Peri implantitis
13
www.dentalimplantsindia.org [email protected]
-
Upload
dentalimplantsindia -
Category
Education
-
view
43 -
download
0
Transcript of Peri implantitis
PERI-IMPLANITIS
What is Peri-implantitisPeri-implantitis is defined as an
inflammatory reaction, with the loss of supporting bone in the tissues surrounding a functioning implant. The features to be observed are
1. bleeding gums2. swollen gums3. shaking implant4. exposure of implant screw threads5. Loss of bone in the X- ray
Treatment of peri-implantitis
According to the best available evidence, traditional periodontal infection control including plaque control regimens and mechanical cleaning of the affected areas possessing professional cleaning should be performed.
It is essential to inform the patient about the need for effective oral hygiene procedures (particularly around implants), and the patient should be carefully instructed in the proper use of necessary additional oral hygiene aids. Oral hygiene procedures should be trained under professional supervision.
Surgical exposure of the lesions was performed, and the affected implants were cleaned using hydrogen peroxide.
Systemic antibiotics were administered according to a susceptibility of bacteria. The applied surgical and antimicrobial treatment strategy was successful in less than 60% of the treated implants. Despite treatment and re-treatment of peri-implantitis–affected areas, additional loss of supporting bone was found in up to 40% of the advanced peri-implant lesions.
LASERS to treat Peri-implantitisA promising method for decontaminating implant
surfaces involves the use of laser energy. Unlike mechanical decontamination methods,
which cannot fully adapt to the irregularities on the surface of an implant, lasers can irradiate the whole surface, reaching areas that are too small to receive mechanical instrumentation.
Power settings are variable, and the clinician can choose a setting that will effectively disinfect the implant while not damaging the surface.
Conventional approaches include:
Systemic administration of antibiotics
Removal of supragingival bacterial plaque
Removal of granulation tissue with plastic curettes
Debridement of the exposed surface by using mechanical brushing, air powder abrasives, citric acid, disinfectants like chlorhexidine or topical tetracycline, plaque inhibitor like delmopinol, or low-intensity ultraviolet radiation
Removal ofthe peri-implant pocketRegeneration of peri-implant hard tissue
by means of guided tissue regenerationPlaque control and oral hygiene.
Advantages of Laser in the treatment of Peri-implantitisThe laser easily vaporizes any
existing granulation tissue.The implant surface can be
debrided by lasing directly on the implant’s exposed screws with a low-energy setting. Both the target tissue and implant surface are disinfected without damage.
The laser is bactericidal.
Contact us:
Email: www.dentalimplantsindia.org [email protected]
www.chinthamanilaserdentalclinic.com
www.youtube.com/chinthamanidental
Ph: 9283786776
Thank you….
