Abstract :
Background: Peri-implantitis is loss of bone occurring around osseointegrated implants. This systematic review of randomized clinical trials compares clinical and radiographic benefits of regenerative and resective techniques in of peri-implantitis treatment.Materials and Methods: design was based on PRISMA guidelines. An electronic search was carried out in MEDLINE /PUBMED, COCHRANE Library databases, EMBASE /SCOPUS, supplemented by manual search. Randomized clinical trials (RCTs) in men, with a follow-up of at least 12 months that compared a regenerative technique with a resective technique, published between 2012 and 2022 in English or French were included.Results: The strategy identified 636 articles for inclusion in the study after application of the filters and criteria, only 8 were retained. The Cochrane risk-of-bias tool for RCTs (RoB 2) was used to assess the studies.Conclusion: Within its limitations, regenerative techniques provide more benefit in terms of bone gain. However most studies found no significant difference in pocket depth improvement and bleeding on probing.
Keyword :
Peri-implantitis, Surgical treatment, Bone regeneration, Resective surgical treatment, Open flap debridement