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Peri-implantitis is caused by a bacterial challenge; therefore, anti-infective treatment strategies should be employed to manage the disease. As nonsurgical approaches demonstrate limited efficacy in most cases of peri-implantitis, surgical interventions are often required. Treatment outcomes improve following access flap surgery, with or without adjunctive resective and/or augmentation measures. Whereas nonaugmentative therapies (ie, access flap surgery and resective techniques) primarily aim to resolve inflammation and arrest further disease progression, augmentation approaches also seek to regenerate the bony defect and achieve reosseointegration. Currently, limited evidence supports the superiority of augmentative surgical techniques for peri-implantitis treatment over nonaugmentation methods, and human histologic evidence for reosseointegration is sparse. For patients involved in regular postoperative maintenance programs, success of peri-implantitis surgical treatment based on various definitions of success was obtained in over half of the cases after 5-7 years. Despite surgical treatment, cases of further disease progression that required retreatment or led to implant loss were reported.
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http://dx.doi.org/10.1111/prd.12417 | DOI Listing |
J Dent
March 2025
Department of Oral and Maxillo-Facial Sciences, "Sapienza" University of Rome, Italy.
Objective: To evaluate the clinical and biomarker outcomes of photodynamic therapy (PDT) as an adjunct to non-surgical mechanical debridement (MD) in the management of peri-implantitis, and to compare its efficacy to MD alone or other non-surgical treatment modalities.
Data And Sources: Electronic searches in PubMed, Web of Science, and CENTRAL were conducted. 4675 studies published until November 2023 were screened.
Ideal implant positioning sets up the implant for long-term biologic and prosthetic success. Malpositioned implants can lead to adjunctive treatment that not only increases time and costs but also can put implants at an increased risk for peri-implantitis, compromise the prosthetic restorability, and negatively affect esthetics. This article describes a novel technique for digital planning to ensure ideal implant positioning and to determine if adjunct treatment is needed prior to implant placement.
View Article and Find Full Text PDFMaterials (Basel)
March 2025
School of Medicine and Health Sciences, Campus de Bellvitge, University of Barcelona, C/Feixa Llarga, s/n, Pavelló Govern, 2ª Planta, Despatx 2.9, 08907 L'Hospitalet de Lllobregat, Spain.
Background/objectives: Peri-implantitis often necessitates surgical intervention, with implantoplasty being proposed as a decontamination method in resective surgeries. This mechanical cleaning technique aims to halt disease progression by removing bacterial colonies. However, implantoplasty may compromise mechanical properties, reduce corrosion resistance, and lead to cytotoxic effects due to titanium particle release.
View Article and Find Full Text PDFClin Exp Dent Res
February 2025
Department of Periodontics, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Background: Peri-implantitis represents a significant challenge in dental implantology, characterized by inflammatory reactions around osseointegrated dental implants that lead to progressive alveolar bone loss.
Objectives: To generate a scoping review that evaluates the efficacy of implantoplasty and Er:YAG laser therapies in managing peri-implantitis by synthesizing recent evidence on their impact on key clinical parameters-including probing depth reduction, bleeding on probing improvement, and marginal bone level stabilization-and to explore the potential synergistic benefits of combining these modalities for enhanced treatment outcomes.
Material And Methods: A comprehensive search was conducted in PubMed, EMBASE, the Cochrane Library, and Web of Science for studies published from January 2018 to the present.
J Oral Implantol
March 2025
Department of Periodontics & Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, MI, USA.
Objectives: This article aims to comprehensively address and discuss the thresholds for implant removal in cases of severe peri-implantitis. Material and Methods: Electronic databases were searched comprehensively, electronically, and manually. Studies focusing on criteria for explantation of dental implants were included and reviewed comprehensively.
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