| 1. |
- Hirooka, Hideaki, et al.
(författare)
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Diagnosis of Periimplant Disease
- 2019
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Ingår i: Implant Dentistry. - : LIPPINCOTT WILLIAMS & WILKINS. - 1056-6163 .- 1538-2982. ; 28:2, s. 144-149
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: The aim of this review is to describe the current guidelines for the differential diagnosis of periimplant diseases. Materials and Methods: Synopsis reviews were conducted to define the differential diagnosis of periimplant disease through an electronic literature search in MEDLINE up to February 2018. Discussion: Periimplant mucositis is defined by the presence of bleeding and/or suppuration on gentle probing with or without an increased probing depth compared with previous examinations and by the absence of bone loss beyond crestal bone-level changes resulting from initial bone remodeling. Periimplantitis is defined by the presence of bleeding and/or suppuration on gentle probing with an increased probing depth compared with previous examinations and by the presence of bone loss beyond crestal bone-level changes resulting from initial bone remodeling. Thus, a combination of clinical registrations (probing pocket depth, bleeding on probing, and presence of pus) combined with radiographic signs of possible bone loss is needed for differential diagnosis. Conclusions: An accurate baseline registration at the time of placement of the prosthesis (probing pocket depth and bone level) with ongoing yearly monitoring is essential for diagnosis and appropriate disease management.
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| 2. |
- Wang, Chin-Wei, et al.
(författare)
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Nonsurgical Treatment of Periimplantitis
- 2019
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Ingår i: Implant Dentistry. - : LIPPINCOTT WILLIAMS & WILKINS. - 1056-6163 .- 1538-2982. ; 28:2, s. 155-160
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: Periimplantitis has become an emerging challenge faced by practicing dentists worldwide. When treating periimplantitis, we should attempt to manage this problem via nonsurgical therapies that include addressing all modifiable systemic risk factors and local contributing factors. Hence, the aim of this narrative review was to examine published studies on nonsurgical treatment of periimplantitis and evaluate their effectiveness and limitations. Materials and Methods: A literature search was performed in MEDLINE via PubMed database up to December 31, 2017. Current published clinical approaches focused on mechanical debridement, adjunctive antiseptic therapy, adjunctive antibiotic therapy, laser-assisted therapy, and combination approaches were included in this analysis. Results: Nonsurgical therapy of periimplantitis may result in complete healing of the disease and the patient is then placed on a supportive maintenance program. If the disease is not resolved and surgical intervention is not an option, active nonsurgical retreatment may be considered. In many cases where disease is not resolved, surgical therapy or implant removal could be considered. Conclusions: Nonsurgical treatment of periimplantitis usually provides clinical improvements in reducing bleeding tendency and in some cases pocket reduction. Early diagnosis, detection, and intervention remain the key for managing periimplantitis.
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