Management of peri-implantitis

Area of Science:

• Dental Implantology
• Periodontology
• Infectious Diseases

Background:

• Peri-implantitis is an infectious disease affecting tissues around functional osseointegrated implants.
• Etiology involves tissue status, implant design, surface roughness, morphology, and mechanical load.
• Commonly associated microorganisms include spirochetes and Gram-negative anaerobes.

Purpose of the Study:

• To review various treatment options for managing peri-implantitis.
• To provide a brief description of etiopathogenesis, clinical features, and diagnosis of peri-implantitis.

Main Methods:

• Literature review of peri-implantitis management.
• Discussion of etiopathogenesis, clinical presentation, and diagnostic criteria.
• Analysis of treatment strategies including infection control and bone regeneration.

Main Results:

• Diagnosis relies on gingival color changes, bleeding, probing depth, suppuration, radiography, and bone loss.
• Treatment varies between peri-implant mucositis and peri-implantitis.
• Effective management requires infection control, implant surface detoxification, and alveolar bone regeneration.

Conclusions:

• Peri-implantitis necessitates a multifaceted approach addressing infection, surface contamination, and bone defects.
• Understanding the etiopathogenesis and diagnostic indicators is crucial for appropriate treatment selection.
• Successful outcomes depend on comprehensive management strategies targeting all aspects of the disease.