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Published in: Oral and Maxillofacial Surgery 4/2020

01-12-2020 | Original Article

Effect of lack of plaque control after the surgical treatment of peri-implantitis at surfaces with different characteristics: an experimental study in dogs

Authors: Giovanni Favero, Karol Alí Apaza Alccayhuaman, Erick Ricardo Silva, Franco Bengazi, Joaquin Urbizo, Mitsuo Kotsu, Daniele Botticelli

Published in: Oral and Maxillofacial Surgery | Issue 4/2020

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Abstract

Objective

The aim of the present study was to evaluate the effect of the induction of peri-implantitis and of plaque accumulation on implants with different surface characteristics after the surgical treatment.

Material and methods

All mandibular premolars and first molars were extracted bilaterally in six dogs. After 3 months, two non-submerged implants were installed, each with either a hydrophilic sandblasted and acid-etched surface stored in saline solution (SLActive) or an acid-etched and modified with calcium ions surface (UnicCa). After 3 months, ligatures were placed in the sulcus around the implants to induce an experimental peri-implantitis and plaque accumulation was allowed. After 3 months, ligatures were removed and, after one more month of plaque accumulation, a surgical treatment was performed using gauzes soaked in saline and irrigations. X-rays were taken at this stage. Plaque control maintenance was established at the control sites, while plaque accumulation was allowed at the test sites (plaque sites). After 5 months, biopsies were obtained. Marginal bone levels were compared between x-rays and histological assessments.

Results

At the time of peri-implantitis treatment, two SLActive implants were lost. At the euthanasia, seven more implants were lost only in the plaque group, one control and six test implants. The calculated mean values of the marginal bone level of the two surfaces at the treatment were 3.65 ± 1.71 mm in the control group, and 3.65 ± 1.76 mm in the plaque group (p = 0.463). The additional marginal bone loss after 5 months from surgical treatment was 0.67 ± 0.67 mm (UnicCa, 0.48 ± 1.06 mm and SLActive, 0.79 ± 2.10 mm) and 3.11 ± 1.38 mm (UnicCa, 2.67 ± 1.87 mm and SLActive, 3.94 ± 2.11 mm) for the control and plaque groups, respectively (p = 0.028).

Conclusions

The lack of plaque control after the surgical treatment of the peri-implantitis strongly influenced the marginal bone loss.
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Metadata
Title
Effect of lack of plaque control after the surgical treatment of peri-implantitis at surfaces with different characteristics: an experimental study in dogs
Authors
Giovanni Favero
Karol Alí Apaza Alccayhuaman
Erick Ricardo Silva
Franco Bengazi
Joaquin Urbizo
Mitsuo Kotsu
Daniele Botticelli
Publication date
01-12-2020
Publisher
Springer Berlin Heidelberg
Published in
Oral and Maxillofacial Surgery / Issue 4/2020
Print ISSN: 1865-1550
Electronic ISSN: 1865-1569
DOI
https://doi.org/10.1007/s10006-020-00870-7

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