Non-surgical Treatment of Peri-implant Mucositis: FMUD vs FMUD and Air-Flow Master Piezon®

University of Siena

Status: Completed

Conditions: Peri-implant Mucositis

Treatments: Device: Full mouth ultrasonic debridement; Device: Glycine powder air polishing

Study type: Interventional

Funder types: Other

Identifiers

NCT05801315

MU001

Details and patient eligibility

About

The aim of the present study is to evaluate the adjunctive effect of glycine-powder air-polishing (GPAP) to full-mouth ultrasonic debridement (Fm-UD) in the treatment of peri-implant mucositis, and to determine the predictive role of implant and patient-level variables for disease resolution. Both treatments are described in the literature, but few studies are available on their comparison.

Full description

52 patients (132 implants) with peri-implant mucositis were included in this randomized parallel arm clinical study. Following baseline variables assessment, participants received Fm-UD. Implants allocated to the test group (n=64) were additionally treated with GPAP. Clinical outcomes were evaluated at 3 and 12 months following intervention. Complete and partial disease resolution were defined as absence of BoP (DR1) or <2 BoP+ sites (DR2), respectively.

Enrollment: 52 patients

Sex: All

Ages: 18 to 70 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• age between 18 and 70 years old;
• presence of one implant loaded at least one year before;
• bleeding on probing and/or suppuration of the peri-implant mucosa;
• pain and/or tenderness of the peri-implant mucosa;
• good general health conditions.

Exclusion criteria

• radiographic bone loss ≥ 2mm;
• intake of anticoagulants, antiplatelet, antibiotic or cortisone drugs;
• inability to perform oral hygiene maneuvers.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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52 participants in 2 patient groups

Full mouth ultrasonic debridement plus glycine powder air polishing

Experimental group

Description:

Plaque and calculus are firstly removed through full mouth ultrasonic debridement (FMUD) in all sites (both dental and implant). After this procedure an air polishing device (Air-flow Master Piezon®) is used as additional therapy to further debride peri-implant trans-mucosal tract.

Treatment:

Device: Glycine powder air polishing

Device: Full mouth ultrasonic debridement

Full mouth ultrasonic debridement

Active Comparator group

Description:

Plaque and calculus are removed through full mouth ultrasonic debridement (FMUD) in all sites (both dental and implant).

Treatment:

Device: Full mouth ultrasonic debridement