Management of peri-implantitis – A contemporary synopsis

Wang, Wendy Cw; Lagoudis, Miltiadis; Yeh, Chih-Hung; Paranhos, Klenise S

doi:10.1016/j.sdj.2017.10.001

Cited by 26 publications

(23 citation statements)

References 32 publications

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“…Peri‐implantitis is a serious issue in dental implantology since it might affect as much as 19% of the patients . The potential complications of peri‐implantitis are a series of treatments, which, if unsuccessful, will lead to implant loss …”

Section: Introductionmentioning

confidence: 99%

Adjunctive photodynamic therapy improves the outcomes of peri‐implantitis: a randomized controlled trial

Wang

Zhang

et al. 2019

Australian Dental Journal

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Background: Photodynamic therapy (PDT) can be used for the management of peri-implantitis. This study aimed to explore the efficacy and safety of PDT for peri-implantitis in Chinese Han patients. Methods: This was a single-centre, open-label, randomized controlled trial of participants with peri-implantitis treated at the Beijing Chao-Yang Hospital, randomized 1:1 to PDT or no PDT. PDT was performed using toluidine blue (10 mg/ mL; 3 min) and a 635-nm laser (750 mW; 10 s/implant side; minimum of 60 mW/cm 2 ). The primary outcome was the decline in periodontal probing depth (PD) at 6 months. The secondary outcomes were peri-implant plaque index (PLI), sulcular bleeding index (SBI), and clinical attachment loss (CAL). Results: PD after treatment was smaller in the PDT group (n = 66) than in controls (n = 65) (all P < 0.001 vs. baseline). At 1 month, compared with controls, the PD in the PDT group was larger, while at 3-and 6-month, the PDs were smaller (all P < 0.001). CAL, PLI and SBI in the PDT group was better (P < 0.05 vs. controls). Conclusion: PDT combined with mechanical debridement significantly improves PD, PLI and SBI in participants with peri-implantitis. Importantly, PDT achieved a better CAL than mechanical debridement and cleaning.Abbreviations: AE = adverse event; CAL = clinical attachment loss; DB = distobuccal; PD = pocket depth; PDT = Photodynamic therapy; PLI = peri-implant plaque index; SBI = sulcular bleeding index.

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Section: Introductionmentioning

confidence: 99%

Adjunctive photodynamic therapy improves the outcomes of peri‐implantitis: a randomized controlled trial

Wang

Zhang

et al. 2019

Australian Dental Journal

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“…Over contoured prosthesis and too deep placed dental implants hinders with oral hygiene maintenance. Presence of band of keratinized gingiva around implant improves oral hygiene maintained by the patient, thus maintaining a good peri-implant health [61]. It has been concluded from a recent study that peri-implant inflammation was less likely to progress into peri-implantitis in patients who had regular maintenance [62].…”

Section: Post Delivery Maintenancementioning

confidence: 99%

Microbial Etiology and Antimicrobial Therapy of Peri-implantitis: A Comprehensive Review

Hussain¹,

Abullais²,

Naqash³

et al. 2018

TODENTJ

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Introduction: Implants have turned out to be a well-established therapy in dental practice for the replacement of missing teeth and restoration of function. Peri-implant disease denotes the inflammatory condition of surrounding soft and hard tissues. Two terminologies are covered under the impression of peri-implant pathology; peri-implantitis and mucositis. Peri-implant mucositis is a reversible inflammatory process limited to soft tissues around an implant. Peri-implantitis is an inflammatory condition of hard and soft tissue around the dental implant. Microbial Etiology: Bacterial infections are the most common cause of peri-implantitis. It is a variable poly-microbial infection, although generally dominated by Gram-negative anaerobic bacteria Anti-infective therapy should be included in the treatment regime, while treating the peri-implant disease. Antimicrobial therapy includes local debridement, antibiotic therapy and surface decontamination of the implant. Conclusion: The current article gives a detailed overview of microbial etiology, antimicrobial therapy and its limitations for the treatment of peri-implant Pathology.

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“…Although presenting high and acceptable survival rates [1,2], dental implants fail as a consequence of infection (periimplantitis), excessive biomechanical stress, or improper positioning. Different techniques have been described to remove a failed dental implant that include block resection, buccal bone osteotomy, trephine osteotomy, and piezosurgery [3,4]. The application of counter-torque to break the implant-bone interface has been proposed as a safe, efficient, and atraumatic strategy to remove nonmobile implants [4].…”

Section: Introductionmentioning

confidence: 99%

Performance of the counter-torque technique in the explantation of nonmobile dental implants

2020

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Background: The application of the counter-torque technique has been proposed as a conservative and atraumatic alternative for the explantation of nonmobile dental implants. The objective of this report is to assess the performance of this technique in a large number of patients. Results: Three hundred and fifty-five patients were treated for the explantation of 749 nonmobile dental implants. The explantations were performed by the application of counter-torque to break the bone-implant interface. Successful implant explantation was achieved in 98.4% of the implants. The frequency of complications was 1.3%, most commonly related to the appearance of fissure lines at the implant neck. Conclusions: The counter-torque technique has a high success rate but is not exempt from complications, although at a very low rate.

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Management of peri-implantitis – A contemporary synopsis

Cited by 26 publications

References 32 publications

Adjunctive photodynamic therapy improves the outcomes of peri‐implantitis: a randomized controlled trial

Adjunctive photodynamic therapy improves the outcomes of peri‐implantitis: a randomized controlled trial

Microbial Etiology and Antimicrobial Therapy of Peri-implantitis: A Comprehensive Review

Performance of the counter-torque technique in the explantation of nonmobile dental implants

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