Teeth And Implant Surroundings: Clinical Health Indices And Microbiologic Parameters

Abstract

Background. Dental implants are a predictable and well-established treatment method in dentistry. However, when considering potential dental implant failures, a distinction must be made between early and late loss. The aim of this study was to investigate the role of implant surface debridement alone and in conjunction with systemic antibiotics on clinical and microbiological variables of peri-implantitis. Materials and methods. Fifty-two patients who underwent at least one dental implant with bleeding on the probe (BoP), probe pocket depth (PPD) of more than 5 mm, and radiographic bone loss of more than 3 mm, were retrieved from clinical records. Data on dental implants with the deepest PPD, BoP, and bone loss from each patient wer[1]e recorded. “Group-A” received implant surface debridement alone, while “Group-B” additionally received systemic antibiotics. Clinical and microbiological data of patients before and after treatment were compared. results. At the transplantation level, a significant reduction in PPD, mucostasis (MR), and BoP was achieved for all patients. Group B achieved significant improvement in MR and BoP compared to Group A at the implant level. PPD, MR, and panel results showed improvement at the implant site level. At the 3-month recall visit, 44% of Group A implants and 52% of Group B implants required surgical treatment. The presence and proportions of the studied bacteria in both groups did not differ significantly at the recall visit compared to the initial visit. However, P. intermedia and P. micros significantly decreased in group A at the recall visit. Conclusions. Implant surface debridement improved clinical indicators of peri-implantitis. In addition, adjunctive use of systemic antibiotics increased mucosal stasis and improved bleeding when examining peri-implantitis.