DIFERENTES MÉTODOS TERAPÉUTICOS RELACIONADOS CON LA PERIIMPLANTITIS: UNA REVISIÓN PARAGUAS

Resumen

Las enfermedades periimplantarias se definen como lesiones inflamatorias de los tejidos que rodean los implantes dentales, que abarcan la mucositis periimplantaria y la periimplantitis. El objetivo de este estudio fue evaluar las revisiones sistemáticas publicadas en revistas indexadas sobre los diversos tipos de tratamiento para la periimplantitis. Se realizó una visión general de las revisiones sistemáticas (Umbrella Review) a través de la evaluación de revistas publicadas en bases de datos electrónicas (PubMed, Cochrane, MEDLINE, LILACS, Science Direct), utilizando los descriptores: Periimplantitis O enfermedad periimplantaria O infección periimplantaria Y Tratamiento periimplantario O terapia periimplantaria, sin restricción de idioma, entre 2011 y 2022. También se realizó una estrategia específica de búsqueda manual en las referencias de los artículos seleccionados. Se encontraron cuarenta y ocho artículos, de estos, 34 artículos fueron elegidos para componer este estudio. Se excluyeron los informes de casos, los estudios observacionales, los ensayos clínicos aleatorizados o no aleatorizados, los estudios experimentales, los comentarios, los resúmenes ampliados y los estudios duplicados. La terapia periimplantaria no quirúrgica implica el desbridamiento mecánico de la superficie del implante utilizando curetas, dispositivos de aire ultrasónicos o abrasivos, o láseres, con o sin el uso adyuvante de antibióticos o antisépticos locales. La eficacia de las diversas terapias periimplantarias fue limitada, incluso para la combinación de antimicrobianos, especialmente en términos de reducción de la profundidad del sondeo y obtención de tejido óseo. Por lo tanto, se sugiere la necesidad de nuevas revisiones sistemáticas con mejor diseño metodológico y sesgo mínimo. 

Biografía del autor/a

Paula Fernanda Rodrigues de Melo Silva

Centro Universitário Tabosa de Almeida.

Tamires Szeremeske de Miranda

Universidade São Judas Tadeu.

Nidia Cristina Castro dos Santos

Universidade Guarulhos - UNG.

Jamil Awad Shibli

Universidade Guarulhos - UNG.

Jose Augusto Rodrigues

Universidade Guarulhos - UNG.

Luciene Cristina Figueiredo

Universidade Guarulhos - UNG.

Referencias

Rösing CK, Fiorini T, Haas AN, Muniz FWMG, Oppermann RV, Susin C. The impact of maintenance on peri-implant health. Braz Oral Res. 2019 Sep 30; 33(suppl1): e074 DOI: https://doi.org/10.1590/1807-3107bor-2019.vol33.0074

Araújo MG, Lindhe J. Saúde peri-implantar. J Periodontol. 2018; 89(Suppl 1): S249-56. doi.org/10.1002/JPER.16-0424

Berglundh T, Armitage G, et al. Peri-implant diseases and conditions: Consensus report of workgroup 4 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J Periodontol. 2018; 89(Suppl 1): S313-18. doi.org/10.1002/JPER.17-0739

Heitz-Mayfield LJA, Salvi GE. Peri-implant mucositis. J Periodontol. 2018; 89(Suppl 1): S257-66. doi.org/10.1002/JPER.16-0488

Schwarz F, Derks J, Monje A, Wang HL. Peri-implantitis. J Periodontol. 2018; 89(Suppl 1): S267-90. doi.org/10.1002/JPER.16-0350

Renvert, S, Persson, GR, Pirih, FQ, Camargo, PM. Peri-implant health, peri-implant mucositis, and peri-implantitis: Case definitions and diagnostic considerations. J Periodontol. 2018; 89(Suppl 1): S304-12. doi.org/10.1002/JPER.17-0588

Hämmerle CHF, Tarnow D. The etiology of hard- and soft-tissue deficiencies at dental implants: A narrative review. J Periodontol. 2018; 89(Suppl 1): S291-03. doi.org/10.1002/JPER.16-0810

Beheshti Maal M, Verket A. Implantoplasty- provoking or reducing inflammation? - a systematic scoping review. Acta Odontol Scand. 2022 Mar; 80(2): 105-16. Epub 2021 Jul 12 DOI: https://doi.org/10.1080/00016357.2021.1945142

Chambrone L, Wang HL, Romanos GE. Antimicrobial photodynamic therapy for the treatment of periodontitis and peri-implantitis: An American Academy of Periodontology best evidence review. J Periodontol. 2018 Jul; 89(7): 783-803 DOI: https://doi.org/10.1902/jop.2017.170172

Chan HL, Lin GH, Suarez F, MacEachern M, Wang HL. Surgical management of peri-implantitis: a systematic review and meta-analysis of treatment outcomes. J Periodontol. 2014 Aug; 85(8): 1027-41. Epub 2013 Nov 21 DOI: https://doi.org/10.1902/jop.2013.130563

Esposito M, Grusovin MG, Worthington HV. Interventions for replacing missing teeth: treatment of peri-implantitis. Cochrane Database Syst Rev. 2012 Jan 18; 1(1): CD004970 DOI: https://doi.org/10.1002/14651858.CD004970.pub5

Faggion CM Jr, Listl S, Frühauf N, Chang HJ, Tu YK. A systematic review and Bayesian network meta-analysis of randomized clinical trials on non-surgical treatments for peri-implantitis. J Clin Periodontol. 2014 Oct; 41(10): 1015-25 DOI: https://doi.org/10.1111/jcpe.12292

Garaicoa-Pazmino C, Lin GH, Alkandery A, Parra-Carrasquer C, Suárez-López Del Amo F. Influence of implant surface characteristics on the initiation, progression and treatment outcomes of peri-implantitis: A systematic review and meta-analysis based on animal model studies. Int J Oral Implantol (Berl). 2021 Nov 2; 14(4): 367-82.

Heitz-Mayfield LJ, Mombelli A. The therapy of peri-implantitis: a systematic review. Int J Oral Maxillofac Implants. 2014; 29 Suppl: 325-45 DOI: https://doi.org/10.11607/jomi.2014suppl.g5.3

Khan A, Goyal A, Currell SD, Sharma D. Management of Peri-Implantitis Lesions without the Use of Systemic Antibiotics: A Systematic Review. Dent J (Basel). 2020 Sep 14; 8(3): 106 DOI: https://doi.org/10.3390/dj8030106

Khoshkam V, Chan HL, Lin GH, MacEachern MP, Monje A, Suarez F, Giannobile WV, Wang HL. Reconstructive procedures for treating peri-implantitis: a systematic review. J Dent Res. 2013 Dec; 92(12 Suppl): 131S-8S DOI: https://doi.org/10.1177/0022034513509279

Khouly I, Pardiñas-López S, Ruff RR, Strauss FJ. Efficacy of growth factors for the treatment of peri-implant diseases: a systematic review and meta-analysis. Clin Oral Investig. 2020 Jul; 24(7): 2141-61 DOI: https://doi.org/10.1007/s00784-020-03240-5

Kotsakis GA, Konstantinidis I, Karoussis IK, Ma X, Chu H. Systematic review and meta-analysis of the effect of various laser wavelengths in the treatment of peri-implantitis. J Periodontol. 2014 Sep; 85(9): 1203-13 DOI: https://doi.org/10.1902/jop.2014.130610

Li L, Deng J, Ren S. The clinical efficacy of Er:YAG lasers in the treatment of peri-implantitis: a systematic review and meta-analysis. Ann Palliat Med. 2021 Aug; 10(8): 9002-14 DOI: https://doi.org/10.21037/apm-21-1853

Lin GH, Suárez López Del Amo F, Wang HL. Laser therapy for treatment of peri-implant mucositis and peri-implantitis: An American Academy of Periodontology best evidence review. J Periodontol. 2018 Jul;89(7):766-82. PMID: 30133748 DOI: https://doi.org/10.1902/jop.2017.160483

Liu S, Li M, Yu J. Does chlorhexidine improve outcomes in non-surgical management of peri-implant mucositis or peri-implantitis? a systematic review and meta-analysis. Med Oral Patol Oral Cir Bucal. 2020 Sep 1; 25(5): e608-15 DOI: https://doi.org/10.4317/medoral.23633

Madi M, Htet M, Zakaria O, Alagl A, Kasugai S. Re-osseointegration of Dental Implants After Periimplantitis Treatments: A Systematic Review. Implant Dent. 2018 Feb; 27(1): 101-10 DOI: https://doi.org/10.1097/ID.0000000000000712

Mahato N, Wu X, Wang L. Management of peri-implantitis: a systematic review, 2010-2015. Springerplus. 2016 Feb 1; 5:105 DOI: https://doi.org/10.1186/s40064-016-1735-2

Mailoa J, Lin GH, Chan HL, MacEachern M, Wang HL. Clinical outcomes of using lasers for peri-implantitis surface detoxification: a systematic review and meta-analysis. J Periodontol. 2014 Sep; 85(9): 1194-202 DOI: https://doi.org/10.1902/jop.2014.130620

Mattar H, Bahgat M, Ezzat A, Bahaa El-Din B, Keraa K, El Taftazany I. Management of peri-implantitis using a diode laser (810 nm) vs conventional treatment: a systematic review. Lasers Med Sci. 2021 Feb; 36(1): 13-23 DOI: https://doi.org/10.1007/s10103-020-03108-w

Muthukuru M, Zainvi A, Esplugues EO, Flemmig TF. Non-surgical therapy for the management of peri-implantitis: a systematic review. Clin Oral Implants Res. 2012 Oct; 23 Suppl 6: 77-3 DOI: https://doi.org/10.1111/j.1600-0501.2012.02542.x

Natto ZS, Aladmawy M, Levi PA Jr, Wang HL. Comparison of the efficacy of different types of lasers for the treatment of peri-implantitis: a systematic review. Int J Oral Maxillofac Implants. 2015 Mar-Apr; 30(2): 338-45 DOI: https://doi.org/10.11607/jomi.3846

Øen M, Leknes KN, Lund B, Bunæs DF. The efficacy of systemic antibiotics as an adjunct to surgical treatment of peri-implantitis: a systematic review. BMC Oral Health. 2021 Dec 27; 21(1): 666 DOI: https://doi.org/10.1186/s12903-021-02020-1

Passarelli PC, Netti A, Lopez MA, Giaquinto EF, De Rosa G, Aureli G, Bodnarenko A, Papi P, Starzyńska A, Pompa G, D'Addona A. Local/Topical Antibiotics for Peri-Implantitis Treatment: A Systematic Review. Antibiotics (Basel). 2021 Oct 25; 10(11): 1298 DOI: https://doi.org/10.3390/antibiotics10111298

Ramanauskaite A, Daugela P, Faria de Almeida R, Saulacic N. Surgical Non-Regenerative Treatments for Peri-Implantitis: a Systematic Review. J Oral Maxillofac Res. 2016 Sep 9; 7(3): e14 DOI: https://doi.org/10.5037/jomr.2016.7314

Roccuzzo M, Layton DM, Roccuzzo A, Heitz-Mayfield LJ. Clinical outcomes of peri-implantitis treatment and supportive care: A systematic review. Clin Oral Implants Res. 2018 Oct; 29 (Suppl 16): 331-350 DOI: https://doi.org/10.1111/clr.13287

Sanz-Martín I, Cha JK, Sanz-Sánchez I, Figuero E, Herrera D, Sanz M. Changes in peri-implant soft tissue levels following surgical treatment of peri-implantitis: A systematic review and meta-analysis. Clin Oral Implants Res. 2021 Oct; 32(Suppl 21): 230-44 DOI: https://doi.org/10.1111/clr.13840

Sanz-Sánchez I, Carrillo de Albornoz A, Figuero E, Schwarz F, Jung R, Sanz M, Thoma D. Effects of lateral bone augmentation procedures on peri-implant health or disease: A systematic review and meta-analysis. Clin Oral Implants Res. 2018 Mar; 29 (Suppl 15): 18-31 DOI: https://doi.org/10.1111/clr.13126

Schwarz F, Becker K, Renvert S. Efficacy of air polishing for the non-surgical treatment of peri-implant diseases: a systematic review. J Clin Periodontol. 2015 Oct; 42(10): 951-9 DOI: https://doi.org/10.1111/jcpe.12454

Schwarz F, Schmucker A, Becker J. Efficacy of alternative or adjunctive measures to conventional treatment of peri-implant mucositis and peri-implantitis: a systematic review and meta-analysis. Int J Implant Dent. 2015 Dec; 1(1): 22 DOI: https://doi.org/10.1186/s40729-015-0023-1

Shahmohammadi R, Younespour S, Paknejad M, Chiniforush N, Heidari M. Efficacy of Adjunctive Antimicrobial Photodynamic Therapy to Mechanical Debridement in the Treatment of Peri-implantitis or Peri-implant Mucositis in Smokers: A Systematic Review and Meta-analysis. Photochem Photobiol. 2022 Jan; 98(1): 232-41 DOI: https://doi.org/10.1111/php.13481

Strauss FJ, Stähli A, Gruber R. The use of platelet-rich fibrin to enhance the outcomes of implant therapy: A systematic review. Clin Oral Implants Res. 2018 Oct;29 Suppl 18(Suppl Suppl 18): 6-19 DOI: https://doi.org/10.1111/clr.13275

Suárez-López Del Amo F, Yu SH, Wang HL. Non-Surgical Therapy for Peri-Implant Diseases: a Systematic Review. J Oral Maxillofac Res. 2016 Sep 9; 7(3): e13 DOI: https://doi.org/10.5037/jomr.2016.7313

Taschieri S, Weinstein R, Del Fabbro M, Corbella S. Erythritol-Enriched Air-Polishing Powder for the Surgical Treatment of Peri-Implantitis. ScientificWorldJournal. 2015: 802310 DOI: https://doi.org/10.1155/2015/802310

Thoma DS, Naenni N, Figuero E, Hämmerle CHF, Schwarz F, Jung RE, Sanz-Sánchez I. Effects of soft tissue augmentation procedures on peri-implant health or disease: A systematic review and meta-analysis. Clin Oral Implants Res. 2018 Mar; 29(Suppl 15): 32-49 DOI: https://doi.org/10.1111/clr.13114

Tomasi C, Regidor E, Ortiz-Vigón A, Derks J. Efficacy of reconstructive surgical therapy at peri-implantitis-related bone defects. A systematic review and meta-analysis. J Clin Periodontol. 2019 Jun; 46(Suppl 21): 340-56 DOI: https://doi.org/10.1111/jcpe.13070

Faveri M, Figueiredo LC, Shibli JA, Pérez-Chaparro PJ, Feres M. Microbiological diversity of peri-implantitis biofilms. Adv Exp Med Biol. 2015; 830: 85-96 DOI: https://doi.org/10.1007/978-3-319-11038-7_5

Cómo citar

Rodrigues de Melo Silva, P. F., Miranda, T. S. de, Santos, N. C. C. dos, Shibli, J. A., Rodrigues, J. A., & Figueiredo, L. C. (2023). DIFERENTES MÉTODOS TERAPÉUTICOS RELACIONADOS CON LA PERIIMPLANTITIS: UNA REVISIÓN PARAGUAS. RECIMA21 - Revista Científica Multidisciplinar - ISSN 2675-6218, 4(7), e473552. https://doi.org/10.47820/recima21.v4i7.3552