Journal article
Current Protocols for the Treatment of Peri-implantitis
Current oral health reports, Vol.6(3), pp.209-217
09/15/2019
DOI: 10.1007/s40496-019-00227-4
Abstract
Peri-implant diseases are becoming a major problem in modern dentistry. A clear understanding of the pathogenesis of peri-implant diseases may provide key aspects for decision-making on their approach and obtaining predictable results. The purpose of the present article is to provide a narrative review of current protocols (2015–present) used for treatment of peri-implantitis.Current evidence reflects the level of diagnostic and therapeutic complexity; and multifactorial effect of conditions associated with peri-implant mucositis and peri-implantitis. Non-surgical therapy, by means of mechanical detoxification with or without adjuncts, has proven somehow effective for the treatment of mild forms of peri-implantitis. Conversely, open flap mechanical debridement with resective and/or regenerative treatment modalities have been advocated more towards moderate-to-severe forms. There is a lack of evidence to support the use of adjuncts (e.g. systemic/locally-delivered antibiotics, antimicrobial mouth rinses, biologic agents, laser therapy, antimicrobial photodynamic therapy, soft tissue augmentation) with conventional mechanical therapy upon the long-term outcomes after the peri-implantitis treatment.Emerging long-term results found surgical outcomes after peri-implantitis therapy to remain unpredictable in arresting inflammation, but effective in preventing further bone destruction and implant loss. In the presence of further peri-implant breakdown, the need for rescue therapy and implant removal was observed in retrospective and prospective studies. To the present date, inconclusive evidence exists to support a gold standard protocol for an effective surgical implant detoxification.
Details
- Title: Subtitle
- Current Protocols for the Treatment of Peri-implantitis
- Creators
- Carlos Garaicoa-Pazmino - University of Iowa, PeriodonticsKhaled Sinjab - 0000000086837370 grid.214458.e Department of Periodontics and Oral Medicine University of Michigan School of Dentistry 1011 North University Avenue Ann Arbor MI 48109-1078 USAHom-Lay Wang - 0000000086837370 grid.214458.e Department of Periodontics and Oral Medicine University of Michigan School of Dentistry 1011 North University Avenue Ann Arbor MI 48109-1078 USA
- Resource Type
- Journal article
- Publication Details
- Current oral health reports, Vol.6(3), pp.209-217
- Publisher
- Springer International Publishing
- DOI
- 10.1007/s40496-019-00227-4
- ISSN
- 2196-3002
- eISSN
- 2196-3002
- Language
- English
- Date published
- 09/15/2019
- Academic Unit
- Periodontics
- Record Identifier
- 9984119797102771
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