AI Article Synopsis
- Peri-implantitis is a common complication after dental implant treatment, caused by changes in microbiological activity, necessitating a review of the microorganisms involved and treatment options.
- A literature review focused on studies published after 2000 about the microbiota in healthy patients versus those with peri-implantitis and explored recent treatment advancements through clinical studies.
- Findings reveal that the microbiota associated with peri-implantitis is more complex than in healthy conditions, primarily consisting of anaerobic gram-negative bacteria, but there is a lack of clear diagnostic and treatment criteria.
Article Abstract
Introduction: Peri-implantitis is a late complication of dental implant treatment, induced by microbiological changes. Since the disorder is frequent, a review is indicated of the microorganisms that influence it and of the existing treatment options.
Objective: To conduct a literature review of the microbiota associated to peri-implantitis and the existing treatment options.
Material And Method: A PubMed literature search was made of the studies on the microbiota associated to dental implants in healthy patients and patients with peri-implantitis, as well as of the latest treatment developments, using the following key words: "peri-implantitis AND microbiota", "periimplantitis AND microbiota", "peri-implantitis AND treatment", and "periimplantitis AND treatment". Only clinical studies in humans were considered. The following criteria were applied for including articles in the analysis: a) for the peri-implant microbiota, the search limits were human studies after the year 2000; and b) for the treatment of peri-implantitis, the search limits were randomized and controlled clinical trials (RCTs) in humans, with a minimum follow-up of 4 months, and publication after the year 2000.
Results: A total of 18 articles were selected in relation to peri-implant microbiota, and 13 in relation to the treatment of peri-implantitis (8 involving nonsurgical mechanical treatments and 5 surgical procedures).
Conclusions: Evaluation of the literature has shown the microbiota associated to peri-implantitis to be more complex than that found under healthy peri-implant conditions - the main flora consisting of anaerobic gramnegative bacteria. No clear criteria have been identified for the diagnosis and treatment of peri-implantitis.
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| http://dx.doi.org/10.4317/medoral.17227 | DOI Listing |
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