Next Article in Journal
Laser-Assisted aPDT Protocols in Randomized Controlled Clinical Trials in Dentistry: A Systematic Review
Previous Article in Journal
Family Influences on Caries in Grenada
Open AccessReview

Management of Peri-Implantitis Lesions without the Use of Systemic Antibiotics: A Systematic Review

College of Medicine and Dentistry, James Cook University, 14-88 McGregor Road, Smithfield, QLD 4878, Australia
Australian Institute of Tropical Health and Medicine, James Cook University, Cairns, QLD 4878, Australia
Author to whom correspondence should be addressed.
Dent. J. 2020, 8(3), 106;
Received: 27 July 2020 / Revised: 31 August 2020 / Accepted: 8 September 2020 / Published: 14 September 2020
Background: This systematic review aims to assess the current evidence on the efficacy of surgical and non-surgical debridement techniques in the treatment of peri-implantitis lesions without the use of any antimicrobials. Method: Five electronic databases (MEDLINE, Pubmed, Scopus, CINAHL and Cochrane) were used, alongside hand searches, to find relevant articles. Full-text articles that were randomised controlled trials, published in the English language from 2011 onwards without pre-operative, peri-operative and post-operative antibiotic usage were included. The study was conducted according to the latest Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA)-P protocols, the latest Cochrane Risk of Bias tool and each investigated intervention was evaluated using the grading of recommendation, assessment, development and evaluation (GRADE) system. Results: The search yielded 2718 results. After initial screening, 38 full-text articles were assessed for eligibility. From these, 11 studies satisfied all inclusion criteria. These 11 articles described six non-surgical and five surgical debridement therapies. Most articles were classified as having either a high risk of bias or presenting with some concerns. Small sample sizes, in combination with this risk of bias, meant that all interventions were adjudged to be of either low or very low quality of evidence. Conclusion: While all investigated modalities displayed some sort of efficacy, this review suggests that a surgical approach may be best suited to treating peri-implantitis lesions in the absence of antibiotic therapy. Despite this weak indication, further research is required in this field. View Full-Text
Keywords: peri-implantitis; decontamination; debridement; nonsurgical therapy peri-implantitis; decontamination; debridement; nonsurgical therapy
Show Figures

Figure 1

MDPI and ACS Style

Khan, A.; Goyal, A.; Currell, S.D.; Sharma, D. Management of Peri-Implantitis Lesions without the Use of Systemic Antibiotics: A Systematic Review. Dent. J. 2020, 8, 106.

Show more citation formats Show less citations formats
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

Search more from Scilit
Back to TopTop