Definition, etiology, prevention and treatment of peri-implantitis – a review

Head & Face Medicine

Jamal M Stein¹  Christian Hammächer³  Max Heiland²  Ole Jung²  Anders Henningsen²  Ralf Smeets² 

[1] Department of Conservative Dentistry, Periodontology and Preventive Dentistry, University Hospital Aachen, Pauwelsstr.30, 52074 Aachen, Germany;Department of Oral and Maxillofacial Surgery, University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246 Hamburg, Germany;Private Practice, Schumacherstrasse 14, 52062 Aachen, Germany

关键词: Etiology;    Epidemiology;    Peri-implantitis therapy;    Mucositis;    Periodontal disease;    Review;    Peri-implant disease;    Peri-implantitis;   

Others  :  1145507
DOI  :  10.1186/1746-160X-10-34

 received in 2014-06-09, accepted in 2014-08-15,  发布年份 2014

【 摘 要 】

Peri-implant inflammations represent serious diseases after dental implant treatment, which affect both the surrounding hard and soft tissue. Due to prevalence rates up to 56%, peri-implantitis can lead to the loss of the implant without multilateral prevention and therapy concepts. Specific continuous check-ups with evaluation and elimination of risk factors (e.g. smoking, systemic diseases and periodontitis) are effective precautions. In addition to aspects of osseointegration, type and structure of the implant surface are of importance. For the treatment of peri-implant disease various conservative and surgical approaches are available. Mucositis and moderate forms of peri-implantitis can obviously be treated effectively using conservative methods. These include the utilization of different manual ablations, laser-supported systems as well as photodynamic therapy, which may be extended by local or systemic antibiotics. It is possible to regain osseointegration. In cases with advanced peri-implantitis surgical therapies are more effective than conservative approaches. Depending on the configuration of the defects, resective surgery can be carried out for elimination of peri-implant lesions, whereas regenerative therapies may be applicable for defect filling. The cumulative interceptive supportive therapy (CIST) protocol serves as guidance for the treatment of the peri-implantitis. The aim of this review is to provide an overview about current data and to give advices regarding diagnosis, prevention and treatment of peri-implant disease for practitioners.

【 授权许可】

   
2014 Smeets et al.; licensee BioMed Central Ltd.

【 图 表 】

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