Making decisions in the treatment of peri-implantitis
Time: 15:00 - 16:00
Room: DALI (PV5)
Chair(s): Alejandro López-Quiroga (Spain)
- > To provide the practitioner with information on the diagnosis and treatment of peri-implantitis by using predictable methods
To make a decision of conservative treatment of an implant presenting a peri-implantitis lesion, a comprehensive approach to the clinical situation is needed. This should consider the biological profile of the patient and the presence of infectious risk factors. Implant deposit should never be excluded. Most treatment modalities of peri-implant diseases are adapted from those used for the treatment of periodontal diseases; the primary therapeutic approach being aimed at controlling infection. This may involve adjustment of prostheses to allow proper oral hygiene and professional removal of the biofilm and hard deposits from the implant surface. In advanced peri-implantitis cases, a surgical approach may be necessary to gain access to disrupt and remove the biofilm. If appropriate in such a surgical intervention, regenerative treatments to regain the lost bone may also be performed. At present, there are limited scientific data on the treatment of peri-implant diseases, and therapeutic interventions in peri-implantitis cases are, in many instances, based on clinical experience. However, research activity in this field is very high, and new data are continuously produced with the expectation of clearer guidelines for the treatment of these conditions in the future.