Int J Evidence-Based Practice Dent Hygienist 2 (2016), No. 3 13. Sep. 2016
Background: This article critically appraises a systematic review that was conducted in 2015 to assess the effectiveness of peri-implant maintenance therapy (PIMT) in the prevention of biologic complications such as peri-implant diseases.
Clinical question: What is the effect of PIMT on the incidence of biologic complications (ie, mucositis and periimplantitis)?
Summary of methods: An electronic search, in addition to a manual search, was conducted in several databases for articles up to June 2015 without language restriction. Three authors independently performed the search and independently extracted data. In case of disagreement, consensus was reached by discussion with a fourth reviewer. The quality of the included studies was assessed using the Newcastle-Ottawa Scale (NOS), and the Cohen kappa coefficient was used to assess interrater agreement.
Critical appraisal: Although this study fulfilled most of the AMSTAR criteria for assessing systematic reviews, findings from the results of the present study must be cautiously interpreted because of the many study limitations and confounding factors.
Practical implications: For patients with implants, strict adherence to PIMT is imperative for prevention of biologic implant complications.