Reconstructive Treatment of Peri-implantitis With Electrolytic Decontamination Versus Titanium Brushes

Reconstructive Treatment of Peri-implantitis With Electrolytic Decontamination Versus Titanium Brushes: a Randomized Controlled Trial

Implants diagnosed with peri-implantitis and amenable for bone reconstructive treatment will be enrolled in the study. The implants will randomly be treated with either an electrolytic or a mechanical cleaning of the implant surface (with titanium brushes). In all cases, a bone graft will be used to rebuild missing bone.

Implants diagnosed with peri-implantitis and amenable for bone reconstructive treatment will be enrolled in the study. All implants will receive reconstructive therapy by means of a collagenated bone graft, however the method of decontamination will be randomized between electrolytic cleaning or titanium rotating brushes. In both cases, titanium curettes will be used to remove hard deposits on the implant surface and degranulation will be completed with curettes.

Inclusion Criteria:

• Implants with peri-implantitis (defined according to 2017 World Workshop definitions)
• contained defects with infra osseous component amenable to reconstructive treatment
• fixed and removable superstructures
• patients with no systemic conditions affecting healing (uncontrolled diabetes mellitus, chronic corticosteroid use, autoimmune conditions affecting connective tissue)
• smoking more than 10 cigarettes

Exclusion Criteria:

• mobile implants
• non removable crowns (both cement or screw retained) that cannot be removed prior to surgery