ABSTRACT
Peri-implantitis is recognized as a complex pathology which could be defined as infectious inflammatory lesions that usually develop in the tissues around the implants. There are many protocols for the effective management of peri-implantitis that include mechanical debridement, the use of antiseptics and local/systemic antibiotics, and access and regenerative surgery formulated for the treatment of peri-implantitis. This study aims to evaluate the clinical outcomes of a mixed protocol for the regeneration of deep osseous defects. Records obtained from 27 patients who had already received treatment for peri-implantitis on one or more implants were retrospectively examined within the proposed time period between 24 and 30 months after their surgical treatment. A total of 33 implant sites were included and examined retrospectively. Descriptive statistics were calculated that include mean, SD, medians and confidence intervals at 95%. At the baseline, the mean Probing Depth was 8.19 ± 1.23 mm; Bleeding on Probing (BOP) was present on 29 out of 33 treated areas; pus was instead present on 17 out of 33 sites. At the time of final examinations, BOP was present on 9 out of 33 sites; pus was present only on two surgical sites. To conclude, a combined chemical-mechanical and regenerative decontamination therapy is effective in the treatment of peri-implantitis. Further investigation, which includes a control group and/or histologic findings, might be needed to ascertain the clinical results reported in the clinical studies.
ABSTRACT
BACKGROUND: Majority of the Indian population suffers from oral health diseases, especially periodontitis. Clinical manifestations of the disease are most commonly seen after 35 years of age, which if left untreated will ultimately result in loss of the tooth. MATERIALS AND METHODS: A total of 576 subjects of different age groups were selected from 11 villages of Nuh district by simple random selection. The demographic data and oral hygiene habits along with deleterious habits such as smoking, panmasala, and tobacco chewing were recorded. Community periodontal index of treatment need (CPITN) was recorded with the help of CPITN probe. RESULTS: Deep pockets were observed in 45.6% of the participants and 26.2% of the sextants. Shallow pockets were observed in 38.3% of the participants and 36.4% of the sextants. Calculus had the highest score in15.6% of the participants and 49.15% of the sextants. An inference was drawn from the results that among 576 participants 72.89% of individuals needed TN2 whereas 26.23% of individuals needed TN3 and 0.65% of individuals needed TN1. CONCLUSIONS: Severity of periodontal disease increased with age. The severity of periodontitis was observed significantly more in smokers and tobacco chewers as compared to nonsmokers and nontobacco chewers, respectively.
