Background: Peri-implantitis is the most prevalent late biological complication in implant dentistry. Treatment of peri-implantitis is becoming a challenging problem. Decontamination of the implant surface is one of the most important and difficult steps of a therapy. Aim/Hypothesis: The aim of a present systematic review was to overview different implant surface decontamination methods in non-surgical peri-implantitis treatment for clinical peri-implantitis symptoms resolution with respect to bleeding on probing and pocket depths reduction. Material and Methods: A systematic electronic literature search in PubMed database was conducted to identify randomized clinical trials comparing different implant surface decontamination methods in non-surgical peri-implantitis treatment. Articles published between January 1, 2000, and September 1, 2016, were searched. The keywords were “peri-implantitis”, “peri-implant complication”, “peri-implant infection”, “nonsurgical therapy”, “treatment”, “decontamination”. The search was limited to human studies and restricted to English language. Results: Out of 985 articles retrieved, 14 studies were included into review. According to the literature reviewed, decontamination methods could be classified into following categories: mechanical debridement alone (4 studies), mechanical debridement with adjunctive local antibiotics (3 studies), chemical decontamination (2 studies), laser decontamination (4 studies) and photodynamic therapy (1 study). Mechanical debridement alone seemed to have limited improvements in clinical parameters, however the addition of local antibiotics significantly reduced bleeding on probing and pocket depths. Amino acid glycine powder significantly reduced bleeding on probing, but no significant difference was observed in the reduction of probing depths, compared to conventional debridement. The use of chlorhexidine or chloramine g....
Eglė Ramanauskaitė (Thu,) studied this question.