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Efficacy evaluation of endoscopic-assisted subgingival scaling combined with erythritol subgingival sandblasting in treatment of peri-implantitis
Hongyan LI,Qiqi WANG,Wenzhou XU,Bin ZHAO
PDF(701 KB)
PDF(701 KB)
Efficacy evaluation of endoscopic-assisted subgingival scaling combined with erythritol subgingival sandblasting in treatment of peri-implantitis
),Bin ZHAOObjective To study the clinical efficacy of endoscopic-assisted subgingival scaling combined with erythritol subgingival sand blasting technology for the treatment of peri-implantitis，and to provide the theoretical basis for the effective treatment of peri-implantitis. Methods The patients with peri-implantitis who attended the Periodontology Department in our hospital and received treatment were selected. A total of 58 peri-implantitis patients were sequentially observed according to the time of visit and were randomly divided into control group （28 cases） and minimally invasive group （30 cases）； the patients in control group underwent traditional blind subgingival curettage， while the patients in minimally invasive group were received endoscopic-assisted subgingival scaling combined with erythritol subgingival sandblasting. The probing depth （PD）， modified plaque index （mPLI）， modified sulcus bleeding index （mSBI）， and levels of interleukin-1β （IL-1β）， interleukin-6 （IL-6）， and tumor necrosis factor-α （TNF-α） in gingival crevicular fluid of the patients in two groups were analyzed before and after treatment. Results Before treatment， there were no significant differences in PD， mPLI， mSBI， and levels of IL-1β， IL-6， and TNF-α in gingival crevicular fluid of the patients between two groups （P>0.05）， demonstrating there was comparability. Compared with before treatment， the PD， mPLI， mSBI， and levels of IL-1β， IL-6， and TNF-α in gingival crevicular fluid of the patients in two groups after treatment were decreased （P<0.05）.Compared with control group， the PD， mPLI， and mSBI of the patients in minimally invasive group were obviously decreased （P<0.05）， and the levels of IL-1β， IL-6， and TNF-α were also significantly decreased （P<0.05）. Conclusion In the short term， endoscopic-assisted subgingival scaling combined with erythritol subgingival sandblasting technology for the treatment of peri-implantitis is more beneficial in controlling inflammation around the peri-implant tissue and improving clinical symptoms.
Peri-implantitis / Endoscopy / Subgingival scaling / Erythritol subgingival sandblasting / Gingival sulcus fluid / Periodontal clinical parameters
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