implants PM were allocated in two groups (39 TL 35 BL implants) treated by means subgingival debridement using a sonic scaler plastic tip without adjunctive measures. At baseline 1, 3, 6 months, full‐mouth plaque score (FMPS), bleeding (FMBS), probing depth (PD), on (BOP), modified index (mPlI) recorded. primary outcome BOP change. Results After FMPS, FMBS, PD, number decreased statistically significantly each group ( p < .05); however, no significant differences found between > .05). 17 (43.6%) 14 (40%) showed change (17.9%) (11.4%), respectively. No statistical difference recorded groups. Conclusions Within limitations present study, findings terms changes clinical parameters following treatment implants. A complete (i.e., all implant sites) not achieved both

Язык: Английский

Процитировано

Efficacy of access flap and pocket elimination procedures in the management of peri‐implantitis: A systematic review and meta‐analysis DOI

Karolina Karlsson, Anna Trullenque‐Eriksson, Cristiano Tomasi

и другие.

Journal Of Clinical Periodontology, Год журнала: 2022, Номер 50(S26), С. 244 - 284

Опубликована: Окт. 11, 2022

Abstract Aim To evaluate the efficacy of access flap and pocket elimination procedures in surgical treatment peri‐implantitis. Materials Methods Systematic electronic searches (Central/MEDLINE/EMBASE) up to March 2022 were conducted identify prospective clinical studies evaluating therapy (access or procedures) Primary outcome measures reduction probing depth (PD) bleeding on (BOP). Risk bias was evaluated according study design. Meta‐analysis meta‐regression performed. Results expressed as standardized mean effect with 95% confidence interval (CI). Evidence from directly comparing non‐surgical is lacking. Based pre‐post data originating 13 patient cohorts, pronounced reductions PD (standardized effect: 2.2 mm; CI 1.8–2.7) BOP% (27.0; 19.8–34.2) well marginal bone level gain (0.2 –0.0 0.5) observed at evaluation time points ranging 1 5 years. Wide prediction intervals suggested a high degree heterogeneity. Reduction increased by 0.7 mm (95% 0.5–0.9) for every millimetre increase baseline. During follow‐up period years, disease recurrence occurred frequently implant loss not uncommon. Conclusions Access surgery are effective management peri‐implantitis, although rates during years high. Treatment outcomes affected baseline conditions.

Язык: Английский

Процитировано