Peri‐implantitis: etiology, pathogenesis, prevention, and therapy

Lang, Niklaus P.; Mult., H.C.; Tonetti, Maurizio S.

doi:10.1002/9781119140474.ch9

Cited by 5 publications

(5 citation statements)

References 80 publications

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“…Once the any suppuration, edema, and/or infection has resolved, it is reasonable to consider guided tissue regenerative procedures with allogenic bone grafting to restore bone height around the implant. 8 If the implant is restored, the restoration should be taken out of occlusion to minimize functional loads. Mobility of implants results in implant failure, and removal is required with possible bone grafting if desired (Fig.…”

Section: Graft Contamination Wound Dehiscence Infection Resorptionmentioning

confidence: 99%

Hard and Soft Tissue Surgical Complications in Dental Implantology

Aziz

2015

Oral and Maxillofacial Surgery Clinics of North America

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Section: Graft Contamination Wound Dehiscence Infection Resorptionmentioning

confidence: 99%

Hard and Soft Tissue Surgical Complications in Dental Implantology

Aziz

2015

Oral and Maxillofacial Surgery Clinics of North America

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“…PiM prevention and treatment are becoming more important [ 14 ] because the condition can be treated with proper inflammation management; treating PiM is thought to be the best way to avoid PI [ 15 ]. An excellent preventive and therapeutic strategy must identify the critical elements linked to the genesis and risk factors of peri-implant disorders [ 16 ].…”

Section: Introductionmentioning

confidence: 99%

A Single Dose of Piperacillin Plus Tazobactam Gel as an Adjunct to Professional Mechanical Plaque Removal (PMPR) in Patients with Peri-Implant Mucositis: A 6-Month Double-Blind Randomized Clinical Trial

Ilyes,

Boariu,

Rusu

et al. 2024

Antibiotics

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Objectives: This randomized, placebo-controlled, double-masked clinical trial aimed to evaluate the clinical and microbiological efficacy of professional mechanical plaque removal (PMPR) with or without adjunctive application of piperacillin plus tazobactam gel in the treatment of peri-implant mucositis (PiM) for up to 6 months. Materials and Methods: The study included 31 patients with peri-implant mucositis (bleeding on probing (BoP) > 1 at at least one site at baseline, absence of peri-implant bone loss compared with a previous radiograph). After randomized assignment to test and control groups, patients received full-mouth supragingival scaling with or without piperacillin plus tazobactam gel. Clinical examination was performed at baseline and after 3 and 6 months, and a microbiological examination was performed at baseline and after 3 months. Results: After six months, both treatment modalities resulted in significant reductions and improvements in clinical parameters at the implant sites. Neither study group achieved a complete resolution of PiM (i.e., BoP ≤ 1 per implant). The number of implants with BoP decreased statistically significantly between subsequent time points (p < 0.001) in both the test and the control group. Significant BoP differences (p = 0.039) were observed between groups at 6 months (difference to baseline) following therapy. Conclusions: Within the limitations of the present study, the single use of a slow-release, locally applied antibiotic combination of piperacillin and tazobactam gel, adjunctive to PMPR, showed an improvement in clinical variable of implants diagnosed with PiM. The adjunctive treatment resulted in higher BoP reduction when compared to the control, but no significant differences were observed regarding the changes in other clinical and microbiological parameters.

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“…Most literature studies identify bacterial biofilms as the primary etiological factor for the initiation and progression of peri-implantitis [6,7]. According to some authors, other factors may initiate an aseptic bone resorption, followed in a later stage by bacterial colonization [8].…”

Section: Introductionmentioning

confidence: 99%

The Prevention of Implant Surface Alterations in the Treatment of Peri-Implantitis: Comparison of Three Different Mechanical and Physical Treatments

Lollobrigida

Fortunato

Serafini

et al. 2020

IJERPH

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The surgical treatment of peri-implantitis is currently based on the removal of biofilms from the implant surface by primary means of mechanical and physical treatments. However, such approaches often determine some alterations of the implant surface with detrimental effects on re-osseointegration. This study aims to evaluate the effects of four different mechanical and physical treatments on titanium samples with moderately rough surface. Air powder abrasion (AP) with glycine powder, a titanium brush (TB) and a diode laser at 3 W (L3) and 4 W (L4) were tested. Surface morphology, roughness and chemical composition were then assessed by scanning electron microscope (SEM), white light interferometer and X-ray photoelectron spectroscopy (XPS), respectively. The microscopic analysis revealed significant alterations in surface morphology on TB samples, while AP and L3 had only a minor or null impact. L4 samples revealed signs of overheating due to the excessive power. Nevertheless, the overall roughness of the samples was not significantly altered in terms of roughness parameters. Similarly, surface chemical composition was not significantly affected by the treatments. Among the treatments tested in this study, air powder abrasion with glycine powder and 3 W diode laser had the lowest impact on surface physicochemical properties.

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Peri‐implantitis: etiology, pathogenesis, prevention, and therapy

Cited by 5 publications

References 80 publications

Hard and Soft Tissue Surgical Complications in Dental Implantology

Hard and Soft Tissue Surgical Complications in Dental Implantology

A Single Dose of Piperacillin Plus Tazobactam Gel as an Adjunct to Professional Mechanical Plaque Removal (PMPR) in Patients with Peri-Implant Mucositis: A 6-Month Double-Blind Randomized Clinical Trial

The Prevention of Implant Surface Alterations in the Treatment of Peri-Implantitis: Comparison of Three Different Mechanical and Physical Treatments

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