ISSN: 2332-0702

Journal of Oral Hygiene & Health
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  • Review Article   
  • J Oral Hyg Health,
  • DOI: 10.4172/2332-0702.1000413

Peri-implantitis X biomaterials: is there a co-relation?

Dr. Thaís Cachuté Paradella* and Dr. Fernando Augusto Cervantes Garcia De Sousa
1PhD in Oral Microbiology, Researcher at São Paulo State University (UNESP), Institute of Science and Technology, Campus São José dos Campos, Brazil
2PhD in Oral Biopathology, Brazil
*Corresponding Author : Dr. Thaís Cachuté Paradella, PhD in Oral Microbiology, Researcher at São Paulo State University (UNESP), Institute of Science and Technology, Campus São José dos Campos, Brazil, Email: thais.paradella@unesp.br

Received Date: Feb 08, 2024 / Accepted Date: Mar 05, 2024 / Published Date: Mar 05, 2024

Abstract

Is there a co-relation between the use of biomaterials and the development, or not, of peri-implantitis? To answer such relevant clinical question, Pubmed data base was consulted (keywords “peri-implantitis” and “biomaterials”) resulting in 340 studies (2013-2023). The review was registered in PROSPERO, #CRD42023412334. Filters applied: Clinical Trials (CT), Randomized CT. Inclusion/exclusion criteria were applied, resulting in 12 studies. The studies were assessed for quality and bias (Newcastle-Ottawa Scale of Evaluation of Quality). 576 patients were submitted to randomize CT/CT, 723 implants evaluated. Prior to surgeries, patients were submitted to periodontal/radiographic examination (average post-operatory interval of 20.5 months). Probing pocket depths were recorded prior/during the follow-up period. Biomaterials used in the selected studies included chlorexidine coating of the internal chamber of the implant (8.33%), showing significant smaller number of bacterial units. However, no long-term analysis of the patients was performed. Bone substitutes materials were used in 58.33% of the studies, in combination (or not) with concentrated growth factors (CGF). The results were contradictory: 50% found no differences in the outcomes. The other 50% of the studies with bone substitutes with CGF showed significant improvements in both clinical and radiographic assessments. Titanium granules were present in a minor number of studies from the final sample (16.6%), showing no difference in bone marker levels. Biphasic calcium phosphate ceramic granules were used in to fill the bone loss after peri-implantitis. Other studies (16.6%) preferred to compare the use of chitosan brushes to the use of traditional currettes, showing reduced signs of inflammation after the baseline treatment and 3 months after maintenance. After the analysis of the results, we concluded that the area of biomaterials is broad and the study of peri-implantitis encompasses different lines of research. Thus, we were not able to establish a co-relation between the use of biomaterials and peri-implantitis.

Citation: Paradella TC, Sousa FACG (2024) Peri-implantitis X biomaterials: is there a co-relation? J Oral Hyg Health 12: 413. Doi: 10.4172/2332-0702.1000413

Copyright: © 2024 Paradella TC, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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