OWN - KVM - Der Medizinverlag CI - Copyright KVM - Der Medizinverlag OCI - Copyright KVM - Der Medizinverlag TA - Int J Oral Maxillofac Implants JT - The International Journal of Oral & Maxillofacial Implants IS - 1942-4434 (Electronic) IS - 0882-2786 (Print) IP - 5 VI - 37 PST - ppublish DP - 2022 PG - 859-868 LA - en TI - The Impact of Implantoplasty in Regenerated and Nonregenerated Treatment Modalities in Peri-implantitis: A Systematic Review and Meta-analysis LID - 10.11607/jomi.9436 [doi] FAU - Lin, Cho-Ying AU - Lin C FAU - Chen, Zhaozhao AU - Chen Z FAU - Chiang, Hong-Lin AU - Chiang H FAU - Pan, Whei-Lin AU - Pan W FAU - Wang, Hom-Lay AU - Wang H CN - OT - implantoplasty OT - peri-implantitis OT - regeneration OT - surgical treatment OT - systematic review AB - Purpose: To investigate the impact of implantoplasty (IP) with or without regenerative procedures on treatment outcomes of peri-implantitis. Materials and Methods: Electronic and manual literature searches were conducted for clinical trials published up to October 2020 that evaluated clinical outcomes (at least 6-month follow-up) after peri-implantitis treatment involving IP. The implant survival rate and clinical parameters (eg, probing depth [PD], bleeding on probing [BOP], marginal bone loss [MBL], clinical attachment level [CAL], and mucosal recession [REC]) at baseline and follow-ups were extracted from original articles for qualitative analyses. Risk ratio and weighted mean difference with 95% CI were calculated using a random-effects model. Results: Out of 322 studies, 17 (9 randomized controlled trials, 4 controlled clinical trials, and 4 case series) were included in the present study. The regeneration group presented a 97% (95% CI: 0.95 to 1.00) implant survival rate, and the nonregeneration group showed a 94% (95% CI: 0.90 to 0.98) survival rate. Both groups revealed similar outcomes in PD and BOP reductions and soft tissue REC. However, the regeneration group had more favorable results in MBL. Conclusion: Data from this study suggested that applying implantoplasty during a regeneration or nonregeneration surgical approach resulted in a high implant survival rate and peri-implantitis resolution. Although no differences were found in the majority of clinical parameters in both groups, the regenerative approach resulted in more radiographic bone fill than the nonregenerative treatment. AID - 3500779