The Journal of the Korean dental association (대한치과의사협회지)

The Korean Dental Association (대한치과의사협회)
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Nonsurgical interventions for treating peri-implantitis and prognosis

임상가를 위한 특집 1 - 임플란트 주위염의 비외과적 치료 방법과 예후

  • Park, Se-Hwan (Department of Periodontology, College of Dentistry, Gangneung-Wonju National University) ;
  • Lee, Jae-Kwan (Department of Periodontology, College of Dentistry, Gangneung-Wonju National University)
  • 박세환 (강릉원주대학교 치과대학 치주과학교실) ;
  • 이재관 (강릉원주대학교 치과대학 치주과학교실)
  • Received : 2014.06.11
  • Accepted : 2014.06.23
  • Published : 2014.07.01
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Abstract

Peri-implantitis is an inflammatory disease of the peri-implant tissue by bacterial infection or other factors, which results in peri-implant bone loss. Many nonsurgical treatments were tried on initial to moderate peri-implantitis lesion to reduce the inflammation. Some of these treatments made effective results, however, they were not definitively predictable. To prevent peri-implantitis and further peri-implant bone loss, early intervention is the most important. Early detection of peri-implant infection through the regular maintenance care can make it possible to do early nonsurgical intervention. Nonsurgical intervention is effective on peri-implant mucositis and can also be effective on initial peri-implantitis lesion. If the peri-implantitis is not resolves by nonsurgical treatment, surgical approach should be considered.

Keywords

References

  1. Albrektsson T, Isidor F. Consensus report of session IV. In: Lang NP, Karring T, editors. Proceedings of the First European Workshop on Periodontology. London: Quintessence; 1994. p.365-9.
  2. Mombelli A, Lang NP. The diagnosis and treatment of peri-implantitis. Periodontol 2000 1998;17:63-76. https://doi.org/10.1111/j.1600-0757.1998.tb00124.x
  3. Lindhe J, Meyle J. Peri-implant diseases: Consensus Report of the Sixth European Workshop on Periodontology. J Clin Periodontol 2008;35(8 Suppl): 282-5. https://doi.org/10.1111/j.1600-051X.2008.01283.x
  4. Schwarz F, Ferrari D, Popovski K, Hartig B, Becker J. Influence of different air-abrasive powders on cell viability at biologically contaminated titanium dental implants surfaces. J Biomed Mater Res B Appl Biomater 2009;88:83-91.
  5. Sahm N, Becker J, Santel T, Schwarz F. Nonsurgical treatment of peri-implantitis using an airabrasive device or mechanical debridement and local application of chlorhexidine: a prospective, randomized, controlled clinical study. J Clin Periodontol 2011;38:872-8. https://doi.org/10.1111/j.1600-051X.2011.01762.x
  6. Renvert S, Lindahl C, Roos Jansåker AM, Persson GR. Treatment of peri-implantitis using an Er:YAG laser or an air-abrasive device: a randomized clinical trial. J Clin Periodontol 2011:38:65-73. https://doi.org/10.1111/j.1600-051X.2010.01646.x
  7. Schwarz F, Sculean A, Rothamel D, Schwenzer K, Georg T, Becker J. Clinical evaluation of an Er:YAG laser for nonsurgical treatment of peri-implantitis: a pilot study. Clin Oral Implants Res 2005;1:44-52.
  8. Soukos NS, Goodson JM. Photodynamic therapy in the control of oral biofilms. Periodontol 2000 2011;55:143-66. https://doi.org/10.1111/j.1600-0757.2010.00346.x
  9. Konopka K, Goslinski T. Photodynamic therapy in dentistry. J Dent Res 2007;86:694-707. https://doi.org/10.1177/154405910708600803
  10. Park SH, Lee SY, Chang BS, Um HS, Lee JK. The effect of erythrosine-mediated photodynamic therapy on intraorally formed biofilm on titanium surface. Int J Oral Biol 2012;37:103-108.
  11. Schar D, Ramseier CA, Eick S, Arweiler NB, Sculean A, Salvi GE. Anti-infective therapy of periimplantitis with adjunctive local drug delivery or photodynamic therapy: six-month outcomes of a prospective randomized clinical trial. Clin Oral Implants Res 2013;24: 104-10. https://doi.org/10.1111/j.1600-0501.2012.02494.x
  12. Bassetti M, et al., Anti-infective therapy of periimplantitis with adjunctive local drug delivery or photodynamic therapy: 12-month outcomes of a randomized controlled clinical trial. Clin Oral Implants Res 2014;25:279-87.
  13. Esposito M, Grusovin MG, Worthington HV. Treatment of peri-implantitis: what interventions are effective? A Cochrane systematic review. Eur J Oral Implantol 2012;5 Suppl:S21-41.
  14. Heitz-Mayfield LJ, Mombelli A. The therapy of peri-implantitis: a systematic review. Int J Oral Maxillofac Implants 2014;29 Suppl:325-45. https://doi.org/10.11607/jomi.2014suppl.g5.3