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In comparison, a randomized clinical trial by Sahm et al. [35] compared amino acid glycine powder versus mechanical debridement using carbon curettes and antiseptic therapy with chlorhexidine digluconate.
In two RCTs, the efficacy of Er:YAG laser monotherapy was compared to that of mechanical debridement using carbon fibre curettes + adjunctive local antiseptic CHX irrigation/application [24, 25].
In particular, one RCT and one CCT compared the clinical efficacy of adjunctive air polishing (glycine powder) to OHI and mechanical debridement using either ultrasonic scalers or hand instruments [15, 18].
Similarly, when comparing ultrasonic scaling with mechanical debridement using titanium curettes, Renvert et al. [31] also failed to identify any significant between group differences in mean BI and PD reductions at 6 months.
Clinically, this is achieved by mechanical debridement using scalers, curettes and/or ultrasonic instruments along with proper oral hygiene instruction [ 8, 9].
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Laser debridement can be used for debridement of areas that prove challenging for debridement using tangential excision.
After thorough debridement using drills, curettes and rongeurs, the ulna is temporary stabilized with K-wires.
In general, devitalized tissue is removed using a sharp/surgical debridement using a scalpel or scissors [32].
In addition, a study on infected accidental or surgical wounds, debridement using fibrinolysin/ DNAse was reportedly effective [ 35].
In one RCT, glycine powder air polishing resulted in a significantly higher reduction of mean BOP scores at 3, 6, and 12 months when compared with mechanical debridement + local antiseptic therapy using CHX.
In particular, several studies reported on increasing BOP scores between 3 and 12 months following nonsurgical treatment of "severe" peri-implantitis sites using either mechanical debridement, adjunctive aPDT, Er:YAG laser monotherapy or glycine powder air polishing.
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