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The aim of the present study is to evaluate the adjunctive effect of glycine-powder air-polishing (GPAP) to full-mouth ultrasonic debridement (Fm-UD) in the treatment of peri-implant mucositis, and to determine the predictive role of implant and patient-level variables for disease resolution. Both treatments are described in the literature, but few studies are available on their comparison.
52 patients (132 implants) with peri-implant mucositis were included in this randomized parallel arm clinical study. Following baseline variables assessment, participants received Fm-UD. Implants allocated to the test group (n=64) were additionally treated with GPAP. Clinical outcomes were evaluated at 3 and 12 months following intervention. Complete and partial disease resolution were defined as absence of BoP (DR1) or <2 BoP+ sites (DR2), respectively.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Full mouth ultrasonic debridement plus glycine powder air polishing | Experimental | Plaque and calculus are firstly removed through full mouth ultrasonic debridement (FMUD) in all sites (both dental and implant). After this procedure an air polishing device (Air-flow Master Piezon®) is used as additional therapy to further debride peri-implant trans-mucosal tract. |
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| Full mouth ultrasonic debridement | Active Comparator | Plaque and calculus are removed through full mouth ultrasonic debridement (FMUD) in all sites (both dental and implant). |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Glycine powder air polishing | Device | Peri-implant mucositis sites treated with a glycine powder air polishing device (Air-Flow Master Piezon®). |
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| Measure | Description | Time Frame |
|---|---|---|
| Bleeding on probing | After probing dental and implant sites a dichotomic value (0/1) is assigned for each site. 0: not bleeding site; 1: bleeding site. | 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Probing pocket depth change | Change in probing pocket depth measured in millimeter through a periodontal probe. | 12 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| AOUS | Siena | 53100 | Italy |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38317375 | Derived | Nicola D, Isabella R, Carolina C, Baldini N, Raffaele M. Treatment of peri-implant mucositis: Adjunctive effect of glycine powder air polishing to professional mechanical biofilm removal. 12 months randomized clinical study. Clin Implant Dent Relat Res. 2024 Apr;26(2):415-426. doi: 10.1111/cid.13304. Epub 2024 Feb 5. |
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| Full mouth ultrasonic debridement | Device | Peri-implant mucositis sites are treated with thin ultrasonic tips. |
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