Current Approaches for the Non-surgical Management of Peri-implant Diseases

被引：0
作者：
Roccuzzo A. [1 ,2 ]
De Ry S.P. [1 ]
Sculean A. [1 ]
Roccuzzo M. [3 ,4 ,5 ]
Salvi G.E. [1 ]
机构：
[1] Department of Periodontology, School of Dental Medicine, University of Bern, Freiburgstrasse 7, Bern
[2] Department of Oral and Maxillo-Facial Surgery, Copenhagen University Hospital (Rigshospitalet), Copenhagen
[3] Department of Periodontics and Oral Medicine, University of Michigan, Ann Arbor, MI
[4] Division of Maxillo-facial Surgery, University of Torino, Torino
来源：
Current Oral Health Reports | 2020年 / 7卷 / 3期
关键词：
Crestal bone loss; Dental implants; Inflammation; Peri-implant disease; Peri-implant mucositis; Peri-implantitis; Titanium;
D O I：
10.1007/s40496-020-00279-x
中图分类号：
学科分类号：
摘要：
Purpose of the Review: Peri-implant diseases are inflammatory reactions to bacterial infections affecting osseointegrated dental implants. In recent years, scientific interest on this topic has increased, as demonstrated by the appearance of a large number of protocols for treating peri-implant mucositis (PIM) and peri-implantitis (PI). The aim of the present narrative review is to provide an overview of the recent (e.g., 2014–present) published protocols for the non-surgical treatment of peri-implant diseases. Recent Findings: Several adjunctive measures for mechanical debridement have been proposed and investigated to achieve implant surface decontamination and resolution of mucosal inflammation. However, none of the adjunctive measures has been shown to significantly improve peri-implant conditions compared with non-surgical mechanical debridement alone. Summary: Non-surgical approaches for the treatment of peri-implant diseases have been proved to be reliable in reducing clinical signs of peri-implant inflammation (e.g., BoP), although with limited capability to achieve complete disease resolution. Due to the limited benefits from the use of currently proposed adjunctive methods (e.g., chlorhexidine, lasers, photodynamic therapy, systemic probiotics) their application is not recommended until further investigations prove their clinical utility. © 2020, The Author(s).
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页码：274 / 282
页数：8
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