Author:
Ramanauskaite Ausra,Obreja Karina,Schwarz Frank
Abstract
Abstract
Purpose of Review
To provide an overview of current surgical peri-implantitis treatment options.
Recent Findings
Surgical procedures for peri-implantitis treatment include two main approaches: non-augmentative and augmentative therapy. Open flap debridement (OFD) and resective treatment are non-augmentative techniques that are indicated in the presence of horizontal bone loss in aesthetically nondemanding areas. Implantoplasty performed adjunctively at supracrestally and buccally exposed rough implant surfaces has been shown to efficiently attenuate soft tissue inflammation compared to control sites. However, this was followed by more pronounced soft tissue recession. Adjunctive augmentative measures are recommended at peri-implantitis sites exhibiting intrabony defects with a minimum depth of 3 mm and in the presence of keratinized mucosa. In more advanced cases with combined defect configurations, a combination of augmentative therapy and implantoplasty at exposed rough implant surfaces beyond the bony envelope is feasible.
Summary
For the time being, no particular surgical protocol or material can be considered as superior in terms of long-term peri-implant tissue stability.
Funder
Johann Wolfgang Goethe-Universität, Frankfurt am Main
Publisher
Springer Science and Business Media LLC
Subject
Immunology and Microbiology (miscellaneous),Oral Surgery,Surgery
Cited by
9 articles.
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