Methods: Peri-implantitis patients with implant pockets of 5 to 8 mm had subgingival implant surface debridement followed by repeated bi-weekly supra gingival plaque debridement and chlorhexidine chip application for 12 weeks.

Results: A total of 290 patients were included: Significant reduction in implant probing depths was measured in the chlorhexidine group ( 1.76 mm) compared to the control group ( 1.54 mm). Relative attachment gain and gingival recession was also larger in the chlorhexidine group. 

Conclusions: Intensive treatment every two weeks comprising of supra gingival plaque removal and chlorhexidine chip application had a greater probing depth reduction compared to plaque removal alone 

For more information please refer to:

J Periodontology 2021 January

Repeated delivery of chlorhexidine chips for the treatment of peri-implantitis: A multicenter, randomized, comparative clinical trial

Machtei E, Romanos G, Kang P, et al.  

Prosthesis
is stable but, tissue is inflamed/painful. Overgrowth of tissue between the
components. Pinched tissue, Pain with every bite.

To
learn more watch this webinar  https://conexisdirect.com/webinars/part-2-top-25-prosthetic-complications-in-implantology-1-5-ce-credits/

Include the attached photo with the post. 

Methods: Forty patients were randomly assigned to one of two groups: 1) Full Mouth Debridement with Clarithromycin 500mg every 12 hours for 3 days. 2) Full Mouth Debridement with placebo pills.

Results: Both groups were effective for clinical and microbiological parameters. The Clarithromycin group presented with lower mean probing depths for pockets ≥ 7mm at 6 months. The Clarithromycin group also had greater reduction in P. gingivalis DNA counts at 6 months.

Conclusions: Adjunctive use of Clarithromycin with Full Mouth Debridement leads to greater reduction in deep pocketing and reduced P. gingivalis counts at 6 months.

For more information please refer to :

J Periodontol. 2017 Dec;88(12):1244-1252

Clarithromycin as an Adjunct to One-Stage Full-Mouth Ultrasonic Periodontal Debridement in Generalized Aggressive Periodontitis: A Randomized Controlled Clinical Trial.

N Andere, N dos Santos, C Araujo, et al.

Methods:

52 patients with at least one non-contained infrabony defect ≥ 3 mm and probing ≥ 3 mm were randomly treated with either Emdogain plus biphasic calcium phosphate or Emdogain alone. The primary outcome was a change in clinical attachment up to 12 months.

Results:

Mean clinical attachment gain of 2.38 mm ± 2.17 mm was achieved in the Emdogain plus calcium phosphate group compared to 2.65 ± 2.18 mm when Emdogain was used alone.  There was no statistically significant difference between the two treatment groups.

Conclusions:

The treatment of non-contained infrabony defects with Emdogain combined with calcium phosphate did not yield statistically significant improvement compared to Emdogain used by itself.  Both treatment resulted in significantly better clinical attachment levels at 12 months.

For more information please refer to:

J Periodontol. 2017 May;88(5)

Treatment of Non-Contained Infrabony Defects With Enamel Matrix Derivative Alone or in Combination With Biphasic Calcium Phosphate Bone Graft: A 12-Month Randomized Controlled Clinical Trial

Losada M, González R, Garcia AP, Santos A, Nart J