Strategies for implant surface decontamination in peri-implantitis therapy

Alberto Monje, Ettore Amerio, Jae Kook Cha, Georgios Kotsakis, Ramon Pons, Stefan Renvert, Ignacio Sanz-Martin, Frank Schwarz, Anton Sculean, Andreas Stavropoulos, Dennis Tarnow, Hom Lay Wang

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish
Pages (from-to)213-248
Number of pages36
JournalInternational Journal of Oral Implantology
Volume15
Issue number3
Publication statusPublished - 2022

Bibliographical note

Funding 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.

Publisher Copyright:
© 2022, Quintessence Publishing Company, Ltd

All Science Journal Classification (ASJC) codes

  • Oral Surgery

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