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To compare erythritol air polishing with implant surface cleansing using saline during the surgical treatment of peri-implantitis. During a resective surgical intervention, implant surfaces were randomly treated with either air polishing (test group n=26 patients/53 implants) or saline-soaked cotton gauzes (control group n=31 patients/ 40 implants). Primary outcome was change in mean bleeding on probing (BoP) from baseline to 12months follow-up. Secondary outcomes were changes in mean suppuration on probing (SoP), plaque score (Plq), p