Surgical Treatment of Peri-implantitis Using a Bone Substitute With or Without a Resorbable Colla… (NCT05699343) | Clinical Trial Compass
By InvitationNot Applicable
Surgical Treatment of Peri-implantitis Using a Bone Substitute With or Without a Resorbable Collagen Membrane
United States52 participantsStarted 2023-01-30
Plain-language summary
The objective of the present randomized clinical trial will be to compare two surgical methods of treating peri-implantitis. This study will determine if surgical debridement of peri-implantitis bone defects, including air powder abrasive (APA) decontamination of implant surfaces, in combination with the placement of a bone graft, differs in treatment outcomes compared to placing the same bone graft material with a resorbable collagen membrane placed over the bone graft.
Who can participate
Age range18 Years
SexALL
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Inclusion criteria
✓. age 18 years or older
✓. be patients of record at the University of Pittsburgh Periodontics Department
✓. Systemically healthy patients
✓. Full-mouth plaque score and full-mouth bleeding score ≤ 30% (measured at six sites per tooth)
✓. Study individuals will be included if they met the following criteria: (a) one or more peri-implant sites with PPD ≥6 mm combined with BOP/suppuration, and (b) peri-implant marginal bone loss, defined as a crater like defect ≥3 mm as assessed from intra- oral radiographs, (c) Infrabony circumferential defect of more than 270° determined by CBCT, (d) crown not possible to retrieve before surgery
Exclusion criteria
✕. Unlikely to be able to comply with study procedures and unable to return to SDM for multiple appointments over the course of about a year.
✕. Uncontrolled pathologic processes in the oral cavity (cancer and active periodontal disease)
✕. History of allergic reactions to dental local anesthetics
✕. History of head and neck chemotherapy or radiation within 5 years prior to surgery
✕. Systemic or local disease or condition that could compromise post-operative healing and/or osseointegration, such as HIV infection, Paget's disease, osteoporosis, etc.
✕. Patients taking corticosteroids, IV bisphosphonates, or any immunosuppressant medication that could influence post-operative healing and/or osseointegration
✕. Smokes more than 10 cigarettes/day (self-reported)