Sobrevivência dos implantes dentários após o tratamento da peri-implantite: uma revisão sistemática

• Autor(a) principal: Garcia, Monique Luiza Braga
• Data de Publicação: 2020
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UERJ
• Texto Completo: http://www.bdtd.uerj.br/handle/1/16484
• topic: Dental Implants; Peri-implant disease; Mucositis; Peri - implantitis; Treatment; Survival; Dental Implants - standards; Stomatitis - Therapy; Systematic Review; Implantes dentários; Doença peri-implantar; Mucosite; Peri-implantite; Tratamento; Sobrevivência; Implantes dentários - Normas; Estomatite - Terapia; Revisão Sistemática; CIENCIAS DA SAUDE::ODONTOLOGIA::PERIODONTIA

Peri-implant diseases are classified as peri-implant mucositis and peri-implantitis, their primary etiological factor is bacterial plaque and they have varied worldwide prevalence. Most treatment protocols aim to control biofilm and decontaminate the surface of infected implants, but it is not yet known which treatment is capable of increasing the survival rate and, consequently, the longevity of the affected implants. Therefore, the objective of this study was to make a systematic review of the literature about different protocols for peri-implantitis treatments, to answer the following question: "Does the treatment of peri-implantitis increase the longevity of dental implants?" To this end, a MEDLINE (PubMed), Embase and Cochrane Library research was carried out. Published human studies, without language restriction, until July 2019 were included. In addition to this, a manual search was performed for articles published from January 2017 to April 2019 and also included the bibliographies of all selected articles, as well as relevant reviews previously published for this systematic review. Eight randomized clinical trials met the inclusion criteria, however, the great heterogeneity of the methodologies and the presentation of the results between the studies did not allow the performance of a meta-analysis. In addition, although it is clear that peri-implantitis has rapidly progressing, it is not yet known, in fact, how long the loss of the untreated implant occurs. Thus, within the limitations of this systematic review and according to the qualitative analysis of the included studies, it can be concluded that although there is still no consensus on the treatment protocol for peri-implantitis, the performance of surgical mechanical debridement for with decontamination of the implant surface, as well as resective and regenerative therapies, promote a survival rate that varies from 50 to 100%, with positive results remaining stable for up to 7 years. These results are obtained mainly when a maintenance regime with a well-defined visit interval, according to the needs of each patient, is maintained