Evidence map›Paper›PMID 41863097›Full record

Trial reportClinical implant dentistry and related research2026

Efficacy of Xanthan-Based Chlorhexidine Gel in Peri-Implant Mucositis Treatment: A Split-Mouth Randomized Clinical Trial.

Jessica Curcio, Jacopo Lanzetti, Armando Crupi, Giulia Ambrogio, Umberto Gibello, Andrea Roccuzzo, Francesco Pera

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical implant dentistry and related research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Trial
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

7 authors.

Jessica CurcioDepartment of Surgical Sciences - CIR Dental School, University of Turin, Turin, Italy.
Jacopo LanzettiDepartment of Surgical Sciences - CIR Dental School, University of Turin, Turin, Italy.ORCID https://orcid.org/0000-0002-8153-7517
Armando CrupiDepartment of Surgical Sciences - CIR Dental School, University of Turin, Turin, Italy.
Giulia AmbrogioDepartment of Surgical Sciences - CIR Dental School, University of Turin, Turin, Italy.
Umberto GibelloDepartment of Surgical Sciences - CIR Dental School, University of Turin, Turin, Italy.
Andrea RoccuzzoShanghai Perio-Implant Innovation Center, Institute of Integrated Oral, Craniofacial and Sensory Research, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, College of Stomatology, Shanghai Jiao Tong University, National Center for Stomatology, National Clinical Research Center for Oral Diseases, Shanghai Key Laboratory of Stomatology, Shanghai Research Institute of Stomatology, Shanghai, China.ORCID https://orcid.org/0000-0002-8079-0860
Francesco PeraDepartment of Surgical Sciences - CIR Dental School, University of Turin, Turin, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo investigate the potential benefits of Xanthan-based chlorhexidine gel application in addition to professional mechanical plaque removal (PMPR) in the treatment of peri-implant mucositis (PM). MATERIAL AND

methodsSubjects diagnosed with PM were consecutively included in this randomized split-mouth study. All participants received a single session of PMPR using titanium curettes, followed by the application of an air-polishing glycine powder device. Implants allocated to the Test group were additionally treated with local delivery of Xanthan-based chlorhexidine gel. Clinical evaluation was performed at T0 (i.e., baseline), at 30 (T1), 90 (T2) and 180 days (T3) after treatment, while treatment success was evaluated at T2 and T3. Change in bleeding on probing (BoP) was considered as primary outcome measure. A logistic multivariate regression model was developed to explore the predictive role of implant and patient-level variables on primary outcome measure.

resultsFifty-nine patients (mean age: 65.4 ± 8.7 years; 54.2% male; 88.1% non-smokers) and 182 implants completed the study. At T1, only the Test group displayed a significant reduction in BoP (p < 0.001), PPD (p = 0.021) and PI (p = 0.021) compared to T0, while at T2 and T3 clinical improvements were recorded within both groups without any statistically significant difference between groups (p > 0.05). T2 Treatment success as well as the frequency distribution of complete (BoP = 0) and partial (BoP ≤ 1, ≤ 2, ≤ 3) disease resolution did not significantly differ between groups (p > 0.05). Multiple regression model revealed that smoking (p = 0.008), and implant position (i.e., premolar p = 0.009) did significantly affect the primary outcome measure.

conclusionThe adjunctive use of XanCHX gel did not result in any statistically significant clinical benefit compared to PMPR alone in the treatment of PM up to 6 months, despite the reported clinical positive effects within the first month after treatment.

Indexed as

Anti-Infective Agents, LocalChlorhexidineDental ImplantsPeri-ImplantitisPolysaccharides, BacterialStomatitisAgedFemaleGelsHumansMaleMiddle AgedTreatment OutcomeAnti-Infective Agents, LocalChlorhexidineDental ImplantsGelsPolysaccharides, Bacterialxanthan gumadjunctive treatmentantimicrobialschlorhexidineclinical trialnon‐surgical treatmentperi‐implant mucositis

Identifiers

PMID41863097
PMCPMC13005090

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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.