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Open AccessFeature PaperArticle

Control of Peri-Implant Mucous Inflammation by Using Chlorhexidine or Ultraviolet C Radiation for Cleaning Healing Abutments. Double-Blind Randomized Clinical Trial

1
D.D.S., Department of Periodontology, Medicine and Dentistry Faculty, Murcia University, 30008 Murcia, Spain
2
D.D.S., Department of Restorative Dentistry, Medicine and Dentistry Faculty, Murcia University, 30008 Murcia, Spain
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D.D.S., Virgen del Rocio Hospital, 41013 Sevilla, Spain
4
D.D.S., Department of Periodontology, School of Dental Medicine, Stony Brook University, Stony Brook, NY 11794-8712, USA
*
Author to whom correspondence should be addressed.
Materials 2020, 13(5), 1124; https://doi.org/10.3390/ma13051124
Received: 6 February 2020 / Revised: 26 February 2020 / Accepted: 27 February 2020 / Published: 3 March 2020
(This article belongs to the Special Issue Materials in Implant Dentistry and Regenerative Medicine)
Two-phase implants must be exposed to the external environment after the period of osteointegration has elapsed. For this purpose, a healing abutment is placed passing through the mucosa while forming the emergence profile. The continuous connection and disconnection can lead to an alteration in the tissue maturation, both because of the contact of bacterial plaque and because of the mechanical trauma that involves its manipulation, manifesting with different degrees of erythema or bleeding. To assess whether this epithelium disruption can be counteracted, a blinded study design was developed on 150 unitary implant patients divided into three groups (n = 50), applying chlorhexidine (group 1), ultraviolet C (UV-C) at a wavelength of 254 nm (group 2)and no treatment as a control group (group 3), during each of the disconnections and connections during the prosthodontic treatment (1 time per week for four weeks). All groups showed a better epithelium aspect at the end of the evaluation. Although there were no statistically significant differences in the degree of inflammation, the UV-C treated group had the lowest plaque accumulation, and the highest was for the chlorhexidine-treated group. View Full-Text
Keywords: abutment surface; healing abutment; mucositis; peri-implantitis; sterilization abutment surface; healing abutment; mucositis; peri-implantitis; sterilization
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Sanchez-Perez, A.; Nicolas-Silvente, A.I.; Sanchez-Matas, C.; Cascales-Pina, E.; Macia-Manresa, V.; Romanos, G.E. Control of Peri-Implant Mucous Inflammation by Using Chlorhexidine or Ultraviolet C Radiation for Cleaning Healing Abutments. Double-Blind Randomized Clinical Trial. Materials 2020, 13, 1124.

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