Inflammatory complications in the state of peri-implant tissues and their causes according to the results of a survey of dentists

Abstract

The causes of mucositis or peri-implantitis may be insufficient oral hygiene, overload of implants. Recently, the attention of implantologists has been drawn to the design of the abutment connection node with the implant, which is able to accumulate the microflora of the oral cavity and maintain inflammation in the gum. The purpose of this work was to find out the opinion of dentists about the causes and methods of prevention of mucositis and peri-implantitis based on the results of many years of experience in prosthetics on implants. At the Department of Clinical Dentistry and Implantology of the Academy of Postgraduate Education of the FMBA of Russia, a survey was conducted of 48 orthopedic dentists who had at least 5 years of experience working with dental implants. The questionnaire contained 15 questions about the causes of peri-implant inflammation and its prevention methods. The above results of the questionnaire contain data on the frequency of use of 11 implant systems used in Russia; the detectability of inflammation in peri-implant tissues, bone resorption and gum recession when using various implant systems; the causes of inflammation in periimplant tissues; the role of the implant-abutment junction node. According to the results of the questionnaires, the importance of personal and professional hygiene in the care of installed implants was particularly noted, as well as the advantages of a deep cone connection of the abutment with the implant for the prevention of inflammation.