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Diagnosis and non-surgical treatment of peri-implant diseases and maintenance care of patients with dental implants - Consensus report of working group 3.

Authors
  • Renvert, Stefan1, 2, 3, 4
  • Hirooka, Hideaki5, 6
  • Polyzois, Ioannis7
  • Kelekis-Cholakis, Anastasia8
  • Wang, Hom-Lay9
  • 1 Oral Health Sciences, Kristianstad University, Kristianstad, Sweden. , (Sweden)
  • 2 School of Dental Science, Trinity College, Dublin, Ireland. , (Ireland)
  • 3 Blekinge Institute of Technology, Karlskrona, Sweden. , (Sweden)
  • 4 Faculty of Dentistry, The University of Hong Kong, Hong Kong City, Hong Kong. , (Hong Kong SAR China)
  • 5 Division of Advanced Prosthetic Dentistry, Tohoku University Graduate School of Dentistry, Sendai, Miyagi, Japan. , (Japan)
  • 6 Sweden Dental Center, Tokyo, Japan. , (Japan)
  • 7 Department of Restorative Dentistry and Periodontology, Trinity College, Dublin Dental University Hospital, Dublin, Ireland. , (Ireland)
  • 8 Division of Periodontics, Dr Gerald Niznick College of Dentistry, University of Manitoba, Winnipeg, MB, Canada. , (Canada)
  • 9 Department of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, MI, USA.
Type
Published Article
Journal
International dental journal
Publication Date
Sep 01, 2019
Volume
69 Suppl 2
Pages
12–17
Identifiers
DOI: 10.1111/idj.12490
PMID: 31478575
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

The following consensus report is based on four background reviews. The frequency of maintenance visits is based on patient risk indicators, homecare compliance and prosthetic design. Generally, a 6-month visit interval or shorter is preferred. At these visits, peri-implant probing, assessment of bleeding on probing and, if warranted, a radiographic examination is performed. Diagnosis of peri-implant mucositis requires: (i) bleeding or suppuration on gentle probing with or without increased probing depth compared with previous examinations; and (ii) no bone loss beyond crestal bone level changes resulting from initial bone remodelling. Diagnosis of peri-implantitis requires: (i) bleeding and/or suppuration on gentle probing; (ii) an increased probing depth compared with previous examinations; and (iii) bone loss beyond crestal bone level changes resulting from initial bone remodelling. If diagnosis of disease is established, the inflammation should be resolved. Non-surgical therapy is always the first choice. Access and motivation for optimal oral hygiene are key. The patient should have a course of mechanical therapy and, if a smoker, be encouraged not to smoke. Non-surgical mechanical therapy and oral hygiene reinforcement are useful in treating peri-implant mucositis. Power-driven subgingival air-polishing devices, Er: YAG lasers, metal curettes or ultrasonic curettes with or without plastic sleeves can be used to treat peri-implantitis. Such treatment usually provides clinical improvements such as reduced bleeding tendency, and in some cases a pocket-depth reduction of ≤ 1 mm. In advanced cases, however, complete resolution of the disease is unlikely. © 2019 FDI World Dental Federation. Published by John Wiley & Sons Ltd.

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