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Implant Surface Decontamination by Surgical Treatment of Periimplantitis

A Literature Review

Koo, Ki-Tae DDS, MS, PhD*; Khoury, Fouad DDS, PhD; Keeve, Philip Leander DMD, MS; Schwarz, Frank DDS, PhD§; Ramanauskaite, Ausra DDS; Sculean, Anton DMD, MS, PhD; Romanos, Georgios DDS, PhD#,**

doi: 10.1097/ID.0000000000000840

Introduction: The purpose of this review was to evaluate the available published clinical studies to understand the current data on the decontamination efficacy of various agents used in the treatment of periimplantitis and reosseointegration.

Materials and Methods: An electronic PubMed literature search was conducted for studies published from 1998 until 2018. Literature on clinical studies was included in the review. Of the 189 studies retrieved from the literature search, 33 articles were selected for the review.

Discussion: The available studies reviewed had great heterogeneity to conclude a single treatment of choice for implant surface decontamination for the surgical treatment of periimplantitis.

Conclusions: Existent data do not favor any decontamination approaches and fail to show the influence of a particular decontamination protocol on surgical therapy. Further clinical investigations are needed to determine the superiority of a decontamination method if existing.

*Professor, Department of Periodontology and Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Republic of Korea.

Director, Private Clinic Schloss Schellenstein, Olsberg, Germany.

Head, Department of Periodontology, Private Dental Clinic Schloss Schellenstein, Olsberg, Germany.

§Professor, Chairman, Department of Oral Surgery and Implantology, Carolinum, Johann Wolfgang Goethe-University Frankfurt, Frankfurt, Germany.

Research Associate, Department of Oral Surgery, Universitätsklinikum Düsseldorf, Düsseldorf, Germany.

Professor, Chairman, Department of Periodontology, School of Dental Medicine, University of Bern, Bern, Switzerland.

#Professor, Department of Periodontology, School of Dental Medicine, Stony Brook University, Stony Brook, NY.

**Professor, Department of Oral Surgery and Implant Dentistry, Johann Wolfgang Goethe University, Frankfurt, Germany.

Reprint requests and correspondence to: Romanos Georgios, DDS, PhD, Department of Periodontology, School of Dental Medicine, Stony Brook University, 106 Rockland Hall, Stony Brook, NY 11794, Phone: (631) 632-8755, Fax: (631) 632-8670, Email:

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