Efficacy of air polishing for the non-surgical treatment of peri-implant diseases: a systematic review.

Abstract

FOCUSED QUESTION:

In patients suffering from peri-implant diseases, what is the efficacy of air polishing on changing signs of inflammation compared with control treatments (i.e. alternative measures for plaque removal with or without adjunctive antiseptic and/ or antibiotic therapy)?

MATERIAL & METHODS:

After electronic database and hand search, 10 full-text articles were independently screened by two reviewers. Finally, a total of five studies (six publications) fulfilled the inclusion criteria. The weighted mean difference (WMD) [p; 95% CI] in bleeding on probing- (BOP) (primary outcome) and probing pocket depth- (PD) reductions was estimated using a random effect model.

RESULTS:

All studies reported on residual BOP scores after therapy. A narrative data synthesis did not reveal any major improvement of bleeding index/ BOP or disease resolution following air polishing over mechanical debridement at mucositis sites. At peri-implantitis sites, WMD in BOP reduction between test and control (mechanical debridement with or without local antiseptic therapy, Er:YAG laser) groups was -23.83% [p = 0.048; 95% CI (-47.47, -0.20)] favouring air polishing over control measures.

CONCLUSIONS:

While glycine powder air polishing is as effective as the control treatments at mucositis sites, it may improve the efficacy of non-surgical treatment of peri-implantitis over the control measures investigated. A complete disease resolution was commonly not obtained.

• Authors: Frank Schwarz, Kathrin Becker, Stefan Renvert
• Journal: Journal of clinical periodontology (J Clin Periodontol) Vol. 42 Issue 10 Pg. 951-9 (Oct 2015) ISSN: 1600-051X [Electronic] United States
• PMID: 26362615 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't, Review, Systematic Review)
• Copyright: © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Chemical References

• Anti-Infective Agents, Local
• Dental Implants

Topics

• Anti-Infective Agents, Local
• Dental Implants
• Humans
• Peri-Implantitis (therapy)
• Periodontal Debridement
• Periodontal Index