Clinical and biochemical evaluation of oral irrigation in patients with peri-implant mucositis: a randomized clinical trial

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dc.contributor.authorTutuncuoglu, Sema
dc.contributor.authorCetinkaya, Burcu Ozkan
dc.contributor.authorPamuk, Ferda
dc.contributor.authorAvci, Bahattin
dc.contributor.authorKeles, Gonca Cayir
dc.contributor.authorKurt-Bayrakdar, Sevda
dc.contributor.authorLutfioglu, Muge
dc.date.accessioned2024-03-13T10:30:43Z
dc.date.available2024-03-13T10:30:43Z
dc.date.issued2022
dc.departmentİstanbul Beykent Üniversitesien_US
dc.description.abstractObjective This randomized clinical trial aimed to compare the efficacy of an oral irrigator and an interdental brush in patients with peri-implant mucositis clinically and biochemically at different time points (at baseline and at the 2nd, 4th, and 12th weeks). Materials and methods Forty-five patients with at least one implant with peri-implant mucositis were included in the present study (n = 45). The patients were divided into three groups: oral irrigator + toothbrush (OI group, n = 15), interdental brush + toothbrush (IB group, n = 15), and toothbrush only (control) (C group, n = 15). The modified plaque index (mPlI), modified sulcus bleeding index (mSBI), probing pocket depth (PPD), probing attachment level (PAL), and bleeding on probing (BOP) were recorded at baseline and at the 2nd, 4th, and 12th weeks. The levels of interleukin 1 beta (IL-1 beta), transforming growth factor-beta (TGF-beta), tissue-type plasminogen activator (t-PA), and plasminogen activator inhibitor-1 (PAI-1) were also determined in the peri-implant crevicular fluid samples biochemically. Results The mSBI and t-PA at the 2nd week (p = 0.003; p = 0.003); the mPlI, mSBI, BOP, t-PA, and PAI-1 at the 4th week (p < 0.05; p < 0.001; p < 0.001; p = 0.015; p = 0.011); and the mPlI, mSBI, IL-1 beta, t-PA, and PAI-1 at the 12th week (p < 0.05; p < 0.001; p = 0.013; p < 0.001; p = 0.002) were significantly lower in the OI group compared with those in the C group. Meanwhile, PAI-1 at the 2nd week, mSBI at the 4th week, and t-PA at the 12th week were significantly lower in the OI group compared with those in the IB group (p < 0.001; p = 0.011; p = 0.003). At the 2nd, 4th, and 12th weeks, all other parameters were not statistically different in the three groups. Conclusion The clinical indexes (such as mSBI and BOP) that play an important role in the diagnosis of peri-implant mucositis showed the lowest means (although limited) in the OI group at all evaluation time points. Moreover, when the clinical and biochemistry results were interpreted altogether, it became apparent that the OI group exhibited similar or more effective results than the IB group in resolving peri-implant mucositis. In light of the foregoing, this study concluded that the use of an oral irrigator can be as effective as an interdental brush in interdental cleaning.en_US
dc.description.sponsorshipOndokuz Mayis Research Fund [PYO.DIS.1904.14.006]en_US
dc.description.sponsorshipThis study was supported by the Ondokuz Mayis Research Fund (Project number: PYO.DIS.1904.14.006).en_US
dc.identifier.doi10.1007/s00784-021-04044-x
dc.identifier.endpage671en_US
dc.identifier.issn1432-6981
dc.identifier.issn1436-3771
dc.identifier.issue1en_US
dc.identifier.pmid34251534en_US
dc.identifier.scopus2-s2.0-85110621330
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage659en_US
dc.identifier.urihttps://doi.org/10.1007/s00784-021-04044-x
dc.identifier.urihttps://hdl.handle.net/20.500.12662/3514
dc.identifier.volume26en_US
dc.identifier.wosWOS:000672251600003
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherSpringer Heidelbergen_US
dc.relation.ispartofClinical Oral Investigationsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectDental implanten_US
dc.subjectOral irrigatoren_US
dc.subjectInterdental brushen_US
dc.subjectPeri-implant mucositisen_US
dc.subjectPeri-implant crevicular fluiden_US
dc.titleClinical and biochemical evaluation of oral irrigation in patients with peri-implant mucositis: a randomized clinical trialen_US
dc.typeArticleen_US

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