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Diagnosis and non-surgical treatment of peri-implant diseases and maintenance care of patients with dental implants: consensus report of working group 3
Kristianstad University, Faculty of Health Science, Research environment Oral Health - Public Health - Quality of Life (OHAL). Kristianstad University, Faculty of Health Science, Avdelningen för oral hälsa. Irland, Blekinge Institute of Technology, Hong Kong.ORCID iD: 0000-0003-0992-2362
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2019 (English)In: International Dental Journal, ISSN 0020-6539, E-ISSN 1875-595X, Vol. 69 Suppl 2, p. 12-17Article in journal (Refereed) Published
Abstract [en]

The 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 increased 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 patient 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 ultrasonic curettes with or without plastic sleeves can be used to treat peri-implantitis. Such treatment usually provides clinical improvements such as reduced bleeding tendency, and in some cases a pocket-depth reduction of ≤ 1 mm. In advanced cases, however, complete resolution of the disease is unlikely.

Place, publisher, year, edition, pages
2019. Vol. 69 Suppl 2, p. 12-17
Keywords [en]
Peri-implant diseases, maintenance, non-surgical therapy, peri-implant mucositis, peri-implantitis, supportive care
National Category
Dentistry
Identifiers
URN: urn:nbn:se:hkr:diva-19953DOI: 10.1111/idj.12490ISI: 000484967500004PubMedID: 31478575OAI: oai:DiVA.org:hkr-19953DiVA, id: diva2:1349337
Available from: 2019-09-09 Created: 2019-09-09 Last updated: 2019-09-26Bibliographically approved

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