Prevention and management of peri‐implant disease

Abstract

Background As more patients choose dental implants as their primary treatment option to restore edentulous ridges or to replace compromised dentition, preventive strategies for peri‐implant diseases and complications have become an important topic. Purpose The aim of the review article is to summarize the current available evidence on the potential risk factors/indicators for peri‐implant disease development and then focus on the preventive strategies for peri‐implant diseases and conditions. Materials and Methods After reviewing the diagnostic criteria and the etiology of peri‐implant diseases and conditions, evidence on the possible associated risk factors/indicators for peri‐implant diseases were searched and identified. Recent studies were also surveyed to explore the preventive measures for peri‐implant diseases. Results The possible associated risk factors of peri‐implant diseases can be divided into the following categories: patient‐specific factors, implant‐specific factors, and long‐term factors. Patient‐specific factors such as history of periodontitis and smoking have been conclusively associated with peri‐implant diseases, whereas findings on others, such as diabetes and genetic factors, remain inconclusive. It has been suggested that both implant‐specific factors, such as implant position, soft tissue characteristics, and the type of connection used, and long‐term factors, such as poor plaque control and a lack of maintenance program, have a strong impact on maintaining the health of a dental implant. Assessment tool for evaluating the risk factors can be a potential preventive measure for peri‐implant disease prediction, and it is needed to be properly validated. Conclusion Proper maintenance program for early intervention to control peri‐implant diseases at the initial stage and pretreatment assessment of the potential risk factors is the best strategy to prevent implant diseases.

Gestão em um projeto de extensão universitária: uma abordagem multimeios

“…Especialmente na Implantodontia, para se garantir um tratamento de sucesso a longo prazo é necessário um registro adequado das informações como tipo de implante e componente protético, associado a um programa de manutenção periódica, com retornos frequentes do paciente, sendo indicado um retorno a cada 3 meses no primeiro ano e nos anos subsequentes esse retorno deve ser calculado com base nos fatores de risco apresentados (Sun, Chen & Gallucci, 2023). Dessa forma, trata-se de uma área que pode se beneficiar muito dos avanços tecnológicos para subsidiar suas práticas de gestão.…”

The Potential Value of Probiotics after Dental Implant Placement

“…The primary etiology of peri-implant diseases is microbial infection of the peri-implant tissues [ 183 , 184 ]. Peri-implantitis is characterized by a dysbiosis of the subgingival microbial ecosystem [ 185 ].…”

“…Based on existing research, if left untreated in the early stages, peri-implant mucositis tends to rapidly progress [ 220 ]. Considering the cost and difficulty of treating peri-implantitis, the best approach is to intervene before the onset of peri-implant diseases or in the early stages of the disease to prevent further progression [ 126 , 184 ]. Although probiotics are controversial for the cure of peri-implantitis, more than one study emphasizes the clinical significance of probiotics in controlling and preventing peri-implant diseases [ 105 , 208 , 213 , 221 , 222 ].…”

Clinical outcomes and periodontal conditions of dental implants placed in free fibula flaps (FFF): a retrospective study with a mean follow-up of 6 years

“…Plus, patients who underwent reconstructive surgery suffer from limitations in oral opening because of oral vestibule contracture, reporting difficulty in accessing the abutments for effective home-care oral hygiene procedures [ 23 ]. As many studies demonstrated that higher plaque levels [ 24 , 25 ] and lack of accessibility for cleaning at implant level [ 21 ] are both significantly associated with peri-implantitis, oral hygiene performed by patients therefore represents a key component in preventing peri-implant diseases [ 26 , 27 ].…”