Surgical interventions for the treatment of peri‐implantitis

Abstract

Background Peri‐implantitis constitutes one of the most frequent late dental implant complications. The disease is initiated by bacterial infection; therefore, anti‐infective peri‐implantitis treatment strategies are required to arrest the progressive marginal bone loss and maintain the affected implant in function. Although nonsurgical treatment strategies appear to be of limited predictability, treatment outcomes have been frequently improved following surgical interventions. Purpose The present narrative review describes various surgical peri‐implantitis treatment modalities, with respect to their indications, performance, and effectiveness. Materials and Methods The present narrative review considered the most relevant studies in the field published in the English language. Results Surgical peri‐implantitis treatment approaches can be categorized as nonreconstrucive therapy, reconstructive therapy, and combined therapy (ie, reconstructive and resective therapy). In addition to disease resolution, reconstructive approaches also seek to regenerate the bone defect and achieve reosseointegration. Conclusions The severity of the disease, the regenerative potential of the defetc and esthetic demands of the patient are the factors determining the surgical peri‐implantitis treatment modality.

Correlation between Inflammasomes and Microbiota in Peri-Implantitis

“…Immunohistochemical techniques were used to visualize the expression, location, and number of positive cells per mm 2 for each of the inflammasome multiprotein complexes (AIM2 and NLRP3) as well as caspase-1 and IL-1β. In summary, after collection of the microbial samples and recording of the clinical data, resective surgical therapy was conducted under local anesthesia [54]. A band of soft tissue was obtained from the vestibule/lingual aspect of the lesion through an internal bevel incision that extended apically beyond the bottom of the peri-implant sulcus.…”

New Radiological Corticalization Index as an Indicator of Implant Success Rate Depending on Prosthetic Restoration—5 Years of Follow-Up

“…Unfortunately, some symptoms manifest too late, making it impossible to save the implant. Both surgical and non-surgical treatments may prove ineffective if symptoms are identified too late [3]. Radiological examinations, such as single radiographic (RTG) images, offer a minimally invasive method that can provide extensive data for dental surgeons [4].…”