Access flap and pocket elimination surgery are effective procedures for peri-implantitis: study

Results:

• Evidence from studies directly comparing surgical with non-surgical therapy is lacking.
• Based on pre-post data originating from 13 prospective patient cohorts, pronounced reductions of PD and BOP% as well as MBL gain were observed at evaluation time points ranging from 1 to 5 years. Wide prediction intervals suggested a high degree of heterogeneity.
• Reduction of mean PD increased by 0.7 mm for every mm in increase of mean PD at baseline.
• During follow-up period ranging from 1 to 5 years, disease recurrence occurred frequently and implant loss was not uncommon.

Access flap and pocket elimination surgery are effective procedures in the management of peri-implantitis, although rates of disease recurrence during 5 years were high. Treatment outcomes were affected by baseline conditions.

Reference:

Karolina Karlsson, Anna Trullenque-Eriksson, Cristiano Tomasi, Jan Derks. Efficacy of access flap and pocket elimination procedures in the management of peri-implantitis – a systematic review and meta-analysis. https://doi.org/10.1111/jcpe.13732

Keywords:

Journal of Clinical Periodontology, Karolina Karlsson ,Anna Trullenque-Eriksson, Cristiano Tomasi, Jan Derks, Efficacy, access, flap, pocket, elimination, procedures, management, peri-implantitis, systematic review, and meta-analysis