Peri-Implantitis Clinical Trial
Official title:
Effect of Hyaluronic Acid on Peri-implant Pathology: A Double-blind, Randomized, Controlled Clinical Trial.
The effect of the hyaluronic acid treatment on peri-implantitis has not been tested. The aim was to analyze the effect of a hyaluronic acid-containing gel on the clinical variables and the expression of biochemical inflammatory markers in the crevicular fluid of implants receiving perimplantitis treatment.
The aim was to analyze the effect of a hyaluronic acid-containing gel on the clinical
variables and the expression of biochemical inflammatory markers in the crevicular fluid of
implants receiving perimplantitis treatment.
A randomized, controlled, double-blind clinical trial was designed on 100 perimplantitis
affected implants placed in 61 subjects. Inclusion criteria were implants with at least 1
year of functional loading and with diagnosis of perimplantitis following the criteria from
the Association of Dental Implantology. All implant received perimplantitis treatment. Each
patient was randomly assigned to receive a gel containing 0.8% HA (Test group), a gel
without HA (Placebo group) or no gel treatment (Control group). After a first gel
application at baseline, test and placebo patients performed gel applications at home 3
times/day for 45 days. Clinical variables of each implant were recorded at baseline, 45 and
90 days (probing depth, attachment loss, bleeding). Intraoral radiographs of each implants
were performed to measure marginal bone level. Peri-implant crevicular fluid was collected
from each implant at baseline and after 45 days of treatment, to assess IL-1β and TNFα
levels by ELISA technique. Clustering analysis, considering multiple implants within each
patient, was performed.
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