This review of the efficacy of different bone reconstructive therapies for peri-implantitis compared to access flap surgery at 12 months or longer. included 18 studies with 12 RCTs contributing to the meta-analyses. The findings suggest that compared with access flap surgery reconstructive surgery does not offer significant improvements at 12 months but the evidence is of low certainty.
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This review of adjunctive systemic or local antimicrobials as an adjunct to surgical treatment of peri-implantitis included 4 RCTs. The included studies only included a total of 200 pateints and were all considered to be at high risk of bias. The studies antimicrobial and treatment protocols also showed marked variation. Consequently, there is little evidence available on the effectiveness of local or systemic antimicrobials as adjuncts to surgical treatment of peri-implantitis
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This review aiming to estimate the overall prevalence of peri-implantitis included 57 studies (18 cross-sectional,18 longitudinal, 17 cohort studies, 3 RCTs and 1 case-control). Meta-analysis found an ooverall patient level prevalence of 20% (95%CI; 16.6 to 23.7%). However most of the studies used convenience samples and there was a marked heterogeneity in the diagnostic criteria used so the findings should be viewed cautiously.
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This review of the surgical treatment of peri-implantitis alone or in combination with adjunctive graft material included 5 small RCTs. The findings suggest improvements in marginal bone level (MBL) with graft material but the findings should be interpreted very cautiously because of the limited amount and quality of the evidence.
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This review of the effectiveness of locally administered antibiotics in the treatment of peri-implantitis included 12 small studies 7 of which were RCTs. While the findings suggest a small additional benefit with antibiotic use however the clinical importance of this is debatable.
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In this blog Rajpal Tattar looks at a review and meta-analysis investigating the correlation between oral lichen planus and peri-implant disease. Only two small observational studies were included so the availabel evidence is very limited.
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This review of the impact of supportive periodontal treatment (SPT) following implant placement on peri-implant disease and survival rates included 9 studies. While the findings suggests that SPT can improve peri‐implant health the quality of the available evidence is limited so high quality well conducted prospective studies are needed.
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This review to assess whether dental implants placed in patients with periodontitis have a higher risk of peri-implantitis included 19 mainly cross-sectional studies providing very low quality evidence to suggest a link.
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This review of surgical treatments for peri-implantitis included 16 studies, 9 of which were randomised trials providing limited evidence to suggest which methods are the most effective.
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This review of surgical regenerative treatment for peri-implantitis included 18 studies only 3 of which were RCTs. While a benefit is suggested the quality of the available studies is limited.
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