Can we completely cure peri-implantitis ? What is the prognosis of the condition at certain stages ? What is the best treatment modality ?
Management of peri-implantitis
Jayachandran Prathapachandran and Neethu Suresh
Abstract
Peri-implantitis is a site-specific infectious disease that causes an inflammatory process in soft tissues, and bone loss around an osseointegrated implant in function. The etiology of the implant infection is conditioned by the status of the tissue surrounding the implant, implant design, degree of roughness, external morphology, and excessive mechanical load. The microorganisms most commonly associated with implant failure are spirochetes and mobile forms of Gram-negative anaerobes, unless the origin is the result of simple mechanical overload. Diagnosis is based on changes of color in the gingiva, bleeding and probing depth of peri-implant pockets, suppuration, X-ray, and gradual loss of bone height around the tooth. Treatment will differ depending upon whether it is a case of peri-implant mucositis or peri-implantitis. The management of implant infection should be focused on the control of infection, the detoxification of the implant surface, and regeneration of the alveolar bone. This review article deals with the various treatment options in the management of peri-implantitis. The article also gives a brief description of the etiopathogenesis, clinical features, and diagnosis of peri-implantitis.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3612185/
Well that is great. What is your view about relapse .... it seems as it doesnt appear to get completely healed sometimes. Is complete re-stability possible ?
Hello esteemed colleagues. In my opinion, complete re-stability without periodontal ligament isn't possible. Because dental implant replace the dental structure without the advantages of the periodontal ligament, its structure, cells and function. For complete healing we needs its advantages.
Olga, agreed but that would be a case for natural dentition. Are we to say here that if peri-implantitis has occurred in a patient, we will not be able to manage it completely and that one should be prepared for a failure for sure ?
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