TY  - JOUR
A1  - Tuchscheerer, Vivian
A1  - Eickholz, Peter
A1  - Dannewitz, Bettina
A1  - Ratka, Christoph Martin
A1  - Zuhr, Otto
A1  - Petsos, Hari
T1  - In vitro surgical and non-surgical air-polishing efficacy for implant surface decontamination in three different defect configurations
T2  - Clinical oral investigations
N2  - Objectives: Evaluation of surgical and non-surgical air-polishing in vitro efficacy for implant surface decontamination.
Material and methods: One hundred eighty implants were distributed to three differently angulated bone defect models (30°, 60°, 90°). Biofilm was imitated using indelible red color. Sixty implants were used for each defect, 20 of which were air-polished with three different types of glycine air powder abrasion (GAPA1–3) combinations. Within 20 equally air-polished implants, a surgical and non-surgical (with/without mucosa mask) procedure were simulated. All implants were photographed to determine the uncleaned surface. Changes in surface morphology were assessed using scanning electron micrographs (SEM).
Results: Cleaning efficacy did not show any significant differences between GAPA1–3 for surgical and non-surgical application. Within a cleaning method significant (p < 0.001) differences for GAPA2 between 30° (11.77 ± 2.73%) and 90° (7.25 ± 1.42%) in the non-surgical and 30° (8.26 ± 1.02%) and 60° (5.02 ± 0.84%) in the surgical simulation occurred. The surgical use of air-polishing (6.68 ± 1.66%) was significantly superior (p < 0.001) to the non-surgical (10.13 ± 2.75%). SEM micrographs showed no surface damages after use of GAPA.
Conclusions: Air-polishing is an efficient, surface protective method for surgical and non-surgical implant surface decontamination in this in vitro model. No method resulted in a complete cleaning of the implant surface.
Clinical relevance: Air-polishing appears to be promising for implant surface decontamination regardless of the device.
KW  - Dental implants
KW  - Decontamination
KW  - Abrasion
KW  - Dental air
KW  - Peri-implantitis
Y1  - 2020
UR  - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/80740
UR  - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-807403
SN  - 1436-3771
N1  - The authors would like to thank DENTAL RATIO® and NSK Europe GmbH for material support. Special thanks go to Dominik Giesa for the design and fabrication of the in vitro models and to Robert Arnold for designing the mucosa masks. This study was performed for a thesis (Vivian Tuchscheerer) for a Master of Science in Periodontology and Implant Therapy [German Society of Periodontology (DG PARO) and Dresden International University (DIU)].
Open Access funding provided by Projekt DEAL.
VL  - 25.2020
IS  - 4
SP  - 1743
EP  - 1754
PB  - Springer
CY  - Berlin ; Heidelberg
ER  -