Meta AnalysisID 821

氯己定在种植体周围炎/种植体周围黏膜炎非手术治疗中的效果:一项更新后的系统评价与Meta分析

CRD42022315308

Population: Patients with peri-implantitis/peri-implant mucositis Intervention: Use of local application of chlorhexidine in any form Comparison: None or placebo Outcomes: Probing depth, bleeding on probing

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Record Fields

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Meta Analysis Id
821
Evidence Id
9379
Core Evidence Id
9379
Source Meta Analysis Id
793
Herb2 Meta Analysis Id
HBMA000793
Crd Id
CRD42022315308
Title
Effect of chlorhexidine in non-surgical treatment of peri-implantitis/peri-implant mucositis : an updated systematic review and meta-analysis
Review Question
Population: Patients with peri-implantitis/peri-implant mucositis Intervention: Use of local application of chlorhexidine in any form Comparison: None or placebo Outcomes: Probing depth, bleeding on probing
Study Type Included
Randomised controlled trials or Controlled clinical trials shall be included. Retrospective studies shall be excluded.
Condition Being Studied
Biological complications affecting the supporting tissues at dental implants include peri-implant mucositis and peri-implantitis. Peri-implant mucositis is defined as inflammation of the peri- implant soft tissues without loss of supporting bone and has been reported to occur in up to 80% of patients with implants. A clinical diagnosis of peri-implant mucositis is made when there is bleeding following probing of the peri-implant sulcus, in the absence of radiographic bone loss. In contrast, when there is bone loss around an implant in addition to bleeding on probing (BOP), the diagnosis is peri-implantitis. The peri-implant soft tissues are similar in composition to their gingival counterparts around teeth and respond in a similar way to biofilm formation, with an inflammatory cell infiltrate. It is assumed that peri-implant mucositis is the pre- cursor for peri-implantitis, as gingivitis is the precursor for periodontitis. Several in vitro investigations have demonstrated that chlorhexidine (CHX) is adsorbed to the oxide layer of titanium surfaces. It has also been shown that the absorption kinetics is directly related to implants’ surface roughness and was also positively correlated with the concentration of the CHX solution. Desorption occurs within 24 hours and inhibits bacterial growth.
Participant
Population: Patients with peri-implantitis/peri-implant mucositis
Animal
Human Disease Modelled
Intervention
Intervention: Use of local application of chlorhexidine in any form
Comparator Control
Comparison: None or placebo
Main Outcome
Probing depth and Bleeding on probing
Outcome Measure
Additional Outcome
Clinical attachment levels, Any other gingival or periodontal indices reported by the included studies (Same outcome should be reported by at least three studies for inclusion in the review).
Study Method
Meta-analysis, Systematic review
Keyword
Chlorhexidine; Humans; Mucositis; Peri-Implantitis; Risk Factors; Stomatitis
Contact
Mingfu Ye [email protected]
Organisational Affiliation
Stomatological Hospital of Xiamen Medical College.
Funding Source
Nil
Other Selection Criteria
Final Publication
Same Topic Review
Published Protocol
Review Type
Language
English
Country
China
Review Stage
Review Ongoing
First Submission Date
2022-03-07
Registration Date
2022-04-07
Anticipated Start Date
2022-03-09
Anticipated Completion Date
2022-04-09
Title Cn
氯己定在种植体周围炎/种植体周围黏膜炎非手术治疗中的效果:一项更新后的系统评价与Meta分析
Title En
Effect of chlorhexidine in non-surgical treatment of peri-implantitis/peri-implant mucositis : an updated systematic review and meta-analysis
Bilingual Status
complete