Clinical and microbiological effect of submucosal irrigation with the Pocketirrigator for treatment of peri-implantitis - Pocketirrigation and peri-implantitis

niversitair Medisch Centrum Groningen0 个研究点目标入组 24 人开始时间: 待定最近更新: 2024年4月15日

适应症

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•- The patient is * 18 years of age;
•- The patient has at least one endosseous implant in the oral cavity with clinical and radiographical signs of peri-implantitis. Peri-implantitis is defined as progressive loss of marginal bone * 2mm , as compared to the baseline radiograph (after placing the definitive restoration) in combination with bleeding and/or suppuration on probing (Lang and Berglundh 2011);
•- The implants have been in function for at least two years;
•- The patient is capable of understanding and giving informed consent.

•- Medical and general contraindications for the procedures;
•- A history of local radiotherapy to the head and neck region;
•- Uncontrolled diabetes (HbA1c < 7% or < 53 mmol/mol);
•- Use of antibiotics during the last 3 months;
•- Long-term use of anti-inflammatory drugs;
•- Active periodontitis of the remaining dentition (PPD > 5 mm);
•- Incapability of performing basal oral hygiene measures as a result of physical or mental disorders;
•- Implants with bone loss exceeding 2/3 of the length of the implant or implants with bone loss beyond the transverse openings in hollow implants;
•- Implant mobility;
•- Implants at which no position can be identified where proper probing measurements can be performed;
•- Previous treatment of the peri-implantitis lesions during the last 3 months (scaling or curettage).

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