Decision Making for Management of Periimplant Diseases
Implant Dentistry:
June 2018 - Volume 27 - Issue 3 -
p 276–281
Introduction: Nonsurgical and surgical management of periimplant mucositis and periimplantitis
have shown promising results in arresting periimplant marginal bone
loss (MBL) and preventing implant loss. However, management of
periimplant diseases still remains unpredictable for full reconstruction
of lost tissues and completely arrests disease progression. The present
study proposes a decision tree that compiles both clinical and
radiographic presentation of failing implants to aid in the decision
making for their management.
Materials and Methods: An extensive literature review was performed using 3 electronic databases (PubMed, Ovid MEDLINE, and Cochrane Central) on the most recent treatment modalities for the management of periimplant diseases.
Discussion: Evidence-based treatment suggestions were primarily derived from periimplant defect morphology, presence, and severity of periimplant MBL. More evidence is required supporting soft-tissue augmentation for the treatment of periimplant diseases.
Conclusion: Management of periimplant diseases can include lasers, mechanical instrumentation, chemical detoxification, and antimicrobial agents for nonsurgical approaches. On the other hand, removal of failing implants, resective surgery, guided bone regeneration, and soft-tissue grafting are presented as valid options for the surgical treatment of periimplantitis.
Materials and Methods: An extensive literature review was performed using 3 electronic databases (PubMed, Ovid MEDLINE, and Cochrane Central) on the most recent treatment modalities for the management of periimplant diseases.
Discussion: Evidence-based treatment suggestions were primarily derived from periimplant defect morphology, presence, and severity of periimplant MBL. More evidence is required supporting soft-tissue augmentation for the treatment of periimplant diseases.
Conclusion: Management of periimplant diseases can include lasers, mechanical instrumentation, chemical detoxification, and antimicrobial agents for nonsurgical approaches. On the other hand, removal of failing implants, resective surgery, guided bone regeneration, and soft-tissue grafting are presented as valid options for the surgical treatment of periimplantitis.
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