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Clinical Oral Investigations

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Open Access 01-04-2021 | Original Article

In vitro surgical and non-surgical air-polishing efficacy for implant surface decontamination in three different defect configurations

Authors: Vivian Tuchscheerer, Peter Eickholz, Bettina Dannewitz, Christoph Ratka, Otto Zuhr, Hari Petsos

Published in: Clinical Oral Investigations | Issue 4/2021

Abstract

Objectives

Evaluation of surgical and non-surgical air-polishing in vitro efficacy for implant surface decontamination.

Material and methods

One hundred eighty implants were distributed to three differently angulated bone defect models (30°, 60°, 90°). Biofilm was imitated using indelible red color. Sixty implants were used for each defect, 20 of which were air-polished with three different types of glycine air powder abrasion (GAPA1–3) combinations. Within 20 equally air-polished implants, a surgical and non-surgical (with/without mucosa mask) procedure were simulated. All implants were photographed to determine the uncleaned surface. Changes in surface morphology were assessed using scanning electron micrographs (SEM).

Results

Cleaning efficacy did not show any significant differences between GAPA1–3 for surgical and non-surgical application. Within a cleaning method significant (p < 0.001) differences for GAPA2 between 30° (11.77 ± 2.73%) and 90° (7.25 ± 1.42%) in the non-surgical and 30° (8.26 ± 1.02%) and 60° (5.02 ± 0.84%) in the surgical simulation occurred. The surgical use of air-polishing (6.68 ± 1.66%) was significantly superior (p < 0.001) to the non-surgical (10.13 ± 2.75%). SEM micrographs showed no surface damages after use of GAPA.

Conclusions

Air-polishing is an efficient, surface protective method for surgical and non-surgical implant surface decontamination in this in vitro model. No method resulted in a complete cleaning of the implant surface.

Clinical relevance

Air-polishing appears to be promising for implant surface decontamination regardless of the device.

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Title: In vitro surgical and non-surgical air-polishing efficacy for implant surface decontamination in three different defect configurations
Authors: Vivian Tuchscheerer
Peter Eickholz
Bettina Dannewitz
Christoph Ratka
Otto Zuhr
Hari Petsos
Publication date: 01-04-2021
Publisher: Springer Berlin Heidelberg
Published in: Clinical Oral Investigations / Issue 4/2021
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-020-03476-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

In vitro surgical and non-surgical air-polishing efficacy for implant surface decontamination in three different defect configurations

Abstract

Objectives

Material and methods

Results

Conclusions

Clinical relevance

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objectives

Material and methods

Results

Conclusions

Clinical relevance

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