Comparison of Peri-Implant Clinical and Radiological Parameters after using Glycine Air Abrasion, Soft Tissue Diode Laser or Titanium Brush adjunctive to Conventional Peri-Implantitis Therapy

Not Applicable

Conditions: Health Condition 1: K056- Periodontal disease, unspecified

Registration Number: CTRI/2023/05/052252

Lead Sponsor: Dr Dipanshu Pahuja

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Open to Recruitment

Sex: Not specified

Target Recruitment: 0

Inclusion Criteria

The patients present with one or more implants showing signs of peri-implantitis with the following conditions will be included in the study:

a.Bleeding/suppuration on probing in peri-implant tissues.

b.PPD >= 3 mm around implants.

c.Radiographic evidence of bone loss around implants and/or exposure of implant threads clinically and/or radiographically.

d.No occlusal overload (checked by articulating papers).

Exclusion Criteria

a.Acute infection.

b.Medically compromised patients.

c.Uncooperative patients.

d.Heavy smokers.

e.Non-compliant patients for oral hygiene maintenance.

f.Mechanical failure like fixture fracture

g. Habits leading to trauma from occlusion.

h.Complete mobility of the implant or advanced periimplantitis lesion ( >6mm/ >50% implant length exposed) according to Monje et al.â??s classification.7

i.Inflammatory diseases with exaggerated responses like rheumatoid arthritis or granulomatous diseases that might influence treatment outcome.

j.Patients on long term steroids or bisphosphonates therapy.

k.Patient having frank gingivitis or periodontitis in the vicinity of periimplantitis site.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
1.Probing pocket depth (PPD) <br/ ><br>2.Relative attachment level (RAL) <br/ ><br>3.Marginal bone level (MBL) <br/ ><br>4.Stability of implant <br/ ><br>Timepoint: Baseline, Three months, Six Months and Nine months

Secondary Outcome Measures

Name	Time	Method
1.Gingivitis Index (Loe H and Silness J,1963) <br/ ><br>2.Plaque index (Turesky-Gilmore-Glickman modification of Quigley-Hein Plaque Index,1970) <br/ ><br>3.Bleeding on probing <br/ ><br>Timepoint: Baseline, Three months, Six Months and Nine months