Diagnosis and non ‐surgical treatment of peri‐implant diseases and maintenance care of patients with dental implants – Consensus report of working group 3

AbstractThe following consensus report is based on four background reviews. The frequency of maintenance visits is based on patient risk indicators, homecare compliance and prosthetic design. Generally, a 6 ‐month visit interval or shorter is preferred. At these visits, peri‐implant probing, assessment of bleeding on probing and, if warranted, a radiographic examination is performed. Diagnosis of peri‐implant mucositis requires: (i) bleeding or suppuration on gentle probing with or without increa sed probing depth compared with previous examinations; and (ii) no bone loss beyond crestal bone level changes resulting from initial bone remodelling. Diagnosis of peri‐implantitis requires: (i) bleeding and/or suppuration on gentle probing; (ii) an increased probing depth compared with previous examinations; and (iii) bone loss beyond crestal bone level changes resulting from initial bone remodelling. If diagnosis of disease is established, the inflammation should be resolved. Non‐surgical therapy is always the first choice. Access and motivation for optimal oral hygiene are key. The pat ient should have a course of mechanical therapy and, if a smoker, be encouraged not to smoke. Non‐surgical mechanical therapy and oral hygiene reinforcement are useful in treating peri‐implant mucositis. Power‐driven subgingival air‐polishing devices, Er: YAG lasers, metal curettes or ultras onic curettes with or without plastic sleeves can be used to treat peri‐implantitis. Suc...

Source: International Dental Journal - September 2, 2019 Category: Dentistry Authors: Stefan Renvert, Hideaki Hirooka, Ioannis Polyzois, Anastasia Kelekis ‐Cholakis, Hom‐Lay Wang, Working Group 3 Tags: Supplement Article Source Type: research