Selecting biomaterials in the reconstructive therapy of peri-implantitis

Periodontol 2000. 2024 Feb;94(1):192-212. doi: 10.1111/prd.12523. Epub 2023 Sep 20.

Abstract

Peri-implantitis is a pathogenic inflammatory condition characterized by progressive bone loss and clinical inflammation that may compromise the stability of dental implants. Therapeutic modalities have been advocated to arrest the disorder and to establish peri-implant health. Reconstructive therapy is indicated for bone defects exhibiting contained/angular components. This therapeutic modality is based upon the application of the biological and technical principles of periodontal regeneration. Nonetheless, the comparative efficacy of reconstructive therapy and nonreconstructive modalities remains unclear. Therefore, the aim of this narrative review is to address major clinical concerns regarding the efficacy, effectiveness, and feasibility of using biomaterials in peri-implantitis therapy. In particular, the use of bone grafting materials, barrier membranes, and biologics is comprehensively explored.

Publication types

  • Review

MeSH terms

  • Biocompatible Materials* / therapeutic use
  • Bone Regeneration
  • Bone Substitutes / therapeutic use
  • Bone Transplantation* / methods
  • Dental Implants
  • Guided Tissue Regeneration, Periodontal / methods
  • Humans
  • Membranes, Artificial
  • Peri-Implantitis* / surgery
  • Peri-Implantitis* / therapy