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Clinical Outcomes of Resective Surgical Treatment of Peri-Implantitis With or Without Implantoplasty

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StatusRecruiting
Sponsors
University of Michigan

Keywords

Abstract

The aims of the current study are 1) to assess the therapeutic resolution of the peri-implantitis after resective surgical treatment with or without implantoplasty procedure (no further radiographic bone loss, no erythema of the peri-implant mucosa, PD <6mm), and 2) to evaluate the survival rate of the peri-implantitis treated dental implants.

Description

The records of patients who underwent resective surgical treatment for peri-implantitis at the University of Michigan Graduate Periodontics clinic will be examined and analyzed. Patients who meet the inclusion/exclusion criteria will be contacted and invited to participate in the study to measure the following in a single visit: bleeding on probing, edema, redness of the peri-implant mucosa, and peri-implant probing pocket depth. Additionally, patients will be asked to complete a survey during their study visit regarding their implant(s) and previous peri-implantitis.

Dates

Last Verified: 01/31/2020
First Submitted: 01/22/2020
Estimated Enrollment Submitted: 02/04/2020
First Posted: 02/06/2020
Last Update Submitted: 02/04/2020
Last Update Posted: 02/06/2020
Actual Study Start Date: 12/04/2019
Estimated Primary Completion Date: 11/30/2021
Estimated Study Completion Date: 11/30/2021

Condition or disease

Peri-Implantitis

Intervention/treatment

Other: Peri-implantitis

Phase

-

Arm Groups

ArmIntervention/treatment
Peri-implantitis
Patients who underwent resective surgical treatment for peri-implantitis at the University of Michigan Graduate Periodontics clinic from January 1, 1990 through July 1, 2018
Other: Peri-implantitis
Soft tissue implant measurements

Eligibility Criteria

Ages Eligible for Study 18 Years To 18 Years
Sexes Eligible for StudyAll
Sampling methodNon-Probability Sample
Accepts Healthy VolunteersNo
Criteria

Inclusion criteria:

1. The patient is at least 18 years of age,

2. was initially diagnosed with peri-implantitis at ≥1 implant (peri-implant probing depth (PPD) ≥ 6 mm together with bleeding and/or suppuration on probing (BOP/SoP) and bone loss progression over physiological bone remodeling radiologically assessed or marginal bone loss ≥ 3 mm radiologically assessed in case of absence of baseline radiographs),

3. had received treatment for peri-implantitis at least 1 year ago at the Graduate Clinic of Periodontics at University of Michigan, and

4. documentation from ≥ 1 year of clinical and radiological follow- up is available from U of M patients records.

Exclusion criteria:

1. Has received or is currently receiving radiotherapy,

2. are currently pregnant, unsure of their pregnancy status, or are lactating (as reported by the patient),

3. has health condition(s) or takes medication(s) that are known to affect soft tissue or bone (e.g., Phenytoin)

4. Received any kind of bone graft during the treatment of the peri-implantitis

Outcome

Primary Outcome Measures

1. Therapeutic resolution of the peri-implantitis as measured by radiographic bone loss [Up to 30 years after the implant was treated for peri-implantitis]

The implant has no further radiographic bone loss when compared to previous radiographs.

2. Therapeutic resolution of the peri-implantitis as measured by erythema [Up to 30 years after the implant was treated for peri-implantitis]

The implant has no current erythema of the peri-implant mucosa.

3. Therapeutic resolution of the peri-implantitis as measured by probing depths [Up to 30 years after the implant was treated for peri-implantitis]

The implant has probing depths less than or equal to 5 millimeters.

4. Survival rate of the peri-implantitis treated dental implants [Up to 30 years after the implant was treated for peri-implantitis]

Survival rate will be determined by the duration of implant survival (functioning, non-symptomatic implant after peri-implantitis treatment).

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