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  • Regenerative surgical therapy for peri�]implantitis using deproteinized bovine bone mineral with 10% collagen, enamel matrix derivative and Doxycycline—A prospective 3�]year cohort study

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    Author(s)
    Mercado, Faustino
    Hamlet, Stephen
    Ivanovski, Saso
    Griffith University Author(s)
    Hamlet, Stephen
    Year published
    2018
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    Abstract
    OBJECTIVES: There is limited evidence regarding the long-term efficacy of regenerative treatment for peri-implantitis. The aim of this study was to evaluate a combination therapy of deproteinized bovine bone mineral with 10% collagen (DBBMC), enamel matrix derivative (EMD) and Doxycycline in the regeneration of bone defects associated with peri-implantitis. METHODS: Thirty patients diagnosed with peri-implantitis (BoP/suppuration, probing depth greater than 4 mm, minimum radiographic bone loss of 20%, at least 2 years in function) were enrolled in the study. Clinical measurements included probing depths, recession, radiographic ...
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    OBJECTIVES: There is limited evidence regarding the long-term efficacy of regenerative treatment for peri-implantitis. The aim of this study was to evaluate a combination therapy of deproteinized bovine bone mineral with 10% collagen (DBBMC), enamel matrix derivative (EMD) and Doxycycline in the regeneration of bone defects associated with peri-implantitis. METHODS: Thirty patients diagnosed with peri-implantitis (BoP/suppuration, probing depth greater than 4 mm, minimum radiographic bone loss of 20%, at least 2 years in function) were enrolled in the study. Clinical measurements included probing depths, recession, radiographic bone fill, gingival inflammation and bleeding on probing/suppuration. Following surgical access and debridement, the implant surfaces were decontaminated with 24% EDTA for 2 min, and the bone defects were filled with a combined mixture of DBBMC, EMD and Doxycycline powder. The defects were covered with connective tissue grafts where necessary. Clinical measurements were recorded after 12, 24 and 36 months. RESULTS: The mean probing depth and bone loss at the initial visit was 8.9 mm (±1.9) and 6.92 mm (±1.26), respectively. Both mean probing depth and bone loss reduced significantly from baseline to 3.55 mm (±0.50) and 2.85 mm (±0.73) at 12 months, 3.50 (±0.50) and 2.62 mm (±0.80) at 24 months and 3.50 mm (±0.50) and 2.60 mm (±0.73) at 36 months. 56.6% of the implants were considered successfully treated (according to Successful Treatment Outcome Criterion: PD < 5 mm, no further bone loss >10%, no BoP/suppuration, no recession >0.5 mm for anterior implants and >1.5 mm for posterior implants) after 36 months. CONCLUSION: Regenerative treatment of peri-implantitis using a combined mixture of DBBMC, EMD and Doxycycline achieved promising results. The benefits of this protocol incorporating EMD should be tested in randomized clinical trials.
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    Journal Title
    Clinical Oral Implants Research
    Volume
    29
    Issue
    6
    DOI
    https://doi.org/10.1111/clr.13256
    Copyright Statement
    © 2018 John Wiley & Sons A/S. This is the peer reviewed version of the following article: Regenerative surgical therapy for peri‐implantitis using deproteinized bovine bone mineral with 10% collagen, enamel matrix derivative and Doxycycline—A prospective 3‐year cohort study, Clinical Oral Implants Research, Vol. 29, issue 6, pp. 583-591, 2018, which has been published in final form at 10.1111/clr.13256. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving (http://olabout.wiley.com/WileyCDA/Section/id-828039.html)
    Subject
    Biomedical engineering
    Dentistry
    Dentistry not elsewhere classified
    Deproteinized bovine bone mineral with 10% collagen
    Enamel matrix derivative
    Peri-implantitis
    Success criterion
    Survival
    Publication URI
    http://hdl.handle.net/10072/381590
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    • Journal articles

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