Evaluation of efficacy of the closed surface scaling in the treatment of Peri-Implant Diseases

    Abstract:

  Background and Aim : Despite evidence of excellent results of implant therapy, peri-implant diseases do occur. The aim of this clinical study is to evaluate the efficacy of the closed surface scaling on clinical indices in the treatment of Peri-Implant Diseases.

  Materials and Methods: 10 subjects with 15 different sites of peri-implant diseases (including peri-implantitis and peri-implant mucositis) were selected. The sites were treated with closed surface scaling alone. Clinical indices including Clinical Attachment Loss (CAL), Probing Pocket Depth (PPD), Bleeding On Probing (BOP), Gingival Index (GI), were evaluated at baseline and 1.5 and 3 months following therapy. Data was analyzed using Wilcoxon signed-rank test.

  Results: Out of female and male with age of 52.8±7.33, the mean CAL changed from 7.16 ± 1.4 at baseline to 7.17 ± 1.4 at 1.5 months after treatment and 7.18 ± 1.5 at 3 months after treatment. Also the mean PPD changed from 5.08 ± 1.47 at baseline to 5.09 ± 1.5 at 1.5 months after treatment and 5.08 ± 1.5 at 3 months after treatment. There were no statistically significant differences in mean CAL and mean PPD (p < 0. 9). Bleeding scores and GI were not significantly reduced, at any time point (p < 0. 9).

  Conclusion: This study demonstrated that closed surface scaling alone, is insufficient for the treatment of peri-implant diseases and the adjunctive use of antimicrobial agents is recommended.