Manual Versus Sonic-powered Toothbrushing for Plaque Reduction in Patients with Peri-implant Mucositis

Hacettepe University41 enrolled

Overview

Aim: To compare the effect of manual and sonic-powered toothbrushing on biofilm control in patients with peri-implant mucositis. Materials and methods: The study was completed with a total of 41 patients, 21 in the sonic tooth brushing group and 20 in the manual tooth brushing group. The patients' baseline, 3rd-month, 6th-month and 9th-month periodontal examination data (Modified Gingival İndex (MGI), Modified plaque index (MPI), Bleeding on the probing index (BOP), Pocket depth (PD), Gingival Recession (GR) and Gingival Biotype (GB)) were analyzed.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Toothbrushing Periimplant Diseases

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. Bleeding on probing around the implant 2. No bone loss around the implant in the radiograph 3. Having adequate keratinized gingiva around the implant 4. The presence of an implant prosthesis that was installed at least three months previously 5. No systemic disease 6. no smoke 7. No use of antibiotic medications within the previous three months Exclusion Criteria: 1. Patients with missing data and who do not allow data use 2. Smoker 3. Data from pregnant and lactating patients 4. Pocket depth around the implant is ≥ 5 5. Patients with peri-implantitis (bone loss around the implant) 6. Patients with insufficient attached gingiva around the implant

Locations (1)

Outcomes

Primary Outcomes

Modified Gingival İndex (MGI)

In order to determine the degree of inflammation in the surrounding soft tissue of the implants, mGI score is obtained from four regions: mesial, distal, buccal and palatal. The mGI score for each implant is determined by adding the values and dividing by 4. Scoring is done as follows; 0: No bleeding when probing around the implant with a periodontal probe l: There is a point isolated bleeding on probing. 2: On probing, there is bleeding forming a red line along the mucosal margin. 3: There is intense bleeding on probing.

Time frame: baseline, 3rd-month, 6th-month and 9th-month

Modified plaque index (MPI)

This index, which is used to determine the surface cleanliness of implants, is measured from 4 regions of the implants: mesial, distal, buccal and palatal, taking into account the following criteria. The mPI score for each implant is determined by adding the obtained values and dividing by 4. Scoring is done as follows; 0: No record. l: Presence of plaque in the implant sulcus that can be detected with the probe tip. If there is a roughened implant surface in this area, at least "1" value is given. 2: Presence of visible plaque. 3: Presence of soft attachment on the implant surface c. Bleeding on Probing Index (BOP) Approximately 20 seconds after moving the periodontal probe inside the periodontal pocket, it is evaluated whether there is bleeding. If there is bleeding, the score of that area is recorded as (+), otherwise it is recorded as (-).

Time frame: baseline, 3rd-month, 6th-month and 9th-month