A micromorphological/microbiological pilot study assessing three methods for the maintenance of the implant patient. Issue 2 (19th November 2020)

• Record Type: Journal Article
• Authors: Polizzi, Elisabetta; D'orto, Bianca; Tomasi, Simone; Tetè, Giulia
• Is Part Of: Clinical and experimental dental research. Volume 7:Issue 2(2021)
• Page Start: 156
• Page End: 162
• Publication Date: 2020-11-19
• Subjects: implants surface -- maintenance therapy -- osteoblasts -- peri‐implantitis -- piezoelectric ultrasonic; Dentistry -- Periodicals; Dentistry; Oral Medicine; Mouth Diseases; Dentistry; Periodicals; Periodicals; Fulltext; Internet Resources; Periodicals; 617.6
• DOI: 10.1002/cre2.345
• Languages: English
• ISSNs: 2057-4347

Abstract

Abstract: Objective: The aim of this study was to evaluate and compare the effectiveness of the ultrasonic piezoelectric inserts of EMS Steel Tip A, EMS Peek, and IS‐TiP‐STS‐3E © in reducing peri‐implant bacterial load without compromising the surface of implants during professional oral hygiene in the follow‐up. Materials and methods: Thirteen implants were examined (Winsix, Biosafin, Ancona, Italy). The implants were divided into five groups and analyzed with a SEM microscope and microbiological analysis to evaluate the possible modification of structure and the bacterial load reduction. Results: The control and A, B, and C test groups were initially contaminated in vitro with Streptococcus mutans. Subsequently, the A, B, and C test groups were treated by an only expert operator in standard conditions. Test groups A, B, and C were inoculated for 3 hr and, furthermore, microbiologically analyzed. Conclusion: The gold standard of an implant maintenance is a significant reduction of the bacterial load without becoming aggressive. According to our results, despite the limitations of the study, the authors recommend the least aggressive IS‐TiP‐STS‐3E ©, but combined with an antimicrobial agent to reduce the bacterial load, because the IS‐TiP‐STS‐3E © did not show appreciable results versus the EMS Peek in reducing the bacterial load.