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Efficacy of access flap and pocket elimination procedures in the management of peri‐implantitis: A systematic review and meta‐analysis by Karolina Karlsson; Anna Trullenque‐Eriksson; Cristiano Tomasi; Jan Derks is a Dentistry article available to read on EtoBox.

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## Abstract ## Aim To evaluate the efficacy of access flap and pocket elimination procedures in the surgical treatment of peri‐implantitis. ## Materials and Methods Systematic electronic searches (Central/MEDLINE/EMBASE) up to March 2022 were conducted to identify prospective clinical studies evaluating surgical therapy (access flap or pocket elimination procedures) of peri‐implantitis. Primary outcome measures were reduction of probing depth (PD) and bleeding on probing (BOP). Risk of bias was evaluated according to study design. Meta‐analysis and meta‐regression were performed. Results were expressed as standardized mean effect with 95% confidence interval (CI). ## Results Evidence from studies directly comparing surgical with non‐surgical therapy is lacking. Based on pre‐post data originating from 13 prospective patient cohorts, pronounced reductions of PD (standardized mean effect: 2.2 mm; 95% CI 1.8–2.7) and BOP% (27.0; 95% CI 19.8–34.2) as well as marginal bone level gain (0.2 mm; 95% CI –0.0 to 0.5) were observed at evaluation time points ranging from 1 to 5 years. Wide prediction intervals suggested a high degree of heterogeneity. Reduction of mean PD increased by 0.7 mm (9

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Author

Karolina Karlsson; Anna Trullenque‐Eriksson; Cristiano Tomasi; Jan Derks

Publisher

Wiley

Published

2022

Language

EN

Field

Dentistry (Health Sciences)