Treatment of peri-implantitis and the failing implant

Dent Clin North Am. 2015 Apr;59(2):329-43. doi: 10.1016/j.cden.2014.10.007. Epub 2015 Jan 16.

Abstract

Appropriate treatment of implants is becoming increasingly important for the general dentist as the number of implants placed per year continues to increase. Early diagnosis of peri-implantitis is imperative; initiating the correct treatment protocol depends on a proper diagnosis. Several risk factors exist for the development of peri-implantitis, which can guide patient selection and treatment planning. Treatment of peri-implantitis should be tailored to the severity of the lesion (as outlined by the cumulative interceptive supportive treatment protocol), ranging from mechanical debridement to explantation. Several surgical and nonsurgical treatment alternatives exist. There is little consensus on superior treatment methods.

Keywords: CIST; Implant failure; Peri-implant mucositis; Peri-implantitis.

Publication types

  • Review

MeSH terms

  • Dental Implants*
  • Dental Restoration Failure*
  • Device Removal
  • Early Diagnosis
  • Humans
  • Patient Care Planning
  • Patient Selection
  • Peri-Implantitis / diagnosis
  • Peri-Implantitis / etiology
  • Peri-Implantitis / therapy*
  • Periodontal Debridement / methods
  • Risk Factors

Substances

  • Dental Implants