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Calcium hydroxide paste as a surface detoxifying agent for infected dental implants: two case reports
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The Journal of Oral Implantology
|October 10, 2009
Summary
Calcium hydroxide paste shows promise for treating infected dental implants, offering a potential detoxifying agent for local infections. Combining it with chlorhexidine may enhance antimicrobial action against stubborn implant infections.
Area of Science:
- Dental Implantology
- Biomaterials Science
- Infectious Diseases
Background:
- Dental implant success rates are high, but infections can occur during or after osseointegration.
- Implant infections pose a significant challenge to treatment outcomes.
- Current treatment options for infected dental implants are limited.
Observation:
- Two case reports explored the use of endodontic calcium hydroxide paste for surface treatment of infected dental implants.
- Treatments were applied to implants that were infected, healing, or already osseointegrated.
- A sequential treatment involving calcium hydroxide and 0.2% chlorhexidine gluconate was also investigated.
Findings:
- Calcium hydroxide paste demonstrated anecdotal effectiveness as a surface detoxifying agent for local dental implant infections.
- The combination of calcium hydroxide and chlorhexidine gluconate exhibited a broad spectrum of antimicrobial activity.
- This combined approach showed potential for detoxifying recalcitrant implant infections.
Implications:
- Calcium hydroxide may serve as a viable agent for managing local dental implant infections.
- Sequential application with chlorhexidine gluconate could offer enhanced antimicrobial efficacy.
- Further research is warranted to validate these findings and establish optimal protocols, emphasizing that calcium hydroxide should not remain in the surgical site.
