Surgical treatment of peri ‐implantitis – Consensus report of working group 4

The following consensus report is based on four background reviews (Keeveet  al.,Implant Dent 2019 28(2): 177 –186; Ramanauskaiteet  al.,Implant Dent 2019 28(2): 187 –209; Kooet  al.,Implant Dent 2019 28(2): 173 –176; Sculeanet  al.,Implant Dent 2019 210 –216). The surgical treatment of peri‐implantitis is indicated in the cases where the first choice of treatment, the non‐surgical one, failed with recurrence of bleeding and suppuration. The aim of this review was to systematically screen the literature for possible surface decontamination tec hniques and material during surgical treatment, the surgical regenerative and non‐regenerative treatments of peri‐implantitis, radiological and clinical outcomes, the importance of the presence of fixed and or keratinised peri‐implant gingiva, and to determine predictable therapeutic options f or the clinical surgical management of peri‐implantitis lesions. Existent clinical, radiographic and microbiological data do not favour any decontamination approaches and fail to show the influence of a particular decontamination protocol on surgical therapy. Using implantoplasty in surgical non‐ regenerative treatment leads to a significant decrease in bleeding on probing and probing depth, and may result in improvement of clinical and radiographic parameters, up to 3 years after surgery compared with mechanical debridement alone. Surgical augmentative peri‐implantitis therapy resulted i n improved clinical and radiog...
Source: International Dental Journal - Category: Dentistry Authors: Tags: Supplement Article Source Type: research