Abstract

Introduction: Implants have turned out to be a well-established therapy in dental practice for the replacement of missing teeth and restoration of function. Peri-implant disease denotes the inflammatory condition of surrounding soft and hard tissues. Two terminologies are covered under the impression of peri-implant pathology; peri-implantitis and mucositis. Peri-implant mucositis is a reversible inflammatory process limited to soft tissues around an implant. Peri-implantitis is an inflammatory condition of hard and soft tissue around the dental implant. Microbial Etiology: Bacterial infections are the most common cause of peri-implantitis. It is a variable poly-microbial infection, although generally dominated by Gram-negative anaerobic bacteria Anti-infective therapy should be included in the treatment regime, while treating the peri-implant disease. Antimicrobial therapy includes local debridement, antibiotic therapy and surface decontamination of the implant. Conclusion: The current article gives a detailed overview of microbial etiology, antimicrobial therapy and its limitations for the treatment of peri-implant Pathology.

Highlights

  • Implants have turned out to be a well-established therapy in dental practice for the replacement of missing teeth and restoration of function.Peri-implant disease denotes the inflammatory condition of surrounding soft and hard tissues.Two terminologies are covered under the impression of peri-implant pathology; peri-implantitis and mucositis

  • Peri-implant mucositis is a reversible inflammatory process limited to soft tissues around an implant

  • The current article gives a detailed overview of microbial etiology, antimicrobial therapy and its limitations for the treatment of periimplant Pathology

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Summary

Introduction

Implants have turned out to be a well-established therapy in dental practice for the replacement of missing teeth and restoration of function. Peri-implant disease denotes the inflammatory condition of surrounding soft and hard tissues. Two terminologies are covered under the impression of peri-implant pathology; peri-implantitis and mucositis. Peri-implant mucositis is a reversible inflammatory process limited to soft tissues around an implant. Peri-implantitis is an inflammatory condition of hard and soft tissue around the dental implant. Microbial Etiology: Bacterial infections are the most common cause of peri-implantitis. It is a variable poly-microbial infection, generally dominated by Gram-negative anaerobic bacteria Anti-infective therapy should be included in the treatment regime, while treating the peri-implant disease. Antimicrobial therapy includes local debridement, antibiotic therapy and surface decontamination of the implant

INTRODUCTION
MICROBIAL ETIOLOGY
ANTIMICROBIAL THERAPY
Local Debridement
Antibiotic Therapy
Systemic Antibiotics Delivery
Local Antibiotic Delivery
Implant Surface Decontamination
Mechanical
Laser Decontamination
Photodynamic Therapy
Chemical Methods
POST DELIVERY MAINTENANCE
LIMITATIONS
Findings
CONCLUSION
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