Abstract
Background: the prognosis of peri-implant surgery can be affected by poor decontamination of the implant surface, which could be improved with the use of titanium brushes. The objectives of this systematic review were to evaluate the effectiveness of titanium brushes in the decontamination of the implant surface in terms of plaque index, probing depth, bleeding on probing and bone loss/gain; as well as its effectiveness according to the type of peri-implant bone defect. Methods: an electronic search was carried out in the PubMed, Scopus, Cochrane and Embase databases, as well as a manual search. The search strategy included four keywords: “Peri-implantitis”, “Periimplantitis”, “Implant Surface Decontamination” and “Titanium Brush”. Randomized controlled studies published in the last 10 years were included and systematic reviews, in vitro studies and animal studies were excluded. Results: 142 references were found, from which only four articles met the inclusion criteria. All of the studies included in the present review reported beneficial results in terms of probing depth, gingival index and radiographic bone loss and gain after implant surface decontamination adjuvated by titanium brushes. Conclusions: titanium rotary brushes show improvements in the evolution and prognosis of peri-implant surgery, although more long-term studies are needed to draw more solid conclusions.
Highlights
At present, the use of dental implants for the rehabilitation of totally and partially edentulous patients has become the standard of treatment, showing very high success rates [1]
The search strategy was based on the PICO question: are optimal results obtained in peri-implant surgical treatment with the use of rotating titanium brushes for decontamination of the implant surface?
Backward follow-up includes selecting the reference lists of relevant articles, while forward follow-up includes searching for studies that cited the studies that were included in this systematic review
Summary
The use of dental implants for the rehabilitation of totally and partially edentulous patients has become the standard of treatment, showing very high success rates [1]. Based on the available literature, we can establish that there is a consensus that nonsurgical treatment is sufficient for the treatment of mucositis, but it is not effective in solving the problem of peri-implantitis, since there have only been reported improvements in clinical parameters and it shows a clear tendency to recurrence, probably related to insufficient access to decontaminate the entire exposed surface of the implant [10,11,12]. To treat peri-implantitis, a surgical approach is necessary in order to obtain good access for decontamination therapy, and be able to modify the anatomy of hard and/or soft tissues with the main objective of reducing pocket depth [10]
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