Modern ideas about the prevention and treatment of periimplantitis: a literature review

Potrivailo, A.; Prikuls, Vladislav F.; Amkhadova, M. A.; Prikule, Diana V.; Aleskerov, El’chin Sh. Sh.-O.

doi:10.33667/2078-5631-2020-12-8-11

Cited by 5 publications

(2 citation statements)

References 17 publications

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“…The widespread use of implants has also led to the accumulation of experience with complications 5-8]. One of the main complications is inflammation of the peri-implant tissues -peri-implantitis [9][10][11][12][13][14][15][16].…”

Section: Introductionmentioning

confidence: 99%

“…In parallel with the expansion of clinical application of dental implants and introduction of the technology into daily practice, the experience of complications and errors was also accumulated, from single publications in the 1990s, at the very beginning of development [5][6][7][8], to large-scale studies in the 10s [9][10][11][12][13][14].…”

Section: Introductionmentioning

confidence: 99%

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Techniques for conservative treatment of peri-implantitis

Burlakova,

Dymnikov

2024

Vestn. Ross. univ. družby nar., Ser. Med.

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Relevance. Dental implants are widely used to restore the patient’s teeth. They have become aworthy alternative to removable dentures. With the accumulation of clinical experience, the indications for dental implantation expanded, and as aresult, the evaluation of long-term results became possible. In parallel with the expansion of clinical use of dental implants and the introduction of the technology into everyday practice, the experience of complications and errors accumulated, and from single publications in the 1990s, at the very beginning of development, to large-scale studies in the 10s. And if in the early period of implantology development the success of treatment was mainly associated with implant survival, then modern research focuses on the state of tissues around the implant, and the influence of processes in them on the overall outcome of treatment. One of the main complications is inflammation of peri-implant tissues - peri-implantitis. Modern authors define peri-implantitis as an inflammatory process affecting the tissues around afunctionally integrated implant, resulting in loss of supporting bone. Continued bone loss around the implant can significantly impair implant stability and function. The authors review the scientific literature describing experimental conservative treatment protocols for peri-implantitis and attempts to achieve osseointegration. Conclusion. The reviewed literature advocated various methods of surgical regenerative treatment for peri-implantitis, including the use of bone substitutes, methods of detoxification of implant surfaces, and the administration of antimicrobial agents. There are many different protocols for the treatment of peri-implantitis; they all share the same goal of reducing disease progression and bone loss by eliminating bacterial infection. The controversy over the proper approach to treating peri-implantitis and restoring osseointegration clearly demonstrates the need for more research to answer this question.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Techniques for conservative treatment of peri-implantitis

Burlakova,

Dymnikov

2024

Vestn. Ross. univ. družby nar., Ser. Med.

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Estimation of long-term results of complex application of laserotherapy and low-frequency electrostatic field in patients with postprothetic inflammatory complications during dental implantation

Livshits

Nagornev

2021

Russian Journal of Physiotherapy, Balneology and Rehabilitation

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BACKGROUND: Previous studies have shown high clinical efficacy of the course combined use of a low-frequency electrostatic field and low-intensity infrared laser therapy in patients with peri-implantitis. It was shown that the use of these physiotherapeutic factors is accompanied by the development of anti-inflammatory and analgesic effects, increased tissue blood flow in the area of therapeutic exposure, as well as activation of trophic-regenerative processes that determine the degree of osseointegration of implants. However, along with resolving the issue of the current relief of clinical manifestations of peri-implantitis, an important point is the study of the long-term effect of the treatment method used. Evaluation of long-term results makes it possible to determine the duration of the preservation of the therapeutic effect, which makes it possible to determine the optimal parameters of the frequency and frequency of the therapeutic effects. AIMS: Evaluation of complex physiotherapeutic treatment of patients with post-prosthetic inflammatory complications during dental implantation in the long-term period (after 6 and 12 months). MATERIAL AND METHODS: The study was carried out with the participation of 132 patients aged 35 to 57 years with a clinically and radiologically confirmed diagnosis of class I and II peri-implantitis. All patients were divided into 4 groups by the method of simple fixed randomization. The first group (control group, 31 patients) received standard dental treatment, including professional oral hygiene, removal of dental plaque and granulation, and debridement of peri-implant pockets. In the second group (main I, 31 patients), in addition to the standard therapy, a course of laser therapy was carried out using the BTL-4000 physiotherapy apparatus. In the third group (main II, 30 patients), the standard treatment was supplemented with a course of low-frequency electrotherapy. The fourth group (main III, 31 patients), along with standard treatment, received low-frequency electrotherapy in combination with laser therapy. Long-term results were assessed 6 and 12 months after the end of therapy using clinical-functional, biochemical and psychological methods. RESULTS: The course combined use of a laser and a low-frequency electrostatic field as a supplement to the standard treatment protocol for patients with peri-implantitis ensures the maximum preservation of higher indicators characterizing the restoration of the functions of the dentition, aesthetic parameters of the face and an increase in the quality of life of patients in general. CONCLUSION: Taking into account the risk of developing a possible exacerbation of the inflammatory process, as well as the dynamics of the studied clinical and functional parameters in patients with peri-implantitis in the long-term period, it was concluded that it is necessary to conduct repeated courses of combined use of an infrared laser and low-frequency electrostatic therapy in 69 months.

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Dynamics of the clinical state of patients with peri-implantitis under conditions of complex application of physiotherapy technologies

Livshits

Nagornev

Frolkov

et al. 2021

Fizioterapevt (Physiotherapist)

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The article presents the results of the treatment of inflammatory complications in patients with orthopedic constructions on dental implants using the course complex application of low-intensity infrared laser therapy and low-frequency electrostatic therapy. It has been shown that under the influence of a complex of physiotherapeutic factors, a more pronounced inverse dynamics of the clinical manifestations of peri-implantitis is observed in comparison with the standard treatment regimen, which has a positive effect on the indicators of the secondary stability of the implants themselves. The mechanisms of realization of the therapeutic efficiency of a low-intensity laser and a low-frequency electrostatic field are considered from the medical and biological point of view. The analysis of the study allows concluding that the course complex application of physiotherapeutic technologies in the treatment of post-prosthetic inflammatory complications during dental implantation is highly effective. The addition of the standard treatment regimen with the combined use of a low-frequency electrostatic field and laser therapy has a positive effect on the regression of the clinical manifestations of peri-implantitis and on the index indicators of the patients’ dental status. The increase in therapeutic efficiency observed when using a low-frequency electrostatic field in combination with an infrared laser of the complex is realized due to the potentiating type of interaction of physical factors, which is based on various points of application and the mechanisms of their corrective activity.

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Modern ideas about the prevention and treatment of periimplantitis: a literature review

Cited by 5 publications

References 17 publications

Techniques for conservative treatment of peri-implantitis

Techniques for conservative treatment of peri-implantitis

Estimation of long-term results of complex application of laserotherapy and low-frequency electrostatic field in patients with postprothetic inflammatory complications during dental implantation

Dynamics of the clinical state of patients with peri-implantitis under conditions of complex application of physiotherapy technologies

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