Peri-implant Mucositis Clinical Trial
Official title:
Clinical and Biochemical Evaluation of Oral Irrigation in Patients With Periimplant Mucositis
The present study aimed to investigate clinically the cleaning effectiveness of different treatment modalities, that is, oral irrigator or interdental brush usage addition to routine brushing and examine TGF-β1, IL-1β, t-PA, and PAI-1 levels in periimplant crevicular fluid of patients with periimplant mucositis. The null hypothesis was that oral irrigators would be effective compared to interdental brush in the oral care of individuals who use implant-supported protheses.
Detailed Description: Our aim was to evaluate efficacy of a manual tooth-brush with either
interdental brush or oral irrigator in treatment of periimplant mucositis.
Material and Method: Forty-five patients with periimplant mucositis having at least one
implant (age range:45-60) were included in study. Study was planned as randomized,
single-blind, parallel-design. Patients were divided into 3 equal groups; i)toothbrush+oral
irrigator ii)toothbrush+interdental brush, iii)only toothbrush. After baseline examinations
[Silness-Löe plaque index(PI), Löe-Silness gingival index(GI), probing pocket depth(PPD),
clinical attachment level(CAL), bleeding on probing(BOP)], initial periodontal therapy was
completed using full-mouth disinfection method. Periimplant crevicular fluid(PCF) were taken
from patents to assess levels of interleukin-1beta(IL-1β), Transforming growth
factor-beta(TGF- β), tissue-type plasminogen activator(t-PA), plasminogen activator
inhibitor-1(PAI-1). Clinical records were repeated at 2, 4 and 12 weeks.
The hypothesis of our study is that oral irrigators may be effective in oral care of
individuals using an implant-supported prosthesis because of the ease of use.
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