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Authors
Abstract(s)
Introdução: O Objetivo do presente trabalho é, avaliar de forma sistemática, a
melhor literatura possível sobre o tratamento da peri-implantite, procurando
encontrar a melhor opção de tratamento disponível.
Materiais e Métodos: Bases de dados eletrónicas (MEDLINE (PubMed®), Web
of Science®, Cochrane Library and Cochrane Evidence) foram pesquisadas para
se encontrar revisões sistemáticas sobre o tratamento da peri-implantite. Para
se recolher a melhor evidencia científica possivel, a Pesquisa foi limitada a
revisões sistemáticas que só incluissem Randomized Controlled Trials/
Controlled Clinical Trials. Artigos com data de Janeiro de 2014 a Janeiro de 2021
foram incluidos. Outros critérios para inclusão eram língua inglesa e publicados
em peer reviews journals. Apenas dados sobre peri-implantite e de artigos
Randomized Control Trials foram avaliados.
Resultados: Nove revisões sistemáticas foram selecionadas para total revisão.
Seis das nove incluiram Randomized Control Trials sobre tecnicas nao cirúrgicas,
e oito das nove revisões sistemáticas incluiram Randomized Control Trials sobre
abordagens cirúrgicas. No total 98 artigos primários foram incluidos dentro das
9 revisões sistemáticas, 59 dos quais únicos, não repetidos
Conclusão: Intervenções não cirúrgicas parecem oferecer algum grau de
melhoria clínica, principalmente a nível de sangramento à sondagem; no entanto,
estas parecem nao ser suficientes para tratar totalmente a peri-implantite.
Técnicas cirúrgicas parecem ser mais eficazes em melhorar, de forma geral, os
parametros clínicos, principalmente a profundidade de sondagem, sangramento
à sondagem e, a algum nível, os níveis ósseos marginais. Nenhuma técnica
cirúrgica específica nem materiais demosntram clara superioridade sobre outros.
A previsibilidade das intervenções cirúrgicas também ainda levantam
preocupações.
Objectives: Systematically review the best available literature on the treatment of peri-implantitis, in order to try and find the best available treatment option. Materials and Methods: Eletronic databases (MEDLINE (PubMed®), Web of Science®, Cochrane Library and Cochrane Evidence) were searched for systematic reviews on peri-implantitis treatment. To gather the best available scientific evidence, search was limited to systematic reviews that included Randomized Controlled Trials/Controlled Clinical Trials. Articles from January 2014 till January 2021 were included, in English and in peer reviewed journals. Only peri-implantitis and Randomized Controlled Trial data was assessed. Results: Nine systematic reviews were gathered for full review. Six out of the nine had randomized controlled trials investigating non-surgical techniques and eight out of the nine had approached surgical (augmentative/regenerative and corrective/resective techniques). In total 98 primary studies were included among the 9 systematic reviews, 59 of them being not repeated between reviews. Conclusion: Non-surgical interventions appear to offer some degree of clinical improvement, especially on bleeding on probing levels, but they are not likely enough to fully treat peri-implantitis. Surgical techniques seem to be more effective on improving overall clinical parameters, especially probing depth, bleeding on probing and to some extent, marginal bone level, but no specific surgical technique or material (graft or membrane) seem to have clear advantage over other. Surgical interventions predictability is still also a concern.
Objectives: Systematically review the best available literature on the treatment of peri-implantitis, in order to try and find the best available treatment option. Materials and Methods: Eletronic databases (MEDLINE (PubMed®), Web of Science®, Cochrane Library and Cochrane Evidence) were searched for systematic reviews on peri-implantitis treatment. To gather the best available scientific evidence, search was limited to systematic reviews that included Randomized Controlled Trials/Controlled Clinical Trials. Articles from January 2014 till January 2021 were included, in English and in peer reviewed journals. Only peri-implantitis and Randomized Controlled Trial data was assessed. Results: Nine systematic reviews were gathered for full review. Six out of the nine had randomized controlled trials investigating non-surgical techniques and eight out of the nine had approached surgical (augmentative/regenerative and corrective/resective techniques). In total 98 primary studies were included among the 9 systematic reviews, 59 of them being not repeated between reviews. Conclusion: Non-surgical interventions appear to offer some degree of clinical improvement, especially on bleeding on probing levels, but they are not likely enough to fully treat peri-implantitis. Surgical techniques seem to be more effective on improving overall clinical parameters, especially probing depth, bleeding on probing and to some extent, marginal bone level, but no specific surgical technique or material (graft or membrane) seem to have clear advantage over other. Surgical interventions predictability is still also a concern.
Description
Keywords
Peri-implantite Tratamento Revisão sistemática Resultados clínicos Peri-Implantitis Treatment Systematic review Outcomes