Treatment considerations in peri-implantitis

임프란트 주위염의 이해와 치료

  • Kim, Bo-Bae (Department of Periodontics, College of Medicine, The Catholic University of Korea) ;
  • Ko, Young kyung (Department of Periodontics, College of Medicine, The Catholic University of Korea) ;
  • Park, Jun-Beom (Department of Periodontics, College of Medicine, The Catholic University of Korea)
  • 김보배 (가톨릭대학교 의과대학 치주과) ;
  • 고영경 (가톨릭대학교 의과대학 치주과) ;
  • 박준범 (가톨릭대학교 의과대학 치주과)
  • Received : 2015.04.11
  • Accepted : 2015.04.22
  • Published : 2015.05.01

Abstract

Peri-implantitis is defined as an inflammatory process affecting the tissues around an osseointegrated implant, resulting in the loss of the supporting bone. Microbial adherence and colonization appear to play a major role in the pathogenesis of periimplantitis. The decision regarding treatment strategies is based on the diagnosis. The severity of the peri-implant lesion and the treatment strategies must include mechanical cleaning (infection control) procedures. Mechanical instrumentation is widely used for the debridement of dental implants, but this may alter the titanium's surface properties. Therefore, selection of the type of instrumentation should be made depending on the type of surface to be debrided. Also, patients with dental implants must always be enrolled in a supportive therapy program.

Keywords

References

  1. da Silva CHFP, Vidigal Jr GM, de Uzeda M, de Almeida Soares G. Influence of titanium surface roughness on attachment of Streptococcus sanguis: an in vitro study. Implant dentistry 2005;14:88-93. https://doi.org/10.1097/01.id.0000154793.84609.2c
  2. Pier-Francesco A, Adams RJ, Waters MG, Williams DW. Titanium surface modification and its effect on the adherence of Porphyromonas gingivalis: an in vitro study. Clinical oral implants research 2006;17:633-637. https://doi.org/10.1111/j.1600-0501.2006.01274.x
  3. Baffone W, Sorgente G, Campana R, Patrone V, Sisti D, Falcioni T. Comparative effect of chlorhexidine and some mouthrinses on bacterial biofilm formation on titanium surface. Current microbiology 2011;62:445-451. https://doi.org/10.1007/s00284-010-9727-x
  4. Badihi Hauslich L, Sela MN, Steinberg D, Rosen G, Kohavi D. The adhesion of oral bacteria to modified titanium surfaces: role of plasma proteins and electrostatic forces. Clinical oral implants research 2013;24:49-56. https://doi.org/10.1111/j.1600-0501.2011.02364.x
  5. John G, Becker J, Schwarz F. Rotating titanium brush for plaque removal from rough titanium surfaces--an in vitro study. Clin Oral Implants Res 2014;25:838-842. https://doi.org/10.1111/clr.12147
  6. Park J-B, Kim N, Ko Y. Effects of ultrasonic scaler tips and toothbrush on titanium disc surfaces evaluated with confocal microscopy. Journal of Craniofacial Surgery 2012;23:1552-1558. https://doi.org/10.1097/SCS.0b013e31825e3ba6
  7. Piattelli M, Scarano A, Paolantonio M, Iezzi G, Petrone G, Piattelli A. Bone response to machined and resorbable blast material titanium implants: an experimental study in rabbits. Journal of Oral Implantology 2002;28:2-8. https://doi.org/10.1563/1548-1336(2002)028<0002:BRTMAR>2.3.CO;2
  8. Franco M, Rigo L, Viscione A, et al. CaPO4 blasted implants inserted into iliac crest homologue frozen grafts. Journal of Oral Implantology 2009;35:176-180. https://doi.org/10.1563/1548-1336-35.4.176
  9. Park JW, Suh JY, Chung HJ. Effects of calcium ion incorporation on osteoblast gene expression in MC3T3-E1 cells cultured on microstructured titanium surfaces. Journal of Biomedical Materials Research Part A 2008;86:117-126.
  10. Steigenga J, Al-Shammari K, Misch C, Nociti Jr FH, Wang H-L. Effects of implant thread geometry on percentage of osseointegration and resistance to reverse torque in the tibia of rabbits. Journal of periodontology 2004;75:1233-1241. https://doi.org/10.1902/jop.2004.75.9.1233
  11. Drake DR, Paul J, Keller JC. Primary bacterial colonization of implant surfaces. The International journal of oral & maxillofacial implants 1998;14:226-232.
  12. Lang NP, Berglundh T, HeitzMayfield LJ, Pjetursson BE, Salvi GE, Sanz M. Consensus statements and recommended clinical procedures regarding implant survival and complications. International Journal of Oral and Maxillofacial Implants 2004;19:150-154.
  13. Schou S, Berglundh T, Lang NP. Surgical treatment of peri-implantitis. The International journal of oral & maxillofacial implants 2003;19:140-149.
  14. Renvert S, Samuelsson E, Lindahl C, Persson G. Mechanical non-surgical treatment of peri- implantitis: a double-blind randomized longitudinal clinical study. I: clinical results. Journal of clinical periodontology 2009;36:604-609. https://doi.org/10.1111/j.1600-051X.2009.01421.x
  15. Duarte PM, Reis AF, de Freitas PM, Ota-Tsuzuki C. Bacterial adhesion on smooth and rough titanium surfaces after treatment with different instruments. Journal of periodontology 2009;80:1824-1832. https://doi.org/10.1902/jop.2009.090273
  16. Wohlfahrt JC, Lyngstadaas SP. Mechanical debridement of a peri-implant osseous defect with a novel titanium brush and reconstruction with porous titanium granules: a case report with reentry surgery. Clinical Advances in Periodontics 2012;2:136-140. https://doi.org/10.1902/cap.2012.110062
  17. Takasaki AA, Aoki A, Mizutani K, Kikuchi S, Oda S, Ishikawa I. Er: YAG laser therapy for periimplant infection: a histological study. Lasers in medical science 2007;22:143-157. https://doi.org/10.1007/s10103-006-0430-x
  18. Hossain A, Okawa S, Miyakawa O. Effect of toothbrushing on titanium surface: an approach to understanding surface properties of brushed titanium. Dental Materials 2006;22:346-352. https://doi.org/10.1016/j.dental.2005.04.026
  19. Park JB, Jeon Y, Ko Y. Effects of titanium brush on machined and sand-blasted/acid-etched titanium disc using confocal microscopy and contact profilometry. Clin Oral Implants Res 2015;26:130-136.
  20. Park J-B, Lee S-H, Kim NR, et al. Instrument ation with ultrasonic scalers facilitates cleaning of the sandblasted and acid-etched titanium implants. Journal of Oral Implantology 2014.
  21. Roos-Jans?ker AM, Renvert S, Egelberg J. Treatment of peri-implant infections: a literature review. Journal of clinical periodontology 2003;30:467-485. https://doi.org/10.1034/j.1600-051X.2003.00296.x