Peri-implantitis is an infectious disease that leads to progressive bone loss. Surgical therapy has been advocated as a way of halting its progression and re-establishing peri-implant health. One of the most challenging but crucial tasks in the management of peri-implantitis is bioﬁlm removal to achieve reosseointegration and promote the reduction of peri-implant pockets. A wide var iety of strategies have been used for implant surface decontamination. Mechanical means have been demonstrated to be effective in eliminating calculus deposits and residual debris; however, the presence of undercuts and the grooves and porosities along the roughened implant surface make it difﬁcult to achieve an aseptic surface. In conjunction with mechanical measures, use of chemical adjuncts has been advocated to dilute bacterial concentrations, destroy the bacteria’s organic components and eliminate endotoxins. Pharmacological adjuncts have also been recom mended to diminish the bacterial load. Other strategies, such as use of lasers, implantoplasty and electrolysis, have been suggested for implant surface decontamination to promote predictable clinical and radiographic outcomes.
|Number of pages||36|
|Journal||International Journal of Oral Implantology|
|Publication status||Published - 2022|
Bibliographical noteFunding Information:
The authors acknowledge Prof GM Raghoebar and Dr J Hakkers (Department of Oral and Maxillofacial Surgery, University of Groningen, Groningen, The Netherlands) for providing their valuable thoughts on the mechanism of action of phosphoric acid. They also thank Dr Jessica M Latimer for the illus tration displayed as Figure 9.
© 2022, Quintessence Publishing Company, Ltd
All Science Journal Classification (ASJC) codes
- Oral Surgery