Treatment considerations in peri-implantitis

Kim,  Bo-Bae; Ko,  Young kyung; Park,  Jun-Beom

J Korean Dent Assoc > Volume 53(5); 2015 > Article

The Journal of The Korean Dental Association 2015;53(5):318-325.
Published online May 31, 2015.

임프란트 주위염의 이해와 치료

김보배¹, 고영경², 박준범³

^¹가톨릭대학교 의과대학 치주과
^²가톨릭대학교 의과대학 치주과
^³가톨릭대학교 의과대학 치주과

Treatment considerations in peri-implantitis

Bo-Bae Kim¹, Young kyung Ko², Jun-Beom Park³

¹Department of Periodontics, College of Medicine, The Catholic University of Korea
²Department of Periodontics, College of Medicine, The Catholic University of Korea
³Department of Periodontics, College of Medicine, The Catholic University of Korea

Abstract

Peri-implantitis is defined as an inflammatory process affecting the tissues around an osseointegrated implant, resulting in the loss of the supporting bone. Microbial adherence and colonization appear to play a major role in the pathogenesis of periimplantitis. The decision regarding treatment strategies is based on the diagnosis. The severity of the peri-implant lesion and the treatment strategies must include mechanical cleaning (infection control) procedures. Mechanical instrumentation is widely used for the debridement of dental implants, but this may alter the titanium's surface properties. Therefore, selection of the type of instrumentation should be made depending on the type of surface to be debrided. Also, patients with dental implants must always be enrolled in a supportive therapy program.

Key Words: Peri-implantitis;Periodontal debridement;Surface properties;Titanium;