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首页> 美国卫生研究院文献>Journal of Clinical Medicine >Treatment of Peri-Implantitis—Electrolytic Cleaning Versus Mechanical and Electrolytic Cleaning—A Randomized Controlled Clinical Trial—Six-Month Results
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Treatment of Peri-Implantitis—Electrolytic Cleaning Versus Mechanical and Electrolytic Cleaning—A Randomized Controlled Clinical Trial—Six-Month Results

机译：种植体周围炎的治疗-电解清洗与机械清洗和电解清洗-随机对照临床试验-六个月的结果

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Objectives: The present randomized clinical trial assesses the six-month outcomes following surgical regenerative therapy of periimplantitis lesions using either an electrolytic method (EC) to remove biofilms or a combination of powder spray and electrolytic method (PEC). Materials and Methods: 24 patients with 24 implants suffering from peri-implantitis with any type of bone defect were randomly treated by EC or PEC. Bone defects were augmented with a mixture of natural bone mineral and autogenous bone and left for submerged healing. The distance from implant shoulder to bone was assessed at six defined points at baseline (T0) and after six months at uncovering surgery (T1) by periodontal probe and standardized x-rays. Results: One implant had to be removed at T1 because of reinfection and other obstacles. None of the other implants showed signs of inflammation. Bone gain was 2.71 ± 1.70 mm for EC and 2.81 ± 2.15 mm for PEC. No statistically significant difference between EC and PEC was detected. Significant clinical bone fill was observed for all 24 implants. Complete regeneration of bone was achieved in 12 implants. Defect morphology impacted the amount of regeneration. Conclusion: EC needs no further mechanical cleaning by powder spray. Complete re-osseointegration in peri-implantitis cases is possible.
机译：目的：目前的一项随机临床试验评估了植入物周围炎病变的外科手术再生治疗后六个月的结局，方法是使用电解方法（EC）去除生物膜，或采用喷粉和电解方法的组合（PEC）。材料与方法：24例24颗种植体植入物患有任何类型的骨缺损的种植体周围炎，均通过EC或PEC随机治疗。天然骨矿物质和自体骨的混合物增强了骨缺损，并被淹没了。通过牙周探针和标准化X射线在基线的六个定义点（T0）和裸露手术的六个月（T1）评估从种植体肩到骨的距离。结果：由于再次感染和其他障碍，必须在T1处取下一个植入物。其他植入物均未显示炎症迹象。 EC的骨增益为2.71±1.70 mm，PEC的骨增益为2.81±2.15 mm。在EC和PEC之间未检测到统计学上的显着差异。所有24个植入物均观察到显着的临床骨填充。 12个植入物实现了骨骼的完全再生。缺陷形态影响再生量。结论：EC无需通过粉末喷涂进一步机械清洁。在种植体周围炎病例中可能会完全重新骨整合。

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