Treatment of peri-implantitis: Fiction or reality? Part 2: Adjuncts and decontamination approaches in the non-surgical and surgical management of peri-implantitis

Author:

Sousa Vanessa1,Beltrán Víctor2,Mardas Nikos3,Nanayakkara Lochana4,Donos Nikolaos5

Affiliation:

1. Clinical Lecturer and Honorary Consultant in Periodontology, Periodontology Unit, Centre for Host–Microbiome Interactions, Faculty of Dentistry, Oral and Craniofacial Sciences, King's College London, Guy's and St Thomas' NHS Foundation Trust; Specialist Practitioner, Private Practice, London

2. Associate Professor in Periodontology and Implant Dentistry, Postgraduate Academic Dean, Director of Clinical Investigation and Dental Innovation Center, Institute of Dentistry, Universidad de La Frontera, Temuco, Chile; Specialist Practitioner, Private Practice, Temuco, Chile

3. Clinical Reader and Honorary Consultant in Periodontology, Undergraduate Periodontology Lead, Centre for Immunobiology and Regenerative Medicine, Centre for Oral Clinical Research, Institute of Dentistry, Queen Mary University of London; Specialist Practitioner, Private Practice, London

4. Consultant in Restorative Dentistry, Director of Dental Education, Royal London Hospital, Barts Health NHS Trust; Honorary Senior Lecturer, Co-Lead for DClinDent Programme in Prosthodontics, Institute of Dentistry, Queen Mary University of London; Specialist Practitioner, Private Practice, London

5. Professor of Periodontology and Implant Dentistry, Honorary Consultant in Periodontology, Director of Research, Director of Centre for Oral Clinical Research, Institute of Dentistry, Queen Mary University of London; Royal London Hospital, Barts Health NHS Trust; Specialist Practitioner, Private Practice, London

Abstract

Treatment protocols for peri-implantitis include various decontamination procedures of the exposed implant surface, and their application is dependent on the stage of implant therapy, involving both non-surgical and surgical interventions, as appropriate. These implant surface decontamination procedures may be delivered using different approaches, such as mechanical/physical, chemical, photo/mechanical, adjuncts, or combinations thereof. In Part 1 of this two-part series, we reviewed the available evidence for the non-surgical and surgical management of peri-implantitis. In Part 2, we discuss different approaches for implant surface decontamination. CPD/Clinical Relevance: The pre-operative risk identification and management at both patient and site level, early diagnosis and regular supportive peri-implant care are fundamental for long term implant success and survival.

Publisher

Mark Allen Group

Subject

General Dentistry

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