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Efficacy of air polishing for the non-surgical treatment of peri-implant diseases: a systematic review
Univ Klinikum Dusseldorf, Dept Oral Surg, D-40225 Dusseldorf, Germany..
Univ Klinikum Dusseldorf, Dept Orthodont, D-40225 Dusseldorf, Germany..
Blekinge Institute of Technology, Faculty of Health Sciences, Department of Health.
2015 (English)In: Journal of Clinical Periodontology, ISSN 0303-6979, E-ISSN 1600-051X, Vol. 42, no 10, 951-959 p.Article, review/survey (Refereed) Published
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Abstract [en]

Focused Question: In patients suffering from peri-implant diseases, what is the efficacy of air polishing on changing signs of inflammation compared with control treatments (i.e. alternative measures for plaque removal with or without adjunctive antiseptic and/or antibiotic therapy)? Material & Methods: After electronic database and hand search, 10 full-text articles were independently screened by two reviewers. Finally, a total of five studies (six publications) fulfilled the inclusion criteria. The weighted mean difference (WMD) [p; 95% CI] in bleeding on probing-(BOP) (primary outcome) and probing pocket depth-(PD) reductions was estimated using a random effect model. Results: All studies reported on residual BOP scores after therapy. A narrative data synthesis did not reveal any major improvement of bleeding index/BOP or disease resolution following air polishing over mechanical debridement at mucositis sites. At peri-implantitis sites, WMD in BOP reduction between test and control (mechanical debridement with or without local antiseptic therapy, Er:YAG laser) groups was -23.83% [p = 0.048; 95% CI (-47.47, -0.20)] favouring air polishing over control measures. Conclusions: While glycine powder air polishing is as effective as the control treatments at mucositis sites, it may improve the efficacy of non-surgical treatment of peri-implantitis over the control measures investigated. A complete disease resolution was commonly not obtained.

Place, publisher, year, edition, pages
2015. Vol. 42, no 10, 951-959 p.
Keyword [en]
air abrasion, clinical studies, peri-implant mucositis, peri-implantitis, systematic review
National Category
Dentistry
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URN: urn:nbn:se:bth-11540DOI: 10.1111/jcpe.12454ISI: 000367350800008PubMedID: 26362615OAI: oai:DiVA.org:bth-11540DiVA: diva2:899786
Available from: 2016-02-02 Created: 2016-02-02 Last updated: 2016-02-09Bibliographically approved

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