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Current Protocols for the Treatment of Peri-implantitis

  • Carlos Garaicoa-Pazmino
  • Khaled Sinjab
  • Hom-Lay WangEmail author
Clinical Periodontics (Y Stathopoulou, Section Editor)
  • 7 Downloads
Part of the following topical collections:
  1. Topical Collection on Clinical Periodontics

Abstract

Purpose of Review

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.

Recent Findings

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.

Summary

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.

Keywords

(MeSH) Dental implants Peri-implantitis Inflammation Disease management 

Notes

Compliance with Ethical Standards

Conflict of Interest

Carlos Garaicoa-Pazmino, Khaled Sinjab, and Hom-Lay Wang each declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Carlos Garaicoa-Pazmino
    • 1
  • Khaled Sinjab
    • 2
  • Hom-Lay Wang
    • 2
    Email author
  1. 1.Department of Periodontology, School of DentistryOregon Health & Science UniversityPortlandUSA
  2. 2.Department of Periodontics and Oral MedicineUniversity of Michigan School of DentistryAnn ArborUSA

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