Is implantoplasty efficacious at treating peri-implantitis? a systematic review and meta-analysis

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dc.creatorRafael Paschoal Esteves Lima
dc.creatorFernando de Oliveira Costa
dc.creatorLucas Guimarães Abreu
dc.creatorFernanda Vieira Belém
dc.creatorGustavo Henrique de Mattos Pereira
dc.creatorRachel Alvarenga Brant
dc.date.accessioned2024-06-28T17:59:12Z
dc.date.accessioned2025-09-08T23:48:04Z
dc.date.available2024-06-28T17:59:12Z
dc.date.issued2021-11
dc.identifier.doihttps://doi.org/10.1016/j.joms.2021.06.015
dc.identifier.issn1531-5053
dc.identifier.urihttps://hdl.handle.net/1843/69495
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofJournal of Oral and Maxillofacial Surgery, Medicine, and Pathology
dc.rightsAcesso Aberto
dc.subjectDecontamination
dc.subjectPeri-implantitis
dc.subjectMeta-analysis
dc.subjectSystematic review
dc.subjectSuppuration
dc.subjectHemorrhage
dc.subjectDental implant
dc.subject.otherImplantoplasty
dc.subject.otherPeri-implantitis acesso restrito Is implantoplasty efficacious at treating peri-implantitis? a systematic review and meta-analysis assunto descontaminação fao clínica e fao odontopediatria busca dia 27/06/2024
dc.subject.otherSystematic review
dc.subject.otherMeta-analysis
dc.titleIs implantoplasty efficacious at treating peri-implantitis? a systematic review and meta-analysis
dc.typeArtigo de periódico
local.citation.epage2279
local.citation.issue11
local.citation.spage2270
local.citation.volume79
local.description.resumoPurpose: Peri-implantitis is an inflammatory disease, characterized by the progressive loss of the peri-implant support bone tissue. The objective of this study was to assess whether implantoplasty is efficacious in promoting peri-implant health. Methods: In this systematic review and meta-analysis, a search without restrictions regarding language or date of publication was conducted across different databases. Grey literature search, Google Scholar search and manual searches were also carried out. Studies evaluating periimplant clinical parameters of individuals with peri-implantitis who had been submitted to implantoplasty were included. Study selection, data extraction, and risk of bias assessment were conducted. The outcome variables were implant probing depth, the percentage of implants with bleeding on probing or suppuration on probing, and the success rate of implants after implantoplasty. The predictor variable was implantoplasty and the follow-up time after implantoplasty. Data on sample size, implant location, implant diameter, and diagnostic criteria for peri-implantitis were also collected during data extraction. Meta-analysis, sensitivity analysis, and analysis of the probability of implant success after implantoplasty with the Kalan-Meier method were performed. Results: Ninety-four studies were assessed. Eight articles were included and 7 were incorporated into quantitative analyses. Subjects' mean age ranged between 50 to 70.7 years. The studies demonstrated that implantoplasty contributed to a significant improvement in the peri-implant condition, reducing the probing depth, bleeding and suppuration on probing. Overall, the included studies exhibited low risk of bias. Meta-analysis demonstrated that probing depth before implantoplasty was significantly higher than after implantoplasty (mean difference = -3.37 mm, confidence interval = -4.74; -2.00). This result was confirmed in the sensitivity analysis. The probability of success of implants at 6 months of follow-up after implantoplasty was 97.5% and at 24 months of follow-up was 94.7%. Conclusions: There is some evidence in the literature to recommend implantoplasty as a potential treatment for periimplantitis.
local.identifier.orcidhttps://orcid.org/0000-0003-0049-1869
local.publisher.countryBrasil
local.publisher.departmentFAO - DEPARTAMENTO DE CLÍNICA
local.publisher.departmentFAO - DEPARTAMENTO DE ODONTOPEDIATRIA E ORTODONTIA
local.publisher.initialsUFMG
local.url.externahttps://www.sciencedirect.com/science/article/pii/S0278239121005528?via%3Dihub

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