Overview
The purpose of the present study is to compare the 1-year clinical, radiographic and microbiological outcomes and patients' satisfaction following surgical treatment of peri-implantitis after applying two different surface modification methods. Secondarily, analysis and comparison of the microbiological results of implants diagnosed and treated for peri-implantitis with healthy implants will be performed.
Eligibility
Inclusion Criteria:
General Inclusion Criteria:
- Participants ≥ 18 years and ≤ 80 years of age
- Non-smokers based on the patients' self-reported smoking status, defined as patients who had never smoked or had quit smoking at least 2 years ago
- Implants in function for more than 1 year after suprastructure connection
Inclusion Criteria for implants diagnosed with Peri-Implantitis:
- Presence of at least one implant diagnosed with peri-implantitis defined as presence of bleeding on probing and/or suppuration, probing pocket depth ≥6 mm and ≥3 mm of detectable bone loss after initial re-modelling
- Absence of implant mobility
- in participants with more than one implant, the implant with the worst clinical condition will be studied.
Inclusion Criteria for implants diagnosed with Peri-Implant Health:
- Absence of peri-implant signs of inflammation (redness, swelling)
- Lack of bleeding on probing
- Absence of bone loss beyond crestal bone level changes resulting from initial remodeling, which should not be ≥2 mm
Exclusion Criteria:
- Smokers
- Uncontrolled diabetes mellitus (HBA1c >7)
- Treatment with bisphosphonates
- Needing antibiotic prophylaxis
- Currently pregnant or breast-feeding women
- History of systemic administration of antibiotic treatment during the preceding 3 months
- Systemic conditions that contraindicate treatment
- Use of medications known to induce gingival hyperplasia