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Surgical treatment of peri-implantitis lesions with or without the use of a bone substitute : a randomized clinical trial
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- Renvert, Stefan (författare)
- Blekinge Tekniska Högskola,Institutionen för hälsa,Oral Health - Public Health - Quality of Life (OHAL),Department of Oral Health,Oral Hälsa - Allmänhälsa - Livskvalitet (OHAL),Avdelningen för oral hälsa
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- Roos-Jansåker, Ann-Marie (författare)
- Kristianstad University,Kristianstad Public Dental Services,Folktandvården Kristianstad,Public Dental Health Service, Department of Periodontology, Karlskrona, SWE
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- Persson, Göstta (författare)
- Hogskolan Kristianstad, SWE,Oral Health - Public Health - Quality of Life (OHAL),Department of Oral Health,Oral Hälsa - Allmänhälsa - Livskvalitet (OHAL),Avdelningen för oral hälsa
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(creator_code:org_t)
- 2018-08-21
- 2018
- Engelska.
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Ingår i: Journal of Clinical Periodontology. - : Blackwell Munksgaard. - 0303-6979 .- 1600-051X. ; 45:10, s. 1266-1274
- Relaterad länk:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
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- Aim: To assess whether the treatment outcome differed between surgical debridement, with or without a bone substitute. Materials and Methods: Forty-one adults with three- or four-wall peri-implant bone defects were enrolled in a 1-year RCT. Surgical debridement (control group), or in combination with a bone substitute (Endobon®) (test group) was performed. Results: Radiographic evidence of defect fill (primary outcome) was only significant in the test group (P = 0.004). At year 1, no bleeding on probing (BOP) in the control and test groups were 7/20 (35%) and 10/21 (47.6%), respectively (χ2= 0.67, P = 0.41). Plaque scores did not differ by study group at baseline (P = 0.31), or at year 1 (P = 0.08). Mid-buccal soft tissue recession changes did not differ by groups (P = 0.76). Successful treatment outcome (defect fill ≥1.0 mm, PPD values at implant ≤5 mm, no BOP, and no suppuration was identified in 1/20 (5.0%) control, and 9/21 (42.9%) test individuals (F = 7, 9, P < 0.01). Number needed to treat analysis identified an absolute risk reduction of 32.8% in benefit of the test procedure. (F = 7, 9, P < 0.01). Conclusions: Successful treatment outcome using a bone substitute was more predictable when a composite therapeutic endpoint was considered. © 2018 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Odontologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Dentistry (hsv//eng)
Nyckelord
- bone grafting
- peri-implantitis
- radiographs
- surgical treatment
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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