PDF(Pubmed)
Abstract：
Peri-implant diseases can still develop despite oral hygiene practices being maintained. Consequently, regular debridement must be carried out to ensure the implant is sustained. This review evaluated bacterial colonization on implants following the use of different hygiene instruments. A literature search was conducted in PubMed, ScienceDirect, and Scopus databases for articles published from 2012 to 2022. A total of 19 full-text papers were selected. The number of bacteria colonized was most commonly evaluated with a scanning electron microscope (SEM) or by colony-forming unit (CFU) counts, crystal violet assays, plaque index, probing depth, bleeding on probing, turbidity test, and live-dead assays. Rubber cup polishing with an abrasive paste showed a significantly greater reduction in biofilm formation compared with air abrasion with glycine powder, while the air abrasion treatment was found to be more efficient than piezoelectric, carbon, and stainless steel scalers. Surface treatment with Er, Cr: YSGG laser, and Er: YAG laser resulted in statistically significant superior dental biofilm removal compared with titanium curettes and photodynamic therapy. Air abrasion, plastic curette, titanium curette, and ultrasonic scaler showed no significant differences in bacterial colonization, but air abrasion and plastic curette were safer for zirconia implant decontamination. Furthermore, the titanium brush showed better results in decontaminating the implant surface than the Er: YAG laser. Although no single instrument or method could be considered as offering a gold standard in treating peri-implant diseases, the use of air abrasion with glycine powder, laser therapies, rubber cup polishing with an abrasive paste, and a titanium brush had high levels of cleaning efficacy and acceptance by patients.
摘要：
尽管保持了口腔卫生习惯，但植入物周围疾病仍可能发展。因此,必须进行定期清创术以确保植入物持续。这篇综述评估了使用不同卫生器械后植入物上的细菌定植。在PubMed进行了文献检索，ScienceDirect,和Scopus数据库，用于2012年至2022年发表的文章。共选取全文论文19篇。定植的细菌数量最常用扫描电子显微镜（SEM）或菌落形成单位（CFU）计数进行评估。结晶紫检测,菌斑指数,探测深度,探查时出血,浊度试验,和活死检测。与甘氨酸粉末的空气磨蚀相比，用研磨膏抛光的橡胶杯显示出生物膜形成的明显减少，虽然发现空气磨损处理比压电处理更有效，碳,和不锈钢洁牙器。Er表面处理,Cr:YSGG激光器，与钛刮匙和光动力疗法相比，Er：YAG激光在统计学上显着优于牙齿生物膜去除。空气磨损,塑料刮匙,钛刮匙,超声洁牙器在细菌定植方面没有显著差异，但是空气磨损和塑料刮匙对氧化锆植入物去污更安全。此外，与Er:YAG激光相比,钛刷对植入物表面的去污效果更好。尽管没有单一的仪器或方法可以被认为是治疗种植体周围疾病的黄金标准，使用甘氨酸粉的空气磨蚀，激光治疗,用研磨膏抛光橡胶杯，钛刷具有高水平的清洁功效和患者的接受度。
