Browsing by Author "Almeida, Aline Alves de"
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- Peri-implantitis treatment on zirconia implants: a systematic reviewPublication . Almeida, Aline Alves de; Pereira, JorgePeri-implantitis, an inflammatory condition affecting the tissues around zirconia dental implants, poses a significant challenge in implantology due to the risk of bone loss and implant failure. In recent years, laser therapy has been explored as a complementary treatment option alongside implant surface smoothing and scaling, aiming to enhance clinical outcomes. However, there remains controversy regarding the efficacy and safety of this technique, necessitating an in-depth analysis of the existing literature. Given this context, a comprehensive systematic review was conducted, following PRISMA guidelines and using the PICO method to structure the following research question: "What are the effects of combining laser therapy with implant surface smoothing and scaling in the treatment of peri-implantitis in zirconia implants?". The literature search was based on publications found in the PubMed/Medline, Lilacs (Bireme), and ScienceDirect databases, using the following keyword combination: (peri-implantitis) AND (zirconia implant) AND ((laser) OR (laser therapy)) AND ((smoothing) OR (scaling)). Inclusion criteria comprised adult patients with zirconia implants, investigating the efficacy of laser therapy as an adjunct to smoothing and scaling in peri-implantitis treatment, along with studies reporting outcomes related to probing depth reduction and improvement of peri-implant health, published in English, Portuguese, and Spanish. Studies were excluded if they did not include adult patients with zirconia implants, did not compare adjunct laser therapy with implant surface smoothing, were duplicate publications in the databases, or did not report outcomes related to peri-implantitis or peri-implant health. Following a thorough search, 10 studies met the eligibility criteria, leading to the conclusion that emphasis should be placed on the importance of mechanical debridement for peri-implantitis in zirconia implants. Lasers, especially the Er,Cr:YSGG, show potential for more effective treatment; however, additional studies are needed to establish best practices for managing these patients.