Stiesch M, Grischke J, Schaefer P, Heitz-Mayfield L J. Supportive care for the prevention of disease recurrence/progression following peri-implantitis treatment: A systematic review. J Clin Periodontol 2023; DOI: 10.1111/jcpe.13822.

Prospective, randomised, controlled studies designed to evaluate supportive peri-implant care protocols are needed.

This systematic review evaluated the efficacy of supportive care provision, frequency and protocol in patients treated for peri-implantitis, as reported in prospective and retrospective studies of at least three years' duration. A systematic search of three electronic databases was undertaken up to July 2022 and supplemented by hand-search. Owing to high heterogeneity, a meta-analysis was not appropriate. The search identified 2,596 studies. Of 270 records selected, 15 studies were retained for qualitative assessments. Supportive peri-implant care (SPIC) following different surgical peri-implantitis treatment protocols and with recall intervals varying between two months and annually resulted in peri-implant tissue stability ranging from 24% to 100% at patient level and from 28% to 100% at implant level. Provision of SPIC following peri-implantitis therapy may prevent disease recurrence or progression. Insufficient evidence is available to identify: a specific supportive care protocol, the effect of adjunctive local antiseptic agents and the impact of frequency of supportive care measures.