This review of the effectiveness of locally administered antibiotics in the treatment of peri-implantitis included 12 small studies 7 of which were RCTs. While the findings suggest a small additional benefit with antibiotic use however the clinical importance of this is debatable.
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In this blog Rajpal Tattar looks at a review and meta-analysis investigating the correlation between oral lichen planus and peri-implant disease. Only two small observational studies were included so the availabel evidence is very limited.
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This review of the impact of supportive periodontal treatment (SPT) following implant placement on peri-implant disease and survival rates included 9 studies. While the findings suggests that SPT can improve peri‐implant health the quality of the available evidence is limited so high quality well conducted prospective studies are needed.
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This review to assess whether dental implants placed in patients with periodontitis have a higher risk of peri-implantitis included 19 mainly cross-sectional studies providing very low quality evidence to suggest a link.
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This review of surgical treatments for peri-implantitis included 16 studies, 9 of which were randomised trials providing limited evidence to suggest which methods are the most effective.
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This review of surgical regenerative treatment for peri-implantitis included 18 studies only 3 of which were RCTs. While a benefit is suggested the quality of the available studies is limited.
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This review included 10 studies in a meta-analysis which suggests that peri-implant maintenance therapy is important for long the long term success rates of implants.
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5 small studies were included in this review of air polishing for peri-implant disease. Some improvement in bleeding on probing was seen with air polishing but the quality of the evidence was low.
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This review included 24 studies that showed a marked degree of heterogeneity but the findings suggest Implants placed in patients treated for periodontal disease are associated with higher incidence of biological complications, and lower success and survival rates than those placed in periodontally healthy patients.
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Only 7 small trials with 140 patients in total were available for this review. It suggests that adjunctive treatments did not significantly improve the efficacy of professional plaque removal in improving gingival indices, bleeding on probing or pocket depth.
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