The most effective treatments were metronidazole as adjunct to non-surgical treatment and combined with amoxicillin adjuncts to open flap debridement. While local antibiotic applications also enhance clinical parameters, they appear less effective than systemic regimens. Future well-designed clinical trials focusing on microbiological outcomes and standardized protocols are warranted to optimize periimplantitis management strategies.
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Jamil A. Shibli
Vittório Moraschini
Khalila C Cotrim
Periodontology 2000
Harvard University
KU Leuven
University of Bern
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Shibli et al. (Thu,) studied this question.
www.synapsesocial.com/papers/69e47250010ef96374d8e6de — DOI: https://doi.org/10.1111/prd.70029