Resolution of peri‐implantitis by means of implantoplasty as adjunct to surgical therapy: A retrospective study

Monje, Alberto; Pons, Ramón; Amerio, Ettore; Wang, Hom‐Lay; Nart, José

doi:10.1002/jper.21-0103

Cited by 29 publications

(47 citation statements)

References 64 publications

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“…Among the different decontamination methods, IP is the technique that generates the greatest amount of metal debris, much of which cannot be removed and remains within the soft tissues and bone after surgery [ 2 ]. The volume of metal particles released by implantoplasty depends on the amount of dental implant surface exposed to the oral environment, as well as the number of implants requiring IP [ 14 , 34 , 35 ]. A growing body of evidence suggests that Ti particles may influence bone remodeling and play an important role in the development of peri-implant marginal bone loss [ 16 , 31 , 32 , 36 ].…”

Section: Discussionmentioning

confidence: 99%

“…After resective surgery, the rough surface of the implant may be exposed to the oral environment. In these cases, implantoplasty (IP) has been described to decontaminate the supracrestal component of the implant, hinder bacterial adhesion and facilitate hygiene [ 14 ]. Implantoplasty consists of polishing the implant surface that has been uncovered by the loss of peri-implant bone height [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

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Physicochemical and Biological Characterization of Ti6Al4V Particles Obtained by Implantoplasty: An In Vitro Study. Part I

et al. 2021

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Implantoplasty is a mechanical decontamination technique that consists of polishing the supra-osseous component of the dental implant with peri-implantitis. This technique releases metal particles in the form of metal swarf and dust into the peri-implant environment. In the present in vitro study, the following physicochemical characterization tests were carried out: specific surface area, granulometry, contact angle, crystalline structure, morphology, and ion release. Besides, cytotoxicity was in turn evaluated by determining the fibroblastic and osteoblastic cell viability. As a result, the metal debris obtained by implantoplasty presented an equivalent diameter value of 159 µm (range 6–1850 µm) and a specific surface area of 0.3 m2/g on average. The particle had a plate-like shape of different sizes. The release of vanadium ions in Hank’s solution at 37 °C showed no signs of stabilization and was greater than that of titanium and aluminum ions, which means that the alloy suffers from a degradation. The particles exhibited cytotoxic effects upon human osteoblastic and fibroblastic cells in the whole extract. In conclusion, metal debris released by implantoplasty showed different sizes, surface structures and shapes. Vanadium ion levels were higher than that those of the other metal ions, and cell viability assays showed that these particles produce a significant loss of cytocompatibility on osteoblasts and fibroblasts, which means that the main cells of the peri-implant tissues might be injured.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Physicochemical and Biological Characterization of Ti6Al4V Particles Obtained by Implantoplasty: An In Vitro Study. Part I

et al. 2021

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“…In terms of implant survival, the rate yielded was 90% over approximately 24 months of follow‐up. Disease resolution was 74% when a “flexible” definition of success (bleeding on probing ≤ 2 sites, probing pocket depth less than 6 mm, and stable bone levels) was embraced 22 . In addition, the width of KM at the buccal aspect was found to be indicator of therapeutic success 16 .…”

Section: Discussionmentioning

confidence: 99%

Principles of Combined Surgical Therapy for the Management of Peri‐Implantitis

Monje

Schwarz

2021

Clin Adv Periodontics

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The purpose of this technical note is to present the principles for combined therapy as well as to illustrate the step-by-step approach of this procedure to efficiently manage peri-implantitis.Summary: Peri-implantitis is the primary threat that compromises the longevity of dental implants. This entity is regarded as a biofilm-mediated inflammatory condition. As such, the arrestment of disease is conditioned by the elimination of the etiological factor and the clinical resolution of inflammation by eliminating pathogenic pockets. It was suggested that the therapy of peri-implantitis relies upon defect configuration. In this sense, defect configuration is, in part, conditioned by the dimensions of the alveolar bone and implant position. In the clinical basis, it is frequent to identify combined defects exhibiting area(s) where reconstructive therapy is inefficient due to uncontained defect morphology. These situations represent clinical indications for combined therapy. Conclusions:This therapeutic modality is based on the combination of reconstructive therapy in the infraosseous defect component and surface modification for the area of the implant within the supracrestal component or outside the reparative potential.

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“…This procedure aims to achieve a relatively smooth implant surface and reduce the screw shape topography of the implant to facilitate ongoing implant maintenance. This has been successfully implemented by numerous clinicians and researchers to manage periimplantitis with good clinical and radiographic outcomes in areas with limited potential for bone regeneration due to the anatomy of the defect (Matarasso et al, 2014;Monje et al, 2021;Schwarz et al, 2013). Instrumentation of the implant surface will inevitably result in a narrower implant, which will likely decrease the maximum force it can withstand before fracturing.…”

mentioning

confidence: 99%

The effect of implantoplasty on dental implant fracture resistance: a systematic review

Goh

Tawse‐Smith

Atieh³

et al. 2022

IJOHS

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An increase in dental implant placements in recent years has seen a growth in the reported cases of post-operative complications such as peri-implantitis. One of the available treatment modalities to overcome such complications is implantoplasty. Although this procedure is not new, the long-term effect of implantoplasty has not been addressed extensively. The aim of this systematic review was to investigate the change in fracture resistance of dental implants after implantoplasty. Three electronic databases and reference lists of included studies were searched to assess the potential effect of implantoplasty on implant fracture resistance. Titles and abstracts were screened by two reviewers in parallel. The extracted information regarding implant fracture resistance was reported based on the guidelines set by the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) statement. A total of 56 studies were identified, of which, nine studies were included. Narrow platform implants (<3.75 mm) were more susceptible to fracture following implantoplasty compared to wider platforms (?5 mm). Implants with internal hexagon connection may have a higher risk of fracture after implantoplasty compared to other connection designs such as external hexagon and conical connections. Other potential factors which may affect implant fracture resistance after implantoplasty include crown to implant ratio, implant material, and the amount of peri-implant bone loss. Within the limitation of in vitro studies, there is no clear evidence to demonstrate the effect of implantoplasty on implant fracture resistance. Methodological differences between the available studies did not allow for clear comparison between them. Furthermore, the limited amount of clinical reports of this resective procedure, in combination with patient and operator variability, affect the clinical assessment of this treatment modality.

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Resolution of peri‐implantitis by means of implantoplasty as adjunct to surgical therapy: A retrospective study

Cited by 29 publications

References 64 publications

Physicochemical and Biological Characterization of Ti6Al4V Particles Obtained by Implantoplasty: An In Vitro Study. Part I

Physicochemical and Biological Characterization of Ti6Al4V Particles Obtained by Implantoplasty: An In Vitro Study. Part I

Principles of Combined Surgical Therapy for the Management of Peri‐Implantitis

The effect of implantoplasty on dental implant fracture resistance: a systematic review

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