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Adjunctive efficacy of probiotics in the treatment of experimental peri‐implant mucositis with mechanical and photodynamic therapy: a randomized, cross‐over clinical trial

Mongardini, Claudio ; Pilloni, Andrea ; Farina, Roberto ; Di Tanna, Gianluca ; Zeza, Blerina

Journal of clinical periodontology, 2017-04, Vol.44 (4), p.410-417 [Periódico revisado por pares]

United States: Blackwell Publishing Ltd

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  • Título:
    Adjunctive efficacy of probiotics in the treatment of experimental peri‐implant mucositis with mechanical and photodynamic therapy: a randomized, cross‐over clinical trial
  • Autor: Mongardini, Claudio ; Pilloni, Andrea ; Farina, Roberto ; Di Tanna, Gianluca ; Zeza, Blerina
  • Assuntos: Adult ; Aged ; Clinical trials ; Combined Modality Therapy ; Cross-Over Studies ; dental implants ; Dentistry ; Double-Blind Method ; Female ; Humans ; Lactobacillus brevis ; Lactobacillus plantarum ; Male ; Middle Aged ; mucositis ; Mucositis - therapy ; Peri-Implantitis - therapy ; Photochemotherapy ; Photodynamic therapy ; Probiotics ; Probiotics - therapeutic use ; Transplants & implants ; Treatment Outcome
  • É parte de: Journal of clinical periodontology, 2017-04, Vol.44 (4), p.410-417
  • Notas: Authors declare no conflict of interest with the funder or producers and distributor of any of products and instruments used for this trial.
    This study was funded by Fondazione Roma.
    Conflict of interest and source of funding statement
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  • Descrição: Aim To evaluate the adjunctive clinical efficacy of probiotics in the treatment of peri‐implant mucositis (p‐iM) with professionally administered plaque removal (PAPR) and photodynamic therapy (PDT). Materials and methods Following p‐iM induction, patients underwent PAPR + PDT and were randomly assigned to receive the professional and home‐based administration of probiotics (Lactobacillus plantarum and Lactobacillus brevis) (test treatment) or placebo preparation (control treatment) according to a cross‐over design. Clinical parameters were assessed at six sites for each implant before as well as at 2 and 6 weeks after professional treatment administration. Results Twenty patients contributing one dental implant each were included. Immediately before treatment and at 6 weeks, the median number of sites with bleeding on probing (BoP+) sites per implant unit was 4 (3–6) and 2 (0–2) (p < 0.001), respectively, for test treatment, and 3.5 (2–4) and 2 (0–3) (p = 0.03), respectively, for control treatment. No significant difference in clinical outcomes was observed between treatment groups. Conclusion The combination of PAPR and PDT either alone or associated with probiotics determined a significant reduction in the number of BoP+ sites at 2 and 6 weeks around implants with p‐iM. The adjunctive use of probiotics did not significantly enhance the clinical outcomes of PAPR + PDT.
  • Editor: United States: Blackwell Publishing Ltd
  • Idioma: Inglês
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  • Realização: ABCD-USP USP   Logos de Redes Sociais: Freepik

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