Peri-implantitis – How common is it?

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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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Peri-implantitis – Surgical treatment with or without adjunctive graft material

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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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Peri-implantitis: Are locally administered antibiotics effective?

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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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Oral lichen planus as a risk factor for peri-implant disease

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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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Peri-implant disease: Does supportive periodontal treatment improve implant survival?

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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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Peri-implantitis: Is periodontal disease a risk factor?

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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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Peri-implantitis: Are surgical treatments effective?

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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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Peri-implantitis: lack of high quality studies for surgical regenerative treatment

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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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‘All-on-4®’ treatment concept: current evidence limited

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This systematic review of the ‘All-on-4®’ concept for fixed full arch restoration includes 24 studies of limited quality is considered here by Mark-Steven Howe.

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What is the impact of peri-implant maintenance therapy?

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This review included 10 studies in a meta-analysis which suggests that peri-implant maintenance therapy is important for long the long term success rates of implants.

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