In vitro efficacy of three different implant surface decontamination methods in three different defect configurations

Author(s):  
David Keim ◽  
Katrin Nickles ◽  
Bettina Dannewitz ◽  
Christoph Ratka ◽  
Peter Eickholz ◽  
...  
Author(s):  
Wang Lai Hui ◽  
Vittoria Perrotti ◽  
Adriano Piattelli ◽  
Kostya (Ken) Ostrikov ◽  
Zhi Fang ◽  
...  

Abstract Objective Treatment of implants with peri-implantitis is often unsuccessful due to residual microbial biofilm hindering re-osseointegration. The aim of this study was to treat biofilm-grown titanium (Ti) implants with different modalities involving air abrasion (AA) and cold atmospheric plasma (CAP) to compare the effectiveness in surface decontamination and the alteration/preservation of surface topography. Materials and methods Saliva collected from a peri-implantitis patient was used to in vitro develop human biofilm over 35 implants with moderately rough surface. The implants were then mounted onto standardized acrylic blocks simulating peri-implantitis defects and treated with AA (erythritol powder), CAP in a liquid medium, or a combination (COM) of both modalities. The remaining biofilm was measured by crystal violet (CV). Surface features and roughness before and after treatment were assessed by scanning electron microscope (SEM). The data were statistically analyzed using Kruskal-Wallis followed by Tukey’s multiple comparison test. Results In the present peri-implantitis model, the human complex biofilm growth was successful as indicated by the statistical significance between the negative and positive controls. All the treatment groups resulted in a remarkable implant surface decontamination, with values very close to the negative control for AA and COM. Indeed, statistically significant differences in the comparison between the positive control vs. all the treatment groups were found. SEM analysis showed no post-treatment alterations on the implant surface in all the groups. Conclusions Decontamination with AA delivering erythritol with or without CAP in liquid medium demonstrated compelling efficacy in the removal of biofilm from implants. All the tested treatments did not cause qualitative alterations to the Ti surface features. No specific effects of the CAP were observed, although further studies are necessary to assess its potential as monotherapy with different settings or in combination with other decontamination procedures. Clinical relevance CAP is a promising option in the treatment of peri-implantitis because it has potential to improve the elimination of bacterial plaque from implant surfaces, in inaccessible pockets or during open-flap debridement, and should stimulate the process of the re-osseointegration of affected dental implants by not altering surface features and roughness.


2021 ◽  
Vol 36 (2) ◽  
pp. 271-280
Author(s):  
Panagiotis Iatrou ◽  
Christos Chamilos ◽  
Katrin Nickles ◽  
Christoph Ratka ◽  
Peter Eickholz ◽  
...  

2019 ◽  
Vol 30 (S19) ◽  
pp. 75-75
Author(s):  
Eduardo Claudio Dias Lopes deChaves E. Mello ◽  
Silvia Fernandes Gomes Nascimento ◽  
Fabiano Capato deBrito ◽  
Marcelo Henrique Napimoga

2013 ◽  
Vol 29 (6) ◽  
pp. 1977-1985 ◽  
Author(s):  
Marina Salah Kamel ◽  
Amardeep Khosa ◽  
Andrew Tawse-Smith ◽  
Jonathan Leichter

2021 ◽  
Vol 9 (8) ◽  
pp. 84
Author(s):  
Francisco Javier González ◽  
Estefanía Requena ◽  
Lucía Miralles ◽  
José Luis Sanz ◽  
Javier Barberá ◽  
...  

Background: the prognosis of peri-implant surgery can be affected by poor decontamination of the implant surface, which could be improved with the use of titanium brushes. The objectives of this systematic review were to evaluate the effectiveness of titanium brushes in the decontamination of the implant surface in terms of plaque index, probing depth, bleeding on probing and bone loss/gain; as well as its effectiveness according to the type of peri-implant bone defect. Methods: an electronic search was carried out in the PubMed, Scopus, Cochrane and Embase databases, as well as a manual search. The search strategy included four keywords: “Peri-implantitis”, “Periimplantitis”, “Implant Surface Decontamination” and “Titanium Brush”. Randomized controlled studies published in the last 10 years were included and systematic reviews, in vitro studies and animal studies were excluded. Results: 142 references were found, from which only four articles met the inclusion criteria. All of the studies included in the present review reported beneficial results in terms of probing depth, gingival index and radiographic bone loss and gain after implant surface decontamination adjuvated by titanium brushes. Conclusions: titanium rotary brushes show improvements in the evolution and prognosis of peri-implant surgery, although more long-term studies are needed to draw more solid conclusions.


Author(s):  
Vivian Tuchscheerer ◽  
Peter Eickholz ◽  
Bettina Dannewitz ◽  
Christoph Ratka ◽  
Otto Zuhr ◽  
...  

2016 ◽  
Vol 2 (9) ◽  
pp. 1504-1518 ◽  
Author(s):  
Ashwaq Ali Al-Hashedi ◽  
Marco Laurenti ◽  
Mohamed-Nur Abdallah ◽  
Rubens F. Albuquerque ◽  
Faleh Tamimi

Author(s):  
Pier Poli ◽  
Francisley Avila Souza ◽  
Mattia Manfredini ◽  
Carlo Maiorana ◽  
Mario Beretta

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