Regenerative therapy for the treatment of periimplantitis
DOI:
https://doi.org/10.33295/1992-576X-2021-3-50Keywords:
Peri-Implantitis; Dental Implant; Regenerative Therapy; Magneto-Laser Therapy; Hyaluronic AcidAbstract
The purpose of this study is to evaluate the outcome of regenerative therapy of peri-implantitis. The 32 patients involved in this study with inflammatorydestructive processes in the field of peri-implant tissues of osseointegrated implants. The diagnostic parameters used for assessing peri-implantitis include clinical indices, Probing Pocket Depth (PPD), Bleeding On Probing (BOP), periimplant radiography. 16 implants with peri-implant mucositis, 8 implants with early peri-implantitis and 5 implants with moderate peri-implantitis was treated only conservative treatments methods, 6 implants with early peri-implantitis, 7 implants with moderate peri-implantitis and 4 implants with severe periimplantitis was treated surgically. PPD and BOP data at the re-examination were retrospectively compared to baseline data. A statistical significant reduction in both PPD and BOP were seen at alltimepoints as compared with the baseline clinical measurements. Stable clinical measurements PPD and BOP were demonstrated after 1 year the initial treatment, remaining stable during the following three years. Surgical regenerative treatment combined with mechanical and chemical detoxification of the implants’ surface, magneto-laser therapy and regenerative therapy using an autologous bone, xenograft, hyaluronic acid and a restorablemembrane a reliable method for stopping and treatment peri-implantitis.
Key words: Peri-Implantitis; Dental Implant; Regenerative Therapy; Magneto-Laser Therapy; Hyaluronic Acid.
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References
Mc Dermott N, Chuang S, Dodson T et al. Complications of dental implants: Identification, frequency, and associated risk factors // Int. J. Oral Maxillofac.
Implants. – 2003; 18: 848–855.
Goodacre CJ, Bernal G, Rungcharassaeng K, Kan JY. Clinical complications with implants and implant prostheses // J. Prosthet. Dent. –2003; 90: 121–132.
Froum SJ. Dental Implant Complications: Etiology, Prevention and Treatment Book. 2010; 13: 978.
Kelly Misch, Hom-Lay Wang. Implant Surgery Complications: Etiology and Treatment // Implant Dentistry. – 2008; 17: 159–166.
Rajesh KS, Spoorthi KH, Shashikanth Hegde, Arun Kumar MS. Peri-implantitis 360 // Int. J. Dent Med Res. – 2015; 1: 213–219.
Nguyen-Hieu T, Borghetti A, Aboudharam G. Peri-implantitis: from diagnosis to therapeutics // J. Investig. Clin. Dent. – 2012; 3: 79–94.
Lindhe J, Meyle J. Peri-implant diseases: Consensus report of the sixth European workshop on periodontology // J. Clinical Periodontol. –2008; 35: 282–285.
American Academy of Periodontology Task Force on Peri-implantitis. Peri-implant mucositis and peri-implantitis: a current understanding of their diagnoses and
clinical implications // J. Periodontol. –2013; 84: 436–443.
Alsaadi G, Quirynen M, Komarek A, Van Steenberghe D. Impact of local and systemic factors on the incidence of late oral implant loss // Clinical Oral Implants
Research. – 2008; 19: 670–676.
Berglundh T., Persson L., Klinge B. A systematic review of the incidence of biological and technical complications in implant dentistry reported in prospective
longitudinal studies of at least 5 years // Journal of Clinical Periodontology. – 2002; 29: 197–212.
Ata-Ali J, Candel-Marti ME, Flichy-Fernandez AJ, Penarrocha-Oltra D, BalaguerMartinez JF, Penarrocha Diago M. Peri-implantitis: associated microbiota and
treatment // Med. Oral Patol. Oral Cir. Bucal. – 2011; 6: 937–943.
Heydenrijk K, Meijer HJ, Van Der Reijden WA, Raghoebar GM, Vissink A, Stegenga B. Microbiota around root-formed endosseous implants. A review of the literature
// Int. J. Oral Maxillofac. Implants. – 2002; 17: 829–838.
Subramani K., Jung R.E., Molenberg A., Hammerle C.H. Biofilm on dental implants: a review of the literature // The International Journal of Oral and Maxillofacial
Implants. – 2009; 24: 616–626.
Duarte PM, De Mendonca AC, Maximo MB, Santos VR, Bastos MF, Nociti Junior FH. Differential cytokine expressions affect the severity of periimplant disease //
Clin. Oral Implants Res. –2009; 20: 514–520.
Javed F, Al-Hezaimi K, Salameh Z, Almas K, Romanos GE. Proinflammatory cytokines in the crevicular fluid of patients with peri-implantitis // Cytokine. – 2011;
: 8–12.
Bragger U, Aeschliman S, Burgin W, Hammerle CH, Lang NP. Biological and technical complications and failures with Fixed Partial Dentures (FPD) on implants
and teeth after four to five years of function // Clin. Oral Implants. – 2001; 12: 26–34.
Korsch M, Obst U, Walther W. Cement-associated peri-implantitis: A retrospective clinical observational study of fixed implant-supported restorations using a
methacrylate cement // Clinical Oral Implants Research. – 2014; 25: 797–802.
Smeets R, Henningsen A, Jung O, Heiland M, Hammдcher C, Stein JM. Definition, etiology, prevention and treatment of peri-implantitis-a review // Head Face
Med. –2014; 3: 34.
Froum SJ, Rosen PS. A proposed classification for peri-implantitis // Int. J. Periodontics Restorative Dent. – 2012; 32: 533–540.
Renvert S, Roos-Jansеker AM, Claffey N. Non-surgical treatment of peri-implant mucositis and peri-implantitis: a literature review // Journal of Clinical Periodontology.
– 2008; 35: 305–315.
Suarez F, Monje A, Galindo-Moreno P, Wang HL. Implant surface detoxification: a comprehensive review // Implant Dentistry. – 2013; 22: 465–473.
Yamamoto A, Tanabe T. Treatment of peri-implantitis around Ti Unite-surface implants using Er: YAG laser microexplosions // The International Journal of Periodontics
Restorative Dentistry. –2013; 33: 21–30.
Kotsakis GA, Konstantinidis I, Karoussis IK, Ma X, Chu H. A Systematic Review and Meta-Analysis of the Effect of Various Laser Wavelengths in the Treatment of
Peri-Implantitis // J. Periodontol. – 2014; 85: 1203–1213.
Romeo E, Ghisolfi M, Carmagnola D. Peri-implant diseases. A systematic review of the literature // Minerva Stomatol. – 2004; 53: 215–230.
Romeo E, Lops D, Chiapasco M, Ghisolfi M, Vogel G. Therapy of peri-implantitis with resective surgery. A 3-year clinical trial on rough screw-shaped oral implants.
Part II: Radiographic outcome // Clin, Oral Implants Res. – 2007; 18: 179–187.
Schwarz F, Bonsmann M. Healing of intrabony peri-implantitis defects following application of a nanocrystalline hydroxyapatite (Ostim®) or a bovine-derived
xenograft (Bio-Oss) in combination with a collagen membrane (Bio-Gide). A case series // Journal of Clinical Periodontology. – 2006; 33; 491–499.
Parveen Dahiya and Reet Kamal. Hyaluronic Acid: A Boon in Periodontal Therapy // N. Am. J. Med. Sci. – 2013; 5: 309–315.
Pagnacco A, Vangelisti R, Erra C, Poma A. Double-blind clinical trial versus placebo of a new sodium-hyaluronate-based gingival gel // Attual Ter In. – 1997; 15: 1–7.
Ballini A, Cantore S, Capodiferro S, Grassi FR. Esterified hyaluronic acid and autologous bone in the surgical correction of the infra-bone defects // Int. J. Med. Sci. –
; 6: 65–71.
Esposito M, Grusovin MG, Worthington HV. Treatment of peri-implantitis: what interventions are effective? A Cochrane systematic review // European Journal of
Oral Implantology. – 2012; 5: 21–41.
Berglundh T, Stavropoulos A. Working Group 1 of the VIII European Workshop on Periodontology. Preclinical in vivo research in implant dentistry. Consensus of
the eighth European workshop on periodontology // J. Clin. Periodontol. – 2012; 39: 1–5.