Silodent – English product description

Water Jet (Silonit®) with adjunct Chlorhexidine gel for Non-surgical Treatment
of Peri-implantitis
L. Levin, S. Frankenthal, L. Joseph, D. Rozitsky, G. Levi, EE. Machtei

Peri-implant disease following successful integration of an endosseous implant is
the result of an imbalance between bacterial load and host defense, which may
affect not only the peri-implant mucosa but also involve the supporting bone.

Objectives: The aim of this study was to evaluate the effect of a dental water jet
(Silonit®) with adjunct Chlorhexidine gel as a non-surgical treatment for periimplantitis
lesions.

Methods: A prospective interventional cohort study was conducted. Forty
consecutive patients presenting with peri-implantitis were recruited and
randomly assigned into two treatment groups. Both groups underwent initial
periodontal treatment including recall appointment and oral hygiene instructions.
The study group received a water jet device (Silonit®) for home use twice a day
with water supplemented by CHX while the control group performed the
recommended oral hygiene measures with no water jet usage. Three months
following baseline visit, patients were re-evaluated clinically and radiographically.

Results: Overall 39 patients completed the study were evaluated. Three months
following baseline visit the test group exhibited better results with regards to the
average probing depth reduction (0.75 vs. 0.27mm; p=0.029) as well reduction in
the deepest pocket (1.7 vs. 1.2mm; p=0.26) and reduction in sites presenting with
bleeding on probing (2.26 vs. 0.45 sites; p=0.011). No significant change in bone
level was observed in three months (mean bone gain was 0.18 mm)

Conclusions: Water Jet (Silonit®) with adjunct Chlorhexidine gel might serve as a
non-surgical treatment option for peri-implantitis lesions. Further, larger-cohort
studies are warranted.