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Peri-implantitis: associated microbiota and treatment
Javier Ata-Ali1, María Eugenia Candel-Marti, Antonio Juan Flichy-Fernández
1Valencia University Medical and Dental School, Valencia, Spain.
Peri-implantitis, a complication of dental implants, involves complex anaerobic gram-negative bacteria. Current diagnostic and treatment criteria for peri-implantitis require further research and standardization.
Area of Science:
- Dental Implantology
- Microbiology
- Periodontology
Background:
- Peri-implantitis is a common complication following dental implant procedures.
- It is primarily caused by shifts in the peri-implant microbiota.
- Understanding these microbial changes and treatment options is crucial.
Purpose of the Study:
- To review the scientific literature on the microbiota associated with peri-implantitis.
- To examine the current treatment modalities for peri-implantitis.
Main Methods:
- A comprehensive literature search was conducted on PubMed.
- Keywords included "peri-implantitis AND microbiota" and "peri-implantitis AND treatment".
- Included studies were human clinical trials published after 2000, with RCTs for treatment analysis.
Main Results:
- 18 articles were selected for peri-implant microbiota analysis.
- 13 articles were selected for peri-implantitis treatment analysis.
- Treatments included 8 nonsurgical and 5 surgical approaches.
Conclusions:
- The microbiota in peri-implantitis is more complex than in healthy implants, dominated by anaerobic gram-negative bacteria.
- Current literature lacks clear diagnostic criteria for peri-implantitis.
- Standardized treatment guidelines for peri-implantitis are not yet established.
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