Peri-İmplantitisin Cerrahi Tedavisinde İmplant Yüzey Dekontaminasyonunda Titanyum Döner Fırçaların Etkinliği
Özet
Dental implantlar, diş eksikliklerinin giderilmesinde yaygın ve başarılı bir yöntem olsa da, peri-implant hastalıklar klinik başarının önündeki en büyük engellerden biridir. Bu bölümde implant yüzeyinin mekanik dekontaminasyonunda titanyum döner fırçaların etkinliği üzerinde durulmuş, bu yöntemin inflamasyon kontrolü ve kemik rejenerasyonu üzerindeki olumlu katkıları literatür ışığında değerlendirilmiştir. Bölüm, peri-implantitis tedavisinde kullanılan güncel tekniklerin klinik başarısını analiz ederek, gelecekteki randomize kontrollü çalışmalara olan ihtiyacı ortaya koymaktadır.
While dental implants are a widespread and successful method for replacing missing teeth, peri-implant diseases remain one of the most significant obstacles to clinical success. This chapter focuses on the efficacy of rotating titanium brushes for the mechanical decontamination of the implant surface and evaluates the positive contributions of this method to inflammation control and bone regeneration in light of the current literature. By analyzing the clinical success of contemporary techniques used in the treatment of peri-implantitis, the chapter highlights the need for future randomized controlled trials.
Referanslar
Tonetti, M. S., Chapple, I. L. C., Jepsen, S. & Sanz, M. Primary and secondary prevention of periodontal and peri‐implant diseases. J. Clin. Periodontol. 42, (2015). Doi: 10.1111/jcpe.12382
Romandini, M. et al. Clinical signs, symptoms, perceptions, and impact on quality of life in patients suffering from peri‐implant diseases: a university‐representative cross‐sectional study. Clin. Oral Implants Res. 32, 100–111 (2021).doi: 10.1111/clr.13683
Papapanou, P. N. et al. Periodontitis: Consensus report of workgroup 2 of the 2017 World Workshop on the Classification of Periodontal and Peri‐Implant Diseases and Conditions. J. Periodontol. 89, (2018).doi: 10.1002/JPER.17-0721
Lindhe, J. & Meyle, J. Peri‐implant diseases: Consensus Report of the Sixth European Workshop on Periodontology. J. Clin. Periodontol. 35, 282–285 (2008).https://doi.org/10.1111/j.1600-051x.2008.01283.x
Figuero, E., Graziani, F., Sanz, I., Herrera, D. & Sanz, M. Management of peri‐implant mucositis and peri‐implantitis. Periodontol. 2000. 66, 255–273 (2014). https://doi.org/10.1111/prd.12049
Romandini, M. et al. Prevalence and risk/protective indicators of peri‐implant diseases: A university‐representative cross‐sectional study. Clin. Oral Implants Res. 32, 112–122 (2021). Doi:10.1111/clr.13684
RÖSING, C. K. et al. The impact of maintenance on peri-implant health. Braz. Oral Res. 33, (2019). https://doi.org/10.1590/1807-3107bor-2019.vol33.0074
Ausra Ramanauskaite, P. D. G. J. Treatment of peri-implantitis: Meta-analysis of findings in a systematic literature review and novel protocol proposal. Quintessence Int . 47, (2016). https://doi.org/10.3290/j.qi.a35131
Schwarz, F., Sahm, N., Iglhaut, G. & Becker, J. Impact of the method of surface debridement and decontamination on the clinical outcome following combined surgical therapy of peri-implantitis: a randomized controlled clinical study. J. Clin. Periodontol. 38, 276–284 (2011). https://doi.org/10.1111/j.1600-051x.2010.01690.x
Mancini, L. et al. Biomaterials for Periodontal and Peri-Implant Regeneration. Materials 14, 3319 (2021). https://doi.org/10.3390/ma14123319
Claffey, N., Clarke, E., Polyzois, I. & Renvert, S. Surgical treatment of peri‐implantitis. J. Clin. Periodontol. 35, 316–332 (2008). https://doi.org/10.1111/j.1600-051x.2008.01277.x
Carcuac, O. et al. Adjunctive Systemic and Local Antimicrobial Therapy in the Surgical Treatment of Peri-implantitis. J. Dent. Res. 95, 50–57 (2016). https://doi.org/10.1177/0022034515601961
Klinge, B., Gustafsson, A. & Berglundh, T. A systematic review of the effect of anti‐infective therapy in the treatment of peri‐implantitis. J. Clin. Periodontol. 29, 213–225 (2002). https://doi.org/10.1034/j.1600-051x.29.s3.13.x
Louropoulou, A., Slot, D. E. & Weijden, F. The effects of mechanical instruments on contaminated titanium dental implant surfaces: a systematic review. Clin. Oral Implants Res. 25, 1149–1160 (2014). https://doi.org/10.1111/clr.12224
de Tapia, B. et al. The adjunctive effect of a titanium brush in implant surface decontamination at peri‐implantitis surgical regenerative interventions: A randomized controlled clinical trial. J. Clin. Periodontol. 46, 586–596 (2019). Doi:10.1111/jcpe.13095
John, G., Becker, J. & Schwarz, F. Rotating titanium brush for plaque removal from rough titanium surfaces – an in vitro study. Clin. Oral Implants Res. 25, 838–842 (2014). https://doi.org/10.1111/clr.12147
Toma, S., Brecx, M. C. & Lasserre, J. F. Clinical Evaluation of Three Surgical Modalities in the Treatment of Peri-Implantitis: A Randomized Controlled Clinical Trial. J. Clin. Med. 8, 966 (2019). https://doi.org/10.3390/jcm8070966
Gustumhaugen, E. et al. Effect of chemical and mechanical debridement techniques on bacterial re‐growth on rough titanium surfaces: an in vitro study. Clin. Oral Implants Res. 25, 707–713 (2014). https://doi.org/10.1111/clr.12130
Sanz-Martín, I. et al. Significance of implant design on the efficacy of different peri-implantitis decontamination protocols. Clin. Oral Investig. 25, 3589–3597 (2021). https://doi.org/10.1007/s00784-020-03681-y
Park, J., Jeon, Y. & Ko, Y. Effects of titanium brush on machined and sand‐blasted/acid‐etched titanium disc using confocal microscopy and contact profilometry. Clin. Oral Implants Res. 26, 130–136 (2015). https://doi.org/10.1111/clr.12302
Carral, C. et al. Mechanical and chemical implant decontamination in surgical peri‐implantitis treatment: preclinical “in vivo” study. J. Clin. Periodontol. 43, 694–701 (2016). https://doi.org/10.1111/jcpe.12566
Viganò, P. et al. Use of TiBrush for surface decontamination at peri‐implantitis sites in dogs: Radiographic and histological outcomes. J. Investig. Clin. Dent. 10, (2019). https://doi.org/10.1111/jicd.12378
Neely, A. L., Thompson, T. N., Gupta, V. & Kinaia, B. Successful Management of Peri‐Implantitis Using a Titanium Brush and a Doxycycline‐Saline Slurry for Surface Detoxification With Guided Bone Regeneration: A 5‐Year Follow‐Up. Clin. Adv. Periodontics 10, 118–122 (2020). https://doi.org/10.1002/cap.10085
Lasserre, J., Brecx, M. & Toma, S. Implantoplasty Versus Glycine Air Abrasion for the Surgical Treatment of Peri-implantitis: A Randomized Clinical Trial. Int. J. Oral Maxillofac. Implants 35, 197–206 (2020). https://doi.org/10.11607/jomi.6677
de Tapia, B. et al. The adjunctive effect of a titanium brush in implant surface decontamination at peri‐implantitis surgical regenerative interventions: A randomized controlled clinical trial. J. Clin. Periodontol. 46, 586–596 (2019). https://doi.org/10.1111/jcpe.13095
Poli, P. P., Souza, F. Á., Manfredini, M., Maiorana, C. & Beretta, M. Regenerative Treatment of Peri-Implantitis Following Implant Surface Decontamination With Titanium Brush and Antimicrobial Photodynamic Therapy: A Case Series With Reentry. Journal of Oral Implantology 46, 619–626 (2020). 10.1563/aaid-joi-D-20-00093
Charalampakis, G., Leonhardt, Å., Rabe, P. & Dahlén, G. Clinical and microbiological characteristics of peri‐implantitis cases: a retrospective multicentre study. Clin. Oral Implants Res. 23, 1045–1054 (2012). https://doi.org/10.1111/j.1600-0501.2011.02258.x
Baima, G. et al. Surface decontamination protocols for surgical treatment of peri‐implantitis: A systematic review with meta‐analysis. Clin. Oral Implants Res. 33, 1069–1086 (2022). https://doi.org/10.1111/clr.13992
John, G., Becker, J. & Schwarz, F. Rotating titanium brush for plaque removal from rough titanium surfaces – an in vitro study. Clin. Oral Implants Res. 25, 838–842 (2014). https://doi.org/10.1111/clr.12147
Ronay, V., Merlini, A., Attin, T., Schmidlin, P. R. & Sahrmann, P. In vitro cleaning potential of three implant debridement methods. Simulation of the non‐surgical approach. Clin. Oral Implants Res. 28, 151–155 (2017). https://doi.org/10.1111/clr.12773
Sahrmann, P. et al. In vitro cleaning potential of three different implant debridement methods. Clin. Oral Implants Res. 26, 314–319 (2015). https://doi.org/10.1111/clr.12322
Sahrmann, P. et al. Cleaning potential of glycine air‐flow application in an in vitro peri‐implantitis model. Clin. Oral Implants Res. 24, 666–670 (2013). https://doi.org/10.1111/j.1600-0501.2012.02445.x
Al-Hashedi, A. A., Laurenti, M., Abdallah, M.-N., Albuquerque, R. F. & Tamimi, F. Electrochemical Treatment of Contaminated Titanium Surfaces in Vitro: An Approach for Implant Surface Decontamination. ACS Biomater. Sci. Eng. 2, 1504–1518 (2016). https://doi.org/10.1021/acsbiomaterials.6b00265
Jepsen, K. et al. Reconstruction of Peri-implant Osseous Defects. J. Dent. Res. 95, 58–66 (2016). 10.1177/0022034515610056
Guler, B., Uraz, A., Yalım, M. & Bozkaya, S. The Comparison of Porous Titanium Granule and Xenograft in the Surgical Treatment of Peri‐Implantitis: A Prospective Clinical Study. Clin. Implant Dent. Relat. Res. 19, 316–327 (2017). 10.1111/cid.12453
Referanslar
Tonetti, M. S., Chapple, I. L. C., Jepsen, S. & Sanz, M. Primary and secondary prevention of periodontal and peri‐implant diseases. J. Clin. Periodontol. 42, (2015). Doi: 10.1111/jcpe.12382
Romandini, M. et al. Clinical signs, symptoms, perceptions, and impact on quality of life in patients suffering from peri‐implant diseases: a university‐representative cross‐sectional study. Clin. Oral Implants Res. 32, 100–111 (2021).doi: 10.1111/clr.13683
Papapanou, P. N. et al. Periodontitis: Consensus report of workgroup 2 of the 2017 World Workshop on the Classification of Periodontal and Peri‐Implant Diseases and Conditions. J. Periodontol. 89, (2018).doi: 10.1002/JPER.17-0721
Lindhe, J. & Meyle, J. Peri‐implant diseases: Consensus Report of the Sixth European Workshop on Periodontology. J. Clin. Periodontol. 35, 282–285 (2008).https://doi.org/10.1111/j.1600-051x.2008.01283.x
Figuero, E., Graziani, F., Sanz, I., Herrera, D. & Sanz, M. Management of peri‐implant mucositis and peri‐implantitis. Periodontol. 2000. 66, 255–273 (2014). https://doi.org/10.1111/prd.12049
Romandini, M. et al. Prevalence and risk/protective indicators of peri‐implant diseases: A university‐representative cross‐sectional study. Clin. Oral Implants Res. 32, 112–122 (2021). Doi:10.1111/clr.13684
RÖSING, C. K. et al. The impact of maintenance on peri-implant health. Braz. Oral Res. 33, (2019). https://doi.org/10.1590/1807-3107bor-2019.vol33.0074
Ausra Ramanauskaite, P. D. G. J. Treatment of peri-implantitis: Meta-analysis of findings in a systematic literature review and novel protocol proposal. Quintessence Int . 47, (2016). https://doi.org/10.3290/j.qi.a35131
Schwarz, F., Sahm, N., Iglhaut, G. & Becker, J. Impact of the method of surface debridement and decontamination on the clinical outcome following combined surgical therapy of peri-implantitis: a randomized controlled clinical study. J. Clin. Periodontol. 38, 276–284 (2011). https://doi.org/10.1111/j.1600-051x.2010.01690.x
Mancini, L. et al. Biomaterials for Periodontal and Peri-Implant Regeneration. Materials 14, 3319 (2021). https://doi.org/10.3390/ma14123319
Claffey, N., Clarke, E., Polyzois, I. & Renvert, S. Surgical treatment of peri‐implantitis. J. Clin. Periodontol. 35, 316–332 (2008). https://doi.org/10.1111/j.1600-051x.2008.01277.x
Carcuac, O. et al. Adjunctive Systemic and Local Antimicrobial Therapy in the Surgical Treatment of Peri-implantitis. J. Dent. Res. 95, 50–57 (2016). https://doi.org/10.1177/0022034515601961
Klinge, B., Gustafsson, A. & Berglundh, T. A systematic review of the effect of anti‐infective therapy in the treatment of peri‐implantitis. J. Clin. Periodontol. 29, 213–225 (2002). https://doi.org/10.1034/j.1600-051x.29.s3.13.x
Louropoulou, A., Slot, D. E. & Weijden, F. The effects of mechanical instruments on contaminated titanium dental implant surfaces: a systematic review. Clin. Oral Implants Res. 25, 1149–1160 (2014). https://doi.org/10.1111/clr.12224
de Tapia, B. et al. The adjunctive effect of a titanium brush in implant surface decontamination at peri‐implantitis surgical regenerative interventions: A randomized controlled clinical trial. J. Clin. Periodontol. 46, 586–596 (2019). Doi:10.1111/jcpe.13095
John, G., Becker, J. & Schwarz, F. Rotating titanium brush for plaque removal from rough titanium surfaces – an in vitro study. Clin. Oral Implants Res. 25, 838–842 (2014). https://doi.org/10.1111/clr.12147
Toma, S., Brecx, M. C. & Lasserre, J. F. Clinical Evaluation of Three Surgical Modalities in the Treatment of Peri-Implantitis: A Randomized Controlled Clinical Trial. J. Clin. Med. 8, 966 (2019). https://doi.org/10.3390/jcm8070966
Gustumhaugen, E. et al. Effect of chemical and mechanical debridement techniques on bacterial re‐growth on rough titanium surfaces: an in vitro study. Clin. Oral Implants Res. 25, 707–713 (2014). https://doi.org/10.1111/clr.12130
Sanz-Martín, I. et al. Significance of implant design on the efficacy of different peri-implantitis decontamination protocols. Clin. Oral Investig. 25, 3589–3597 (2021). https://doi.org/10.1007/s00784-020-03681-y
Park, J., Jeon, Y. & Ko, Y. Effects of titanium brush on machined and sand‐blasted/acid‐etched titanium disc using confocal microscopy and contact profilometry. Clin. Oral Implants Res. 26, 130–136 (2015). https://doi.org/10.1111/clr.12302
Carral, C. et al. Mechanical and chemical implant decontamination in surgical peri‐implantitis treatment: preclinical “in vivo” study. J. Clin. Periodontol. 43, 694–701 (2016). https://doi.org/10.1111/jcpe.12566
Viganò, P. et al. Use of TiBrush for surface decontamination at peri‐implantitis sites in dogs: Radiographic and histological outcomes. J. Investig. Clin. Dent. 10, (2019). https://doi.org/10.1111/jicd.12378
Neely, A. L., Thompson, T. N., Gupta, V. & Kinaia, B. Successful Management of Peri‐Implantitis Using a Titanium Brush and a Doxycycline‐Saline Slurry for Surface Detoxification With Guided Bone Regeneration: A 5‐Year Follow‐Up. Clin. Adv. Periodontics 10, 118–122 (2020). https://doi.org/10.1002/cap.10085
Lasserre, J., Brecx, M. & Toma, S. Implantoplasty Versus Glycine Air Abrasion for the Surgical Treatment of Peri-implantitis: A Randomized Clinical Trial. Int. J. Oral Maxillofac. Implants 35, 197–206 (2020). https://doi.org/10.11607/jomi.6677
de Tapia, B. et al. The adjunctive effect of a titanium brush in implant surface decontamination at peri‐implantitis surgical regenerative interventions: A randomized controlled clinical trial. J. Clin. Periodontol. 46, 586–596 (2019). https://doi.org/10.1111/jcpe.13095
Poli, P. P., Souza, F. Á., Manfredini, M., Maiorana, C. & Beretta, M. Regenerative Treatment of Peri-Implantitis Following Implant Surface Decontamination With Titanium Brush and Antimicrobial Photodynamic Therapy: A Case Series With Reentry. Journal of Oral Implantology 46, 619–626 (2020). 10.1563/aaid-joi-D-20-00093
Charalampakis, G., Leonhardt, Å., Rabe, P. & Dahlén, G. Clinical and microbiological characteristics of peri‐implantitis cases: a retrospective multicentre study. Clin. Oral Implants Res. 23, 1045–1054 (2012). https://doi.org/10.1111/j.1600-0501.2011.02258.x
Baima, G. et al. Surface decontamination protocols for surgical treatment of peri‐implantitis: A systematic review with meta‐analysis. Clin. Oral Implants Res. 33, 1069–1086 (2022). https://doi.org/10.1111/clr.13992
John, G., Becker, J. & Schwarz, F. Rotating titanium brush for plaque removal from rough titanium surfaces – an in vitro study. Clin. Oral Implants Res. 25, 838–842 (2014). https://doi.org/10.1111/clr.12147
Ronay, V., Merlini, A., Attin, T., Schmidlin, P. R. & Sahrmann, P. In vitro cleaning potential of three implant debridement methods. Simulation of the non‐surgical approach. Clin. Oral Implants Res. 28, 151–155 (2017). https://doi.org/10.1111/clr.12773
Sahrmann, P. et al. In vitro cleaning potential of three different implant debridement methods. Clin. Oral Implants Res. 26, 314–319 (2015). https://doi.org/10.1111/clr.12322
Sahrmann, P. et al. Cleaning potential of glycine air‐flow application in an in vitro peri‐implantitis model. Clin. Oral Implants Res. 24, 666–670 (2013). https://doi.org/10.1111/j.1600-0501.2012.02445.x
Al-Hashedi, A. A., Laurenti, M., Abdallah, M.-N., Albuquerque, R. F. & Tamimi, F. Electrochemical Treatment of Contaminated Titanium Surfaces in Vitro: An Approach for Implant Surface Decontamination. ACS Biomater. Sci. Eng. 2, 1504–1518 (2016). https://doi.org/10.1021/acsbiomaterials.6b00265
Jepsen, K. et al. Reconstruction of Peri-implant Osseous Defects. J. Dent. Res. 95, 58–66 (2016). 10.1177/0022034515610056
Guler, B., Uraz, A., Yalım, M. & Bozkaya, S. The Comparison of Porous Titanium Granule and Xenograft in the Surgical Treatment of Peri‐Implantitis: A Prospective Clinical Study. Clin. Implant Dent. Relat. Res. 19, 316–327 (2017). 10.1111/cid.12453
