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Peri-ImplantitisNCT04847648

Air-polishing in the Treatment of Peri-implantitis

A study testing Air-polishing and Mechanical decontamination in people with Peri-Implantitis, run by Göteborg University at 1 site in Sweden.

Enrolling by invitation

Enrolling by invitation. The study team selects and invites participants, usually from an existing group of patients.

Sites and contacts
Official record
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Trial summary

The aim of the present study is to evaluate the potential benefit of the adjunctive use of an air-polishing device in the non-surgical treatment of peri-implantitis as compared to mechanical infection control alone. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Peri-Implantitis
What is being tested?
Air-polishing and Mechanical decontamination
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
80 participants
Where
1 siteSweden
Study dates
14 Oct 2021to 1 Dec 2028
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Probing pocket depth of ≥6 mm
  • Bleeding and/or suppuration on probing at ≥3 aspects per implant
  • Documented radiographic bone loss of ≥2 mm.

Who cannot join

  • Implants with bone loss ≥80% of implant length will not be considered.
  • No medical conditions prohibiting non-surgical/surgical treatment of peri-implantitis
  • Implant(s) in function ≥1 year

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Sweden1 site
  • Department of Periodontology, Institute of Odontology

    Gothenburg, 40530

Other trials in Sweden

About this study

Official title: Air-polishing in the Treatment of Peri-implantitis - a Randomized Controlled Trial

The aim of the present study is to evaluate the potential benefit of the adjunctive use of an air-polishing device in the non-surgical treatment of peri-implantitis as compared to mechanical infection control alone. Following establishment of adequate patient-performed infection control, 80 patients diagnosed with moderate/severe peri-implantitis at ≥1 implant will be randomized to one of two groups. Non-surgical will be carried out by experienced operators in three clinical centers and the mechanical instrumentation (control group) will be supplemented by the use of air-polishing with erythritol powder (AirFlow Master, EMS, Nyon, Switzerland) in the test group. The primary outcome assessed is "pocket closure" (ie probing pocket depth ≤5 mm \& absence of profuse bleeding on probing) after 6 months. Secondary outcomes include changes of clinical signs of soft tissue inflammation, adverse events and patient-reported outcome measures. Outcomes of non-surgical therapy will be evaluated at 3 and 6 months. Sites with remaining pathology at 6 months will be subjected to surgical therapy. Patients are then provided with personalized maintenance care and followed up to a 5-year evaluation.

Read the detailed description

The project will be conducted as a two-armed randomized controlled clinical trial of 5-year duration in three clinical centers. 80 systemically healthy patients diagnosed with moderate/severe peri-implantitis at ≥1 implant will be enrolled.

Upon enrolment, all patients will receive instructions in oral hygiene measures until adequate plaque control has been established (Plaque Index ≤20%). If required, supraconstructions will be adjusted to facilitate adequate oral hygiene measures. Thereafter, study participants will be randomized into two groups, stratified for smoking (yes/no) and number of implants in need of treatment (single/multiple).

The control group will be subjected to professionally administered non-surgical, mechanical infection control including the use of hand instruments and polishing cups aiming at the removal of all supra-mucosal soft and hard deposits from the target sites. In the test group the aforementioned treatment will be supplemented by the use of an air-polishing device (AirFlow Master, EMS, Nyon, Switzerland) with a specially designed nozzle for sub-mucosal application (PerioFlow Handpiece, EMS, Nyon, Switzerland). Following local anesthesia, the instrument will be used sub-mucosally at all aspects (ie mesial, distal, buccal, lingual) of the affected implant(s) at a power setting reduced to 60% and with a erythritol powder (14 mikrometer, AirFlow Plus Powder, EMS, Nyon, Switzerland). The handpiece will be guided in a circular motion in a corono-apical direction not in contact with the implant surface. Instrumentation time will be limited to 5 seconds at each aspect. Implant-supported supraconstructions will not be removed for the non-surgical treatment. Patients are recalled two weeks later for assessment of patient-experienced outcomes, professional supramucosal cleaning and reinforcement of oral hygiene.

Peri-implant soft tissues will be evaluated at three months. Implant sites with remaining signs of pathology (PPD ≥6 mm and presence of BOP at ≥3 aspects per implant will be subjected to re-treatment according to the initial allocation. The clinical evaluation will be repeated at 6 months. In case of residual signs of pathology, affected sites will be subjected to surgical therapy of peri-implantitis within the subsequent 4 weeks. Full thickness flaps will be elevated and inflamed tissues will be removed. Mineralized deposits on the implant surfaces will be removed with titanium-coated curettes. Surface decontamination will be performed using a rotating titanium brush under irrigation with saline. No bone recontouring of bony walls is intended. Flaps will be sutured to the level of the bone and sutures will be removed after 2 weeks. Implant-supported supraconstructions will be removed for the surgical intervention, if possible.

Maintenance therapy will be provided at 9 and 12 months and based on individual needs during the subsequent follow-up. A renewed evaluation will be performed at 12 and 18 months. Long-term assessments will be carried out annually from years 3 to 5. Should any implant site present with signs of disease progression (increase of PPD >2 mm and additional bone loss >1 mm compared to baseline) at any of the follow-up examinations, the implant will be exited from the study and appropriate additional therapy will be provided.

Being tested
Air-polishing, Mechanical decontamination
Keywords
Non-surgical therapy, Surgical therapy, Air abrasives, Air polishing
Medical subject headings
Peri-Implantitis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Air-polishingProcedure or surgery

    Air-polishing with erythritol powder during non-surgical therapy (at baseline, 5 seconds per surface, and, if necessary, at 3 months).

  • Mechanical decontaminationProcedure or surgery

    Mechanical instrumentation of implant surfaces during non-surgical therapy (at baseline and, if necesarry at 3 months) including the use of hand instruments and polishing cups aiming at the removal of all soft and hard deposits from the target implant.

Study groups in NCT04847648
Study groupRoleWhat they receive
Control - Mechanical instrumentation of implant surfaceActive comparatorThe control group will be subjected to non-surgical decontamination including the use of hand instruments and polishing cups aiming at the removal of all supra-mucosal soft and hard deposits from the implant surfaces.
Receives: Procedure: Mechanical decontamination
Test - Mechanical instrumentation and air-polishing of implant surfaceExperimentalIn the test group the mechanical instrumentation will be supplemented by the use of an air-polishing device during non-surgical therapy.
Receives: Procedure: Air-polishing; Procedure: Mechanical decontamination

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Proportion of participants/implants displaying pocket closure

    Pocket closure: Probing pocket depth of ≤5 mm and absence of bleeding on probing at ≥3 aspects per implant and absence of suppuration on probing

    Measured: 3 months

  2. Proportion of participants/implants displaying pocket closure

    Pocket closure: Probing pocket depth of ≤5 mm and absence of bleeding on probing at ≥3 aspects per implant and absence of suppuration on probing

    Measured: 6 months

  3. Proportion of participants/implants displaying pocket closure

    Pocket closure: Probing pocket depth of ≤5 mm and absence of bleeding on probing at ≥3 aspects per implant and absence of suppuration on probing

    Measured: 18 months

  4. Patient satisfaction assessed by visual analogue scale

    Patient satisfaction as assessed on a 100 mm VAS

    Measured: 3 months

  5. Patient satisfaction assessed by visual analogue scale

    Patient satisfaction as assessed on a 100 mm VAS

    Measured: 6 months

  6. Patient satisfaction assessed by visual analogue scale

    Patient satisfaction as assessed on a 100 mm VAS

    Measured: 18 months

Secondary outcomes (30)
  1. Changes in probing pocket depth

    Reductions in PPD relative to baseline

    Measured: 3 months

  2. Changes in probing pocket depth

    Reductions in PPD relative to baseline

    Measured: 6 months

  3. Changes in probing pocket depth

    Reductions in PPD relative to baseline

    Measured: 18 months

  4. Changes in probing pocket depth

    Reductions in PPD relative to baseline

    Measured: 3 years

  5. Changes in probing pocket depth

    Reductions in PPD relative to baseline

    Measured: 4 years

  6. Changes in probing pocket depth

    Reductions in PPD relative to baseline

    Measured: 5 years

  7. Changes in bleeding on probing

    Reductions in BOP relative to baseline

    Measured: 3 months

  8. Changes in bleeding on probing

    Reductions in BOP relative to baseline

    Measured: 6 months

  9. Changes in bleeding on probing

    Reductions in BOP relative to baseline

    Measured: 18 months

  10. Changes in bleeding on probing

    Reductions in BOP relative to baseline

    Measured: 3 years

  11. Changes in bleeding on probing

    Reductions in BOP relative to baseline

    Measured: 4 years

  12. Changes in bleeding on probing

    Reductions in BOP relative to baseline

    Measured: 5 years

  13. Changes in marginal soft soft tissue levels

    Changes in marginal soft soft tissue levels relative to baseline

    Measured: 3 months

  14. Changes in marginal soft soft tissue levels

    Changes in marginal soft soft tissue levels relative to baseline

    Measured: 6 months

  15. Changes in marginal soft soft tissue levels

    Changes in marginal soft soft tissue levels relative to baseline

    Measured: 18 months

  16. Changes in marginal soft soft tissue levels

    Changes in marginal soft soft tissue levels relative to baseline

    Measured: 3 years

  17. Changes in marginal soft soft tissue levels

    Changes in marginal soft soft tissue levels relative to baseline

    Measured: 4 years

  18. Changes in marginal soft soft tissue levels

    Changes in marginal soft soft tissue levels relative to baseline

    Measured: 5 years

  19. Changes in radiographic bone levels

    Changes in radiographic bone levels relative to baseline

    Measured: 6 months

  20. Changes in radiographic bone levels

    Changes in radiographic bone levels relative to baseline

    Measured: 18 months

  21. Changes in radiographic bone levels

    Changes in radiographic bone levels relative to baseline

    Measured: 3 years

  22. Changes in radiographic bone levels

    Changes in radiographic bone levels relative to baseline

    Measured: 5 years

  23. Rate of adverse events

    Emphysema

    Measured: 3 months

  24. Rate of adverse events

    Emphysema

    Measured: 6 months

  25. Rate of adverse events

    Emphysema

    Measured: 18 months

  26. Patient discomfort as expressed on a visual analogue scale

    Patient discomfort 2 weeks after non-surgical treatment as expressed on a 100 mm VAS

    Measured: 3.5 months

  27. Patient discomfort as expressed on a visual analogue scale

    Patient discomfort 2 weeks after surgical treatment as expressed on a 100 mm VAS

    Measured: 6.5 months

  28. Esthetic appreciation as expressed on a visual analogue scale

    Esthetic appreciation as expressed on a 100 mm VAS

    Measured: 3 months

  29. Esthetic appreciation as expressed on a visual analogue scale

    Esthetic appreciation as expressed on a 100 mm VAS

    Measured: 6 months

  30. Esthetic appreciation as expressed on a visual analogue scale

    Esthetic appreciation as expressed on a 100 mm VAS

    Measured: 18 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted19 Apr 2021
  2. Study start14 Oct 2021
  3. Primary completion15 Dec 2026 (estimated)
  4. Study completion1 Dec 2028 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
The project will be conducted as a two-armed randomized controlled clinical trial of 5-year duration in three clinical centers.
Masking
Double blind
Who is masked
Investigator, Outcomes assessor
Enrolment
80 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04847648
Sponsor's protocol ID
2021-00169
Status last verified
Sep 2026
First submitted
7 Apr 2021
Last updated
9 Sep 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Air-polishing and Mechanical decontamination in people with Peri-Implantitis, run by Göteborg University at 1 site in Sweden.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: enrolling by invitation, as of the sponsor's last update on 9 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Sweden. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Proportion of participants/implants displaying pocket closure (time frame: 3 months). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 9 Sep 2026.

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