title: Effectiveness of Mechanical Debridement Combined With Adjunctive Therapies for Nonsurgical Treatment of Periimplantitis: A Systematic Review.
abstract: OBJECTIVE
  This study aimed to perform a systematic review of the effectiveness of nonsurgical treatment associated with different adjuvant therapies on periimplantitis.
  
  
  METHODS
  Different individuals, following a research process, performed a network research of controlled and randomized controlled clinical trials on PubMed, Embase/MEDLINE, with 20 years' time constraint and the last search in January 2016.
  
  
  RESULTS
  From 108 articles found by the first search, they analyzed 10 full texts, and in none did they find a standard control group. When compared, mechanical therapies combined with adjuvant therapy decreased prevalence of periimplant ratios; however, some groups showed unsatisfactory results, mainly related to the probing depth and bleeding index. When comparing debridement with other nonsurgical therapies (Er:YAG, Vector, air abrasive with amino acid glycine powder), increased periimplant levels were noticed in the test and control groups, although in different periods.
  
  
  CONCLUSIONS
  Despite the improvement in the periimplant indices, there is no sufficient evidence to score the best results or even to choose the best association for nonsurgical treatment of periimplantitis; hence, more trials are necessary to answer this question.
authors.affiliation: *Assistant Professor, Department of Surgery and Integrated Clinic, Division of Periodontics, Universidade Estadual Paulista-UNESP, Araçatuba, São Paulo, Brazil. †Undergraduate Student, Department of Surgery and Integrated Clinic, Division of Periodontics, Universidade Estadual Paulista-UNESP, Araçatuba, São Paulo, Brazil. ‡MSc Student, Department of Surgery and Integrated Clinic, Division of Periodontics, Universidade Estadual Paulista-UNESP, Araçatuba, São Paulo, Brazil. §PhD Student, Department of Surgery and Integrated Clinic, Division of Periodontics, Universidade Estadual Paulista-UNESP, São Paulo, Brazil. ¶MSc Student, Department of Surgery and Integrated Clinic, Division of Periodontics, Universidade Estadual Paulista-UNESP, Araçatuba, São Paulo, Brazil. ‖PhD Student, Department of Surgery and Integrated Clinic, Division of Periodontics, Universidade Estadual Paulista-UNESP, Araçatuba, São Paulo, Brazil.
authors.forename: Juliano Milanezi
authors.initials: JM
authors.lastname: de Almeida
authors.forename: Henrique Rinaldi
authors.initials: HR
authors.lastname: Matheus
authors.forename: David Jonathan
authors.initials: DJ
authors.lastname: Rodrigues Gusman
authors.forename: Paula Lazilha
authors.initials: PL
authors.lastname: Faleiros
authors.forename: Nathália
authors.initials: N
authors.lastname: Januário de Araújo
authors.forename: Vivian Cristina
authors.initials: VC
authors.lastname: Noronha Novaes
mesh_terms: D006801:Humans; D057873:Peri-Implantitis / Q000628:therapy*; D057747:Periodontal Debridement / Q000379:methods*; D016896:Treatment Outcome