Schenk et al. [16]
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RCT Split-mouth design
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8 patients
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PD >4 mm BOP on at least 1 site per implant ± mucosal hyperplasia no radiographic bone loss
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3 months
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Supra-/subgingival scaling (steel curettes) + polishing (rubber cup) + locally delivered tetracycline HCl (25 %) fibre for 10 days +0.2 % CHX mouthrinse twice for 10 days
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Supra-/subgingival scaling (steel curettes) + polishing (rubber cup) + +0.2 % CHX mouthrinse twice for 10 days
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ΔBOP (3 months, subject level)
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24 implants
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Test: −17 ± 25 %
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1 implant type (endossous part: titanium and zirconoxide/transmucosal part: titanium oxinitride)
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Control: 15 ± 37 %
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PD/CAL values without significant changes in both groups
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No adverse events
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Partial/complete fibre loss at three sites
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Hallström et al. [19]
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RCT, parallel
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45 patients
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PD ≥4 mm BOP + and/or pus
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6 months
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OHI + mechanical cleansing (titanium curettes + rubber cups + polishing paste) + Azithromycin® 500 mg day 1 and 250 mg days 2–4
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OHI + mechanical cleansing (titanium curettes + rubber cups + polishing paste)
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Test
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3 implant systems
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Radiographic bone loss ≤2 mm
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BOP: 82.6 (24.4) (BL) to 27.3 (18.8) % (6 months, subject level)
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PD at worst site: 5.5 (0.8) (BL) to 4.1 (1.2) mm (6 months, subject level)
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Control
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BOP: 80.0 (25.0) (BL) to 47.5 (32.3) % (6 months, subject level)
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PD at worst site: 5.7 (0.8) (BL) to 4.9 (1.1) mm (6 months, subject level)
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Odds ratio of a positive treatment outcome (PD ≤ 4.0 mm and BOP ≤ 1) was 4.5:1 (test vs. control)
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Comparable reductions in bacterial counts
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