In Vitro Assessment of the Potential Effect of Vertical Peri-Implant Soft Tissue Thickness on Nonsurgical and Surgical Implant Surface Decontamination Methods

IF 5.3 1区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Clinical Oral Implants Research Pub Date : 2025-02-10 DOI:10.1111/clr.14415

Annika Rahner, Peter Eickholz, Jan-Frederik Gueth, Tuǧba Zahn, Iulia Dahmer, Hari Petsos

{"title":"In Vitro Assessment of the Potential Effect of Vertical Peri-Implant Soft Tissue Thickness on Nonsurgical and Surgical Implant Surface Decontamination Methods","authors":"Annika Rahner, Peter Eickholz, Jan-Frederik Gueth, Tuǧba Zahn, Iulia Dahmer, Hari Petsos","doi":"10.1111/clr.14415","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Objectives</h3>\n \n <p>In vitro analysis of the influence of vertical peri-implant soft tissue thickness (STT) on nonsurgical and surgical implant surface decontamination efficacy.</p>\n </section>\n \n <section>\n \n <h3> Material and Methods</h3>\n \n <p>A total of 360 implants were dipped in indelible color to imitate biofilm contamination, distributed to 30°, 60° or 90° angulated bone defect models and in subgroups of 40 assigned to a decontamination method (CUR: curette; SOSC: soundscaler; APA: air powder abrasion). Of these, 20 were subjected to a simulated STT of 1.5 or 3.0 mm, of which 10 were cleaned within a nonsurgical (NST) or surgical (ST) treatment. Uncleaned implant surface was determined by photographs. Surface changes were assessed using scanning electron micrographs (SEM).</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>The overall cleaning efficacy decreased significantly (APA > SOSC > CUR, <i>p</i> < 0.001). Cleaning efficacy failed to show a significant difference between both STTs (STT1.5: 63.68%, STT3.0: 63.26%; <i>p</i> = 0.877). Within respective STT, cleaning efficacy differed depending on the method and the approach (STT1.5: CUR: <i>p</i> = 0.169, SOSC: <i>p</i> = 0.004, APA: <i>p</i> < 0.001; STT3.0: CUR <i>p</i> < 0.001, SOSC: <i>p</i> < 0.001, APA: <i>p</i> < 0.001; STT1.5/NST, CUR: 82.34%, SOSC: 74.98%, APA: 93.60%; STT1.5/ST, CUR: 79.85%, SOSC: 65.37%, APA: 50.12%; STT3.0/NST, CUR: 83.19%, SOSC: 70.85%, APA: 92.31%; STT3.0/ST, CUR: 80.00%, SOSC: 64.61%, APA: 46.49%). Analysis of variance revealed significant associations of color remnants with the approach, the method used, and the defect angulation (<i>p</i> < 0.001). SEMs showed less surface damages after use of APA.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>In this In Vitro study no statistically significant influence of STT on the efficacy of surface decontamination could be detected. Treatment method, defect angle and approach were confirmed as predictors for the cleaning efficacy.</p>\n </section>\n </div>","PeriodicalId":10455,"journal":{"name":"Clinical Oral Implants Research","volume":"36 6","pages":"683-697"},"PeriodicalIF":5.3000,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/clr.14415","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Oral Implants Research","FirstCategoryId":"5","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/clr.14415","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}

引用次数: 0

Abstract

Objectives

In vitro analysis of the influence of vertical peri-implant soft tissue thickness (STT) on nonsurgical and surgical implant surface decontamination efficacy.

Material and Methods

A total of 360 implants were dipped in indelible color to imitate biofilm contamination, distributed to 30°, 60° or 90° angulated bone defect models and in subgroups of 40 assigned to a decontamination method (CUR: curette; SOSC: soundscaler; APA: air powder abrasion). Of these, 20 were subjected to a simulated STT of 1.5 or 3.0 mm, of which 10 were cleaned within a nonsurgical (NST) or surgical (ST) treatment. Uncleaned implant surface was determined by photographs. Surface changes were assessed using scanning electron micrographs (SEM).

Results

The overall cleaning efficacy decreased significantly (APA > SOSC > CUR, p < 0.001). Cleaning efficacy failed to show a significant difference between both STTs (STT1.5: 63.68%, STT3.0: 63.26%; p = 0.877). Within respective STT, cleaning efficacy differed depending on the method and the approach (STT1.5: CUR: p = 0.169, SOSC: p = 0.004, APA: p < 0.001; STT3.0: CUR p < 0.001, SOSC: p < 0.001, APA: p < 0.001; STT1.5/NST, CUR: 82.34%, SOSC: 74.98%, APA: 93.60%; STT1.5/ST, CUR: 79.85%, SOSC: 65.37%, APA: 50.12%; STT3.0/NST, CUR: 83.19%, SOSC: 70.85%, APA: 92.31%; STT3.0/ST, CUR: 80.00%, SOSC: 64.61%, APA: 46.49%). Analysis of variance revealed significant associations of color remnants with the approach, the method used, and the defect angulation (p < 0.001). SEMs showed less surface damages after use of APA.

Conclusions

In this In Vitro study no statistically significant influence of STT on the efficacy of surface decontamination could be detected. Treatment method, defect angle and approach were confirmed as predictors for the cleaning efficacy.

Abstract Image

查看原文本刊更多论文

种植体周围垂直软组织厚度对非手术和手术种植体表面去污方法潜在影响的体外评估。

目的：体外分析种植体周围垂直软组织厚度（STT）对非手术和手术种植体表面去污效果的影响。材料和方法：360个种植体浸泡在不褪色的颜色中，模拟生物膜污染，分布到30°，60°或90°成角骨缺损模型中，每组40个分配到去污方法(CUR: curette；SOSC: soundscaler;APA：空气粉末磨损)。其中，20例患者接受1.5或3.0 mm的模拟STT，其中10例患者在非手术（NST）或手术（ST）治疗中进行清洁。通过照片确定未清洁的种植体表面。使用扫描电子显微图（SEM）评估表面变化。结果：整体清洁效果明显下降（APA > SOSC > CUR, p）结论：在本体外研究中，未检测到STT对表面去污效果的影响。结果表明，处理方法、缺陷角度和途径是影响清洗效果的主要因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Clinical Oral Implants Research 医学-工程：生物医学

CiteScore

7.70

自引率

11.60%

发文量

149

审稿时长

3 months

期刊介绍： Clinical Oral Implants Research conveys scientific progress in the field of implant dentistry and its related areas to clinicians, teachers and researchers concerned with the application of this information for the benefit of patients in need of oral implants. The journal addresses itself to clinicians, general practitioners, periodontists, oral and maxillofacial surgeons and prosthodontists, as well as to teachers, academicians and scholars involved in the education of professionals and in the scientific promotion of the field of implant dentistry.