Double-Blind Method; Humans; Lactobacillus; Peri-Implantitis; Pilot Projects; Probiotics; Lactobacilli reuteri; debridement; dental plaque; gingival bleeding on probing; peri-implantitis; probiotics; therapy
Abstract :
[en] OBJECTIVES: Examine the clinical and microbiological benefits of a dual-strain Lactobacillus reuteri probiotic on the non-surgical therapy of initial peri-implantitis. MATERIALS AND METHODS: This randomized, double-blind study targeted patients with initial peri-implantitis, that is peri-implantitis with a maximum mean probing pocket depth of 6 mm and maximum 3 mm bone loss compared with loading. A full-mouth prophylaxis was performed and the peri-implantitis sites were debrided. Subsequently, local application of the study drops was carried out at the peri-implantitis sites and the study lozenges were handed out. The patients in the probiotic group received drops and lozenges containing L. reuteri (ATCC PTA 5289 & DSM 17938), those in the control group received placebo products. At the implant level the measurements of interest were bleeding, probing pocket depth and plaque. Full-mouth bleeding and plaque scores were also recorded. Microbiological samples were taken from the tongue, saliva and subgingivally around the implants. RESULTS: All clinical parameters were significantly decreased after 12 and 24 weeks. At the implant level the only statistically significant difference was a greater decrease in plaque levels in the probiotic versus the control group (p = .002 at 24 weeks). At the full-mouth level, the only intergroup difference was the greater decrease in full-mouth bleeding on probing sites in the probiotic group compared with the control group (p < .001 at 24 weeks). Concerning the microbiological outcomes, no significant differences could be found at any time point, neither intra- nor intergroup. CONCLUSIONS: No adjunctive effects of the use of L. reuteri probiotics in the treatment of peri-implantitis were found.
Research center :
d‐BRU - Dental Biomaterials Research Unit - ULiège [BE]
Disciplines :
Dentistry & oral medicine
Author, co-author :
Laleman, Isabelle ; Centre Hospitalier Universitaire de Liège - CHU > > Service de parodontologie, chirurgie bucco-dentaire et chirurgie implantaire ; Department of Oral Health Sciences, KU Leuven & Dentistry, University Hospitals
Pauwels, Martine; Department of Oral Health Sciences, KU Leuven & Dentistry, University Hospitals
Quirynen, Marc; Department of Oral Health Sciences, KU Leuven & Dentistry, University Hospitals
Teughels, Wim; Department of Oral Health Sciences, KU Leuven & Dentistry, University Hospitals
Language :
English
Title :
The usage of a lactobacilli probiotic in the non-surgical therapy of peri-implantitis: A randomized pilot study.
Bassetti, M., Schar, D., Wicki, B., Eick, S., Ramseier, C. A., Arweiler, N. B., … Salvi, G. E. (2014). Anti-infective therapy of peri-implantitis with adjunctive local drug delivery or photodynamic therapy: 12-month outcomes of a randomized controlled clinical trial. Clinical Oral Implants Research, 25(3), 279–287. https://doi.org/10.1111/clr.12155
Berglundh, T., Armitage, G., Araujo, M. G., Avila-Ortiz, G., Blanco, J., Camargo, P. M., … Zitzmann, N. (2018). Peri-implant diseases and conditions: Consensus report of workgroup 4 of the 2017 world workshop on the classification of periodontal and peri-implant diseases and conditions. Journal of Periodontology, 89(Suppl. 1), S313–s318. https://doi.org/10.1002/jper.17-0739
Della Riccia, D. N., Bizzini, F., Perilli, M. G., Polimeni, A., Trinchieri, V., Amicosante, G., & Cifone, M. G. (2007). Anti-inflammatory effects of Lactobacillus brevis (CD2) on periodontal disease. Oral Diseases, 13(4), 376–385. https://doi.org/10.1111/j.1601-0825.2006.01291.x
Derks, J., Schaller, D., Hakansson, J., Wennstrom, J. L., Tomasi, C., & Berglundh, T. (2016). Effectiveness of implant therapy analyzed in a Swedish population: Prevalence of peri-implantitis. Journal of Dental Research, 95(1), 43–49. https://doi.org/10.1177/0022034515608832
Flichy-Fernandez, A. J., Ata-Ali, J., Alegre-Domingo, T., Candel-Marti, E., Ata-Ali, F., Palacio, J. R., & Penarrocha-Diago, M. (2015). The effect of orally administered probiotic Lactobacillus reuteri-containing tablets in peri-implant mucositis: A double-blind randomized controlled trial. Journal of Dental Research, 50(6), 775–785. https://doi.org/10.1111/jre.12264
Galofre, M., Palao, D., Vicario, M., Nart, J., & Violant, D. (2018). Clinical and microbiological evaluation of the effect of Lactobacillus reuteri in the treatment of mucositis and peri-implantitis: A triple-blind randomized clinical trial. Journal of Dental Research, 53(3), 378–390. https://doi.org/10.1111/jre.12523
Hallstrom, H., Lindgren, S., Widen, C., Renvert, S., & Twetman, S. (2016). Probiotic supplements and debridement of peri-implant mucositis: A randomized controlled trial. Acta Odontologica Scandinavica, 74(1), 60–66. https://doi.org/10.3109/00016357.2015.1040065
Hallstrom, H., Lindgren, S., Yucel-Lindberg, T., Dahlen, G., Renvert, S., & Twetman, S. (2013). Effect of probiotic lozenges on inflammatory reactions and oral biofilm during experimental gingivitis. Acta Odontologica Scandinavia, 71(3–4), 828–833. https://doi.org/10.3109/00016357.2012.734406
Harini, P. M., & Anegundi, R. T. (2010). Efficacy of a probiotic and chlorhexidine mouth rinses: A short-term clinical study. Journal of Indian Society of Pedodontics and Preventive Dentistry, 28(3), 179–182. https://doi.org/10.4103/0970-4388.73799
Heitz-Mayfield, L. J. A., & Salvi, G. E. (2018). Peri-implant mucositis. Journal of Clinical Periodontology, 45, S237–S245. https://doi.org/10.1111/jcpe.12953
Hill, C., Guarner, F., Reid, G., Gibson, G. R., Merenstein, D. J., Pot, B., … Sanders, M. E. (2014). Expert consensus document. The international scientific association for probiotics and prebiotics consensus statement on the scope and appropriate use of the term probiotic. Nature Reviews Gastroenterology & Hepatology, 11(8), 506–514. https://doi.org/10.1038/nrgastro.2014.66
Ince, G., Gursoy, H., Ipci, S. D., Cakar, G., Emekli-Alturfan, E., & Yilmaz, S. (2015). Clinical and biochemical evaluation of lozenges containing lactobacillus Reuteri as an adjunct to non-surgical periodontal therapy in chronic periodontitis. Journal of Periodontology, 86(6), 746–754. https://doi.org/10.1902/jop.2015.140612
Iniesta, M., Herrera, D., Montero, E., Zurbriggen, M., Matos, A. R., Marin, M. J., … Sanz, M. (2012). Probiotic effects of orally administered Lactobacillus reuteri -containing tablets on the subgingival and salivary microbiota in patients with gingivitis. A randomized clinical trial. Journal of Clinical Periodontology, 39(8), 736–744.
Karlsson, K., Derks, J., Håkansson, J., Wennström, J. L., Petzold, M., & Berglundh, T. (2019). Interventions for peri-implantitis and their effects on further bone loss: A retrospective analysis of a registry-based cohort. Journal of Clinical Periodontology, 46(8), 872–879. https://doi.org/10.1111/jcpe.13129
Krasse, P., Carlsson, B., Dahl, C., Paulsson, A., Nilsson, A., & Sinkiewicz, G. (2005). Decreased gum bleeding and reduced gingivitis by the probiotic Lactobacillus reuteri. Swedish Dental Journal, 30, 55–60.
Lang, N. P., Salvi, G. E., & Sculean, A. (2019). Nonsurgical therapy for teeth and implants—When and why? Periodontology 2000, 79(1), 15–21. https://doi.org/10.1111/prd.12240
Mombelli, A., van Oosten, M. A., Schurch, E. Jr, & Land, N. P. (1987). The microbiota associated with successful or failing osseointegrated titanium implants. Oral Microbiology and Immunology, 2(4), 145–151. https://doi.org/10.1111/j.1399-302X.1987.tb00298.x
Mongardini, C., Pilloni, A., Farina, R., Di Tanna, G., & Zeza, B. (2017). Adjunctive efficacy of probiotics in the treatment of experimental peri-implant mucositis with mechanical and photodynamic therapy: A randomized, cross-over clinical trial. Journal of Clinical Periodontology, 44(4), 410–417. https://doi.org/10.1111/jcpe.12689`
Morales, A., Carvajal, P., Silva, N., Hernandez, M., Godoy, C., Rodriguez, G., … Gamonal, J. (2016). Clinical effects of Lactobacillus rhamnosus in non-surgical treatment of chronic periodontitis: A randomized placebo-controlled trial with 1-year follow-up. Journal of Periodontology, 87(8), 944–952. https://doi.org/10.1902/jop.2016.150665
Peña, M., Barallat, L., Vilarrasa, J., Vicario, M., Violant, D., & Nart, J. J. C. O. I. (2019). Evaluation of the effect of probiotics in the treatment of peri-implant mucositis: A triple-blind randomized clinical trial. Clinical Oral Investigations, 23(4), 1673–1683. https://doi.org/10.1007/s00784-018-2578-8
Sajedinejad, N., Paknejad, M., Houshmand, B., Sharafi, H., Jelodar, R., Shahbani Zahiri, H., & Noghabi, K. A. (2018). Lactobacillus salivarius NK02: A potent probiotic for clinical application in mouthwash. Probiotics and Antimicrobial Proteins, 10(3), 485–495. https://doi.org/10.1007/s12602-017-9296-4
Schar, D., Ramseier, C. A., Eick, S., Arweiler, N. B., Sculean, A., & Salvi, G. E. (2013). Anti-infective therapy of peri-implantitis with adjunctive local drug delivery or photodynamic therapy: Six-month outcomes of a prospective randomized clinical trial. Clinical Oral Implants Research, 24(1), 104–110. https://doi.org/10.1111/j.1600-0501.2012.02494.x
Schlagenhauf, U., Jakob, L., Eigenthaler, M., Segerer, S., Jockel-Schneider, Y., & Rehn, M. (2016). Regular consumption of Lactobacillus reuteri-containing lozenges reduces pregnancy gingivitis: An RCT. Journal of Clinical Periodontology, 43(11), 948–954. https://doi.org/10.1111/jcpe.12606
Schwarz, F., Derks, J., Monje, A., & Wang, H.-L. (2018). Peri-implantitis. Journal of Clinical Periodontology, 45, S246–S266. https://doi.org/10.1111/jcpe.12954
Shimauchi, H., Mayanagi, G., Nakaya, S., Minamibuchi, M., Ito, Y., Yamaki, K., & Hirata, H. (2008). Improvement of periodontal condition by probiotics with Lactobacillus salivarius WB21: A randomized, double-blind, placebo-controlled study. Journal of Clinical Periodontology, 35(10), 897–905.
Tada, H., Masaki, C., Tsuka, S., Mukaibo, T., Kondo, Y., & Hosokawa, R. (2018). The effects of Lactobacillus reuteri probiotics combined with azithromycin on peri-implantitis: A randomized placebo-controlled study. Journal of Prosthodontic Research, 62(1), 89–96. https://doi.org/10.1016/j.jpor.2017.06.006
Tekce, M., Ince, G., Gursoy, H., Dirikan Ipci, S., Cakar, G., Kadir, T., & Yilmaz, S. (2015). Clinical and microbiological effects of probiotic lozenges in the treatment of chronic periodontitis: A 1-year follow-up study. Journal of Clinical Periodontology, 42(4), 363–372. https://doi.org/10.1111/jcpe.12387
Teughels, W., Durukan, A., Ozcelik, O., Pauwels, M., Quirynen, M., & Haytac, M. C. (2013). Clinical and microbiological effects of Lactobacillus reuteri probiotics in the treatment of chronic periodontitis: A randomized placebo-controlled study. Journal of Clinical Periodontology, 40(11), 1025–1035.
Vicario, M., Santos, A., Violant, D., Nart, J., & Giner, L. (2013). Clinical changes in periodontal subjects with the probiotic Lactobacillus reuteri Prodentis: A preliminary randomized clinical trial. Acta Odontologica Scandinavica, 71(3–4), 813–819. https://doi.org/10.3109/00016357.2012.734404
Vivekananda, M. R., Vandana, K. L., & Bhat, K. G. (2010). Effect of the probiotic Lactobacilli reuteri (Prodentis) in the management of periodontal disease: A preliminary randomized clinical trial. Journal of Oral Microbiology, 2.