Current Understanding and Treatment Strategies of Peri-Implant Diseases -An Overview (original) (raw)
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Romanian Journal of Medical Practice
Introduction. Peri-implantitis is a non-specific inflammation, induced or maintained in the host tissues. Peri-implantitis usually presents a succession of specific symptoms, such as: bleeding on palpation, mobility of the dental implant, pain, increased depth of the pockets located around dental implants. Purpose. Thus, in this material we wanted to carry out a review of the main notions, both theoretical and practical, which characterize the diseases of surrounding tissues of dental implant called peri-implantitis. Material and method. For this study, we used 31 practitioners from Bucharest who frequently perform implant-prosthetic rehabilitation treatments, based on a questionnaire consisting of 6 questions. Results and discussions. The doctors included in the study showed that they have a thorough training in the field of implant-prosthetic restorations and of course in the diagnosis and treatment of peri-implantitis. Conclusions. In-depth knowledge of the notions related to peri-implantitis leads to an early diagnosis, favoring the rapid application of a treatment that prevents the occurrence of subsequent complications.
Peri-Implantitis – A Growing Complication of Dental Implant Prosthesis
The journal of Bahria University Medical and Dental College, 2019
Contemporarily, dental implant is considered as the gold standard for managing complete or partially edentulous patients. Even though with meagre rates of failure, peri-implantitis is one complication that is worth deciphering. The prevalence of peri-implantitis is reportedly increasing with time so correct diagnosis is the most important factor for proper management of peri-implant disease. Regular evaluation and elimination of risk factors (history of periodontitis, poor oral hygiene, diabetes, smoking, alcohol consumption, genetic traits, absence of keratinized mucosa and implant surface) are effective precautions against peri implantitis. The management of peri-implant mucositis is also considered as an important preventive measure for the onset of peri-implantitis. In addition to aspects of osseointegration, type and structure of the implant surface are of importance. For the treatment of peri-implant disease multiple conservative and surgical methods are available. To minimize its detrimental effects, it is important to take a holistic view of the condition. Therefore, this review gives an overview on the prevalence, etiology, risk factors, prevention and treatment of peri-implantitis.
Diagnosis and management of peri-implant diseases
Australian Dental Journal, 2008
One of the substantial changes in dentistry is the development of implant science. Along with the development of applications, implant science practitioners will face an inevitable challenge, which is how to deal with such problems. Recently conducted researches are more concentrated on surgical and prosthetic techniques, while the treatment for periimplant diseases is still incomplete. Therefore, the aim of this review research is to provide a broad and descriptive overview on peri-implant diseases and to suggest the related treatments. Scientifi c articles were collected by electronic searching through EMBASE and Medline, and since controlled clinical trials were limited in this fi eld, no limitation was imposed on the evaluated articles. Moreover, review articles and meta-analysis were used. For implants that bone resorption has aff ected <50% of the implant length, the evaluation is thoroughly recommended. Regarding cases with a range of <2 mm, the treatment plan will be more inclined towards non-surgical methods and should be treated by Periimplant mucositis. If the bone resorption is >2 mm, surgical methods are proved to be more eff ective and in the cases which has extended >50% of the implant length, it is better to remove the implant. By increasing the range of annual dental implant, peri-implant diseases have become a serious challenge in this fi eld. The proposed treatment plan will be a manual for dentists regarding on how to deal with implant problems; although further researches are required to approve the proposed protocols.
Definition, etiology, prevention and treatment of peri-implantitis – a review
Head & Face Medicine, 2014
Peri-implant inflammations represent serious diseases after dental implant treatment, which affect both the surrounding hard and soft tissue. Due to prevalence rates up to 56%, peri-implantitis can lead to the loss of the implant without multilateral prevention and therapy concepts. Specific continuous check-ups with evaluation and elimination of risk factors (e.g. smoking, systemic diseases and periodontitis) are effective precautions. In addition to aspects of osseointegration, type and structure of the implant surface are of importance. For the treatment of peri-implant disease various conservative and surgical approaches are available. Mucositis and moderate forms of peri-implantitis can obviously be treated effectively using conservative methods. These include the utilization of different manual ablations, laser-supported systems as well as photodynamic therapy, which may be extended by local or systemic antibiotics. It is possible to regain osseointegration. In cases with advanced peri-implantitis surgical therapies are more effective than conservative approaches. Depending on the configuration of the defects, resective surgery can be carried out for elimination of peri-implant lesions, whereas regenerative therapies may be applicable for defect filling. The cumulative interceptive supportive therapy (CIST) protocol serves as guidance for the treatment of the peri-implantitis. The aim of this review is to provide an overview about current data and to give advices regarding diagnosis, prevention and treatment of peri-implant disease for practitioners.
Antibiotics
Since the use of dental implants is continuously increasing, it is imperative for dental practitioners to understand the nature and treatment of peri-implant diseases. The purpose of this manuscript is to comprehensively review peri-implant diseases, their characteristics, as well as their non-surgical and surgical treatment. To that end, the current literature was searched and a narrative review was conducted. It is essential that the case definitions described in the 2017 World Workshop on the Classification of Periodontal and Peri-implant Diseases and Conditions are used to diagnose and classify peri-implant health, peri-implant mucositis and peri-implantitis. While recent epidemiologic studies on peri-implant diseases exist, there is great heterogeneity in the definition of these conditions. Several risk factors and indicators are reported in the literature, with smoking and diabetes being the most universally accepted. In peri-implant mucositis, non-surgical treatment seems to ...
Primary prevention of peri-implantitis: Managing peri-implant mucositis
Journal of clinical periodontology, 2015
Over the past decades, the placement of dental implants has become a routine procedure in the oral rehabilitation of fully and partially edentulous patients. However, the number of patients/implants affected by peri-implant diseases is increasing. As there are - in contrast to periodontitis - at present no established and predictable concepts for the treatment of peri-implantitis, primary prevention is of key importance. The management of peri-implant mucositis is considered as a preventive measure for the onset of peri-implantitis. Therefore, the remit of this working group was to assess the prevalence of peri-implant diseases, as well as risks for peri-implant mucositis and to evaluate measures for the management of peri-implant mucositis. Discussions were informed by four systematic reviews on the current epidemiology of peri-implant diseases, on potential risks contributing to the development of peri-implant mucositis, and on the effect of patient and of professionally administe...
Peri-Implantitis: A Comprehensive Overview for the General Dental Practitioner
Journal of Dentistry and Oral Sciences, 2022
Considering the significant role of implants in contemporary dentistry, practitioners must be able to acknowledge and anticipate the clinical signs and the appropriate treatment measures of peri-implant disease. The article aims to provide an overview of peri-implantitis, outlining its prevalence, etiology, risk factors, diagnosis, and management for the general practitioner. Peri-implantitis is a pathological condition usually associated with plaque. It exhibits inflammation around the peri-implant mucosa and subsequent progressive bone loss. While some patients show clinical signs, most implants exhibiting peri-implant disease are asymptomatic. As a result, clinicians must first develop an accurate diagnosis based on clinical and radiographic findings. The diagnosis of peri-implantitis usually done if the following criteria are met: 1) presence of bleeding, 2) progressive bone loss, and 3) increased probing depths. It is widely accepted that peri-implantitis is difficult to manage and prevention is the best form of treatment. Early diagnosis and management are essential to the successful clinical outcomes in the treatment of peri-implantitis. While non-surgical treatment may not always be effective but should always come first in patients with advanced peri-implantitis. Good oral hygiene, the location of the damaged implant, and the configuration of the bone defect, appear to be the key factors that influence the clinical predictability surgical interventions
Peri-implantitis: A Review to Simplify a Mystifying Disease
Medical Research Archives
Dental implants have been recently used as a long-term treatment modality for replacing missing teeth. However, dental implants have been associated with complications such as peri-implant mucositis and peri-implantitis. Peri-implant mucositis is an inflammation of the mucosa surrounding the implant and if left untreated, can lead to progressive bone loss or peri-implantitis. Peri-implantitis is a pathologic inflammatory pathologic condition that is caused by plaque accumulation on the peri-implant tissue. Several treatment approaches have been implemented to decrease the bacterial load within the peri-implant tissue, decontaminate the implant surface, or regenerating the lost tissue around dental implant. Treatment can be broadly divided into: Surgical and non-surgical treatment. Non-surgical treatment has a limited efficacy due to the restricted access to the implant surface. Whereas, surgical or flap surgery seem to improve the clinical outcome for the treatment of peri-implantit...