Peri implantitis

1. www.dentalimplantsindia.org
chinthamanidental@gmail.com

3. PERI-IMPLANITIS

4. What is Peri-implantitis
Peri-implantitis is defined as an
inflammatory reaction, with the loss of
supporting bone in the tissues
surrounding a functioning implant. The
features to be observed are
 1. bleeding gums
 2. swollen gums
 3. shaking implant
 4. exposure of implant screw threads
 5. Loss of bone in the X- ray

6. Treatment of peri-implantitis
 According to the best available evidence,
traditional periodontal infection control
including plaque control regimens and
mechanical cleaning of the affected areas
possessing professional cleaning should be
performed.
 It is essential to inform the patient about the
need for effective oral hygiene procedures
(particularly around implants), and the patient
should be carefully instructed in the proper
use of necessary additional oral hygiene aids.
Oral hygiene procedures should be trained
under professional supervision.

7.  Surgical exposure of the lesions was
performed, and the affected implants
were cleaned using hydrogen peroxide.
 Systemic antibiotics were administered
according to a susceptibility of bacteria.
The applied surgical and antimicrobial
treatment strategy was successful in less
than 60% of the treated implants.
Despite treatment and re-treatment of
peri-implantitis–affected areas, additional
loss of supporting bone was found in up
to 40% of the advanced peri-implant
lesions.

8. LASERS to treat Peri-implantitis
 A promising method for decontaminating
implant surfaces involves the use of laser
energy.
 Unlike mechanical decontamination methods,
which cannot fully adapt to the irregularities
on the surface of an implant, lasers can
irradiate the whole surface, reaching areas
that are too small to receive mechanical
instrumentation.
 Power settings are variable, and the clinician
can choose a setting that will effectively
disinfect the implant while not damaging the
surface.

9. Conventional approaches
include:
 Systemic administration of
antibiotics
 Removal of supragingival
bacterial plaque
 Removal of granulation
tissue with plastic curettes

10.  Debridement of the exposed surface
by using mechanical brushing, air
powder abrasives, citric acid,
disinfectants like chlorhexidine or
topical tetracycline, plaque inhibitor
like delmopinol, or low-intensity
ultraviolet radiation
 Removal ofthe peri-implant pocket
 Regeneration of peri-implant hard
tissue by means of guided tissue
regeneration

11. Advantages of Laser in the
treatment of Peri-implantitis
 The laser easily vaporizes any existing
granulation tissue.
 The implant surface can be debrided
by lasing directly on the implant’s
exposed screws with a low-energy
setting. Both the target tissue and
implant surface are disinfected without
damage.
 The laser is bactericidal.

12.  Contact us:
 Email: www.dentalimplantsindia.org
chinthamanidental@gmail.com
www.chinthamanilaserdentalclinic.com
www.youtube.com/chinthamanidental
 Ph: 9283786776