Does submarginal instrumentation before surgical management of peri-implantitis offer added benefit?
The standard of care for peri-implantitis now includes non-surgical submarginal instrumentation after behavioral intervention and supragingival instrumentation. Surgery is frequently necessary for treatment of severe forms. Many authors have chosen to use only supragingival instrumentation prior to surgical treatment, questioning the value of submarginal instrumentation. Research by Mario Romandini et al., was published in the Journal of Clinical Periodontology, and examined the effects of non-surgical submarginal instrumentation prior to surgical treatment of peri-implantitis.
Researchers discovered that there was no additional benefit to submarginal instrumentation six weeks prior to peri-implantitis surgery. They also discovered that by avoiding submarginal instrumentation prior to surgical therapy for peri-implantitis, patient discomfort, treatment time, and costs may be decreased. However, the authors stress that more research involving larger populations is necessary before drawing firm conclusions.
Romandini, M., Laforí, A., Pedrinaci, I., Baima, G., Ferrarotti, F., Lima, C., Paternó Holtzman, L., Aimetti, M., Cordaro, L., & Sanz, M. (2022). Effect of sub-marginal instrumentation before surgical treatment of peri-implantitis: A multi-centre randomized clinical trial. Journal of Clinical Periodontology, 49(12), 1334–1345. https://doi.org/10.1111/jcpe.13713