Evidence map›Paper›PMID 38833072›Full record

ArticleClinical oral investigations2024

Training in the use of the water jet and cold atmospheric plasma jet for the decontamination of dental implants.

Rutger Matthes, Lukasz Jablonowski, Vinay Pitchika, Birte Holtfreter, Christian Eberhard, Torsten Gerling, Juliane Wagner, Christian Flörke, Anne-Katrin Eisenbeiß, Raluca Cosgarea and 7 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Clinical oral investigations, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. [Effects of cold atmosphere plasma treatment on the biological behavior of human gingival fibroblasts].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2026
    Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Rutger MatthesDepartment of Restorative Dentistry, Periodontology, Endodontology, Preventive Dentistry and Pedodontics, Dental School, University Medicine Greifswald, Fleischmannstr. 42, 17475, Greifswald, Germany.
Lukasz JablonowskiDepartment of Restorative Dentistry, Periodontology, Endodontology, Preventive Dentistry and Pedodontics, Dental School, University Medicine Greifswald, Fleischmannstr. 42, 17475, Greifswald, Germany.
Vinay PitchikaDepartment of Restorative Dentistry, Periodontology, Endodontology, Preventive Dentistry and Pedodontics, Dental School, University Medicine Greifswald, Fleischmannstr. 42, 17475, Greifswald, Germany.
Birte HoltfreterDepartment of Restorative Dentistry, Periodontology, Endodontology, Preventive Dentistry and Pedodontics, Dental School, University Medicine Greifswald, Fleischmannstr. 42, 17475, Greifswald, Germany.
Christian EberhardSirona Dental Systems GmbH, Bensheim, Germany.
Torsten GerlingLeibniz-Institute for Plasma Science and Technology e.V. (INP), ZIK plasmatis, Greifswald, Germany.
Juliane WagnerDepartment of Oral and Maxillofacial Surgery, Christian-Albrechts University Kiel, Kiel, Germany.
Christian FlörkeDepartment of Oral and Maxillofacial Surgery, Christian-Albrechts University Kiel, Kiel, Germany.
Anne-Katrin EisenbeißDepartment of Oral and Maxillofacial Surgery, Christian-Albrechts University Kiel, Kiel, Germany.
Raluca CosgareaDepartment of Periodontology, Operative and Preventive Dentistry, University of Bonn, Bonn, Germany.
Karin JepsenDepartment of Periodontology, Operative and Preventive Dentistry, University of Bonn, Bonn, Germany.
Jennifer BunkeDepartment of Periodontology, Operative and Preventive Dentistry, University of Bonn, Bonn, Germany.
Ausra RamanauskaiteDepartment of Oral Surgery and Implantology, Johann Wolfgang Goethe-University, Carolinum, Frankfurt, Germany.
Amira BegićDepartment of Oral Surgery and Implantology, Johann Wolfgang Goethe-University, Carolinum, Frankfurt, Germany.
Karina ObrejaDepartment of Oral Surgery and Implantology, Johann Wolfgang Goethe-University, Carolinum, Frankfurt, Germany.
Maria MksoudDepartment of Oral and Maxillofacial Surgery/Plastic Surgery, University Medicine Greifswald, Greifswald, Germany.
Thomas KocherDepartment of Restorative Dentistry, Periodontology, Endodontology, Preventive Dentistry and Pedodontics, Dental School, University Medicine Greifswald, Fleischmannstr. 42, 17475, Greifswald, Germany. kocher@uni-greifswald.de.

Funding

Bundesministerium für Bildung und Forschung 13N14478, 13N14479, 13N14480
6 · The paper itself

Abstract

objectivesClinical trials testing new devices require prior training on dummies to minimize the "learning curve" for patients. Dentists were trained using a novel water jet device for mechanical cleaning of dental implants and with a novel cold plasma device for surface functionalisation during a simulated open flap peri-implantitis therapy. The hypothesis was that there would be a learning curve for both devices. MATERIALS AND

methods11 dentists instrumented 44 implants in a dummy-fixed jaw model. The effect of the water jet treatment was assessed as stain removal and the effect of cold plasma treatment as surface wettability. Both results were analysed using photographs. To improve treatment skills, each dentist treated four implants and checked the results immediately after the treatment as feedback.

resultsWater jet treatment significantly improved from the first to the second implant from 62.7% to 75.3% stain removal, with no further improvement up to the fourth implant. The wettability with cold plasma application reached immediately a high level at the first implant and was unchanged to the 4th implant (mean scores 2.7 out of 3).

conclusionA moderate learning curve was found for handling of the water jet but none for handling of the cold plasma. CLINICAL RELEVANCE: Scientific rational for study: Two new devices were developed for peri-implantitis treatment (Dental water jet, cold plasma). Dentists were trained in the use of these devices prior to the trial to minimize learning effects. PRINCIPAL

findingsExperienced dentists learn the handling of the water jet very rapidly and for cold plasma they do not need much training. PRACTICAL IMPLICATIONS: A clinical study is in process. When the planned clinical study will be finished, we will find out, if this dummy head exercise really minimised the learning curve for these devices.

Indexed as

DecontaminationDental ImplantsPlasma GasesWaterHumansPeri-ImplantitisSurface PropertiesWettabilityDental ImplantsPlasma GasesWaterArtificial plaqueCold plasmaDental implantsperi-implantitisUser trainingWater jet

Identifiers

PMID38833072
PMCPMC11150293

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.