Minimal invasiveness in the reconstructive treatment of peri‐implantitis defects

Abstract

Peri‐implantitis is a plaque‐associated pathologic condition occurring in tissues around dental implants, clinically characterized by increased peri‐implant probing pocket depth and progressive loss of supporting bone. Consequently, to arrest further disease progression and to increase the chance to obtain re‐osseointegration, surgical reconstructive procedures have been adopted. In particular, following a paradigm gathered from periodontal therapy, recent protocols have underlined the importance of a minimally invasive approach to optimize the outcomes of therapy while minimizing the risks of postoperative complications. The present review summarizes the level of evidence on the surgical reconstructive protocols focusing on the new approaches aiming to minimize surgical trauma and patients’ postoperative discomfort, underlining the pros and cons of each treatment modality.

Influences of standardized clinical probing on peri‐implant soft tissue seal in a situation of peri‐implant mucositis: A histomorphometric study in dogs

“…4 The importance of early diagnosis and prevention has been highlighted because peri-implant mucositis has been found to be potentially progressing to periimplantitis, but is reversible if instant and proper care is provided. 5 Clinical probing is recommended as a routine procedure to diagnose peri-implant soft tissue conditions 1,6,7 since periodontal soft tissue and peri-implant mucosa share some similarities in histological structures and clinical features. 8,9 However, the mechanical disruption of the peri-implant soft tissue caused by conventional periodontal examinations was questioned early on.…”

“…Clinical probing is recommended as a routine procedure to diagnose peri‐implant soft tissue conditions 1,6,7 since periodontal soft tissue and peri‐implant mucosa share some similarities in histological structures and clinical features 8,9 . However, the mechanical disruption of the peri‐implant soft tissue caused by conventional periodontal examinations was questioned early on 10–12 .…”

Non‐surgical treatment of mild to moderate peri‐implantitis with an oscillating chitosan brush or a titanium curette—12‐month follow‐up of a multicenter randomized clinical trial

“…Developing effective non‐surgical treatment methods is essential for treating patients where surgical treatment is contraindicated or for patients unwilling to undergo surgery. Surgical treatment may lead to soft tissue recession and influence the esthetic outcome in cases with high smile lines (Montero et al, 2022).…”

A Biomimetic Smart Nanoplatform as “Inflammation Scavenger” for Regenerative Therapy of Periodontal Tissue

“… 3 For tooth retention, regenerative therapy such as guided bone regeneration (GBR) is widely applied in clinics to restore the destroyed alveolar bone tissue in periodontal disease. 4 Nevertheless, the efficacy of such treatment is often challenged by host responses to various exogenous and endogenous pro-inflammatory stimuli, including bacterial infection, 5 surgical trauma, 6 excessive occlusal stress, 7 and artificial graft materials. 8 Mounting evidence indicates that inflammation serves as a bidirectional signal during the healing process of damaged periodontal tissue.…”