Prof. Dr. Giovanni E. Salvi “Risks, diagnosis and management of peri-implant diseases”
– Risk indicators
– Non-surgical therapy
– Surgical therapy
Prof. Dr. Hugo De Bruyn „Peri-implantitis. What do we know and what can we do.“
Peri-implantitis is described as an inflammatory process within the tissues surrounding the implant components, in most cases related to a bacterial infection. It affects both soft and hard tissues around dental implants in a dramatic way because it leads to bone loss and is related to pocket formation and pus evacuation. This irreversibly affects the appearance as well as location of the gums. Often and certainly in the anterior zone of the maxilla this leads to esthetical consequences and patient’s dissatisfaction. Analogue to the treatment of periodontitis around natural teeth, biofilm removal is the key issue in the treatment. However, there are important differences between teeth and implants that may raise questions on this copy-paste therapy approach. The surgical treatment is predominantly based on implant surface decontamination combined with pocket reduction and regenerative procedures to close the defect. The first option is a radical way to reduce the defect and improve accessibility for oral hygiene measures. The second option aims to avoid recurrence of disease and enhance the aesthetic outcome by defect closure.
Currently there are only a very limited number of powerful clinical studies available that are dealing with the etiology, pathogenesis and efficacy of treatment of peri-implantitis. Is the alarming tsunami of disease as discussed in some papers the reality of the clinical everyday´s practice or is it related to patient related aspects, patient selection or changing treatment protocols. In this lecture an overview of the literature will be given and treatment rational will be discussed. Additionally, by means of case reports, some clinical consequences, protocols and clinical guidelines related to disease prevention and treatment will be provided.