New treatment concepts to prevent and manage peri-implant diseases - part 2 surgical therapy
- Evolution of peri-implantitis management
- Peri-implantitis defect configuration
- Detailed treatment approach for each defect category
How is success defined when treating peri-implantitis? This is one of several important questions addressed by Dr. Monje in his lecture on surgical therapy of peri-implantitis. With his lecture, he aims to simplify the complex decision-making process for a sufficient solution for this disorder.
The first step is to define success in peri-implantitis management. Which factors can be qualified and reviewed to determine whether a treatment has been successful? Amongst the success-defining factors are a reduction in probing pocket depth of less than 5mm, no bleeding on probing, and no bone loss. Dr. Monje differentiates peri-implantitis from periodontitis, which presents with a specific development pattern that is very different from that of periodontitis. Gain perspective from his detailed illustration of the various defect configurations that can be exhibited when peri-implantitis is present.
What is the impact of defect type on the rehabilitation potential? And how can it be identified? There are three main defect categories, and each can have up to three subclasses. One commonality shared by most defects is that the buccal wall is affected; this is a crucial point in the prevention of peri-implantitis. Dr. Monje reviews each defect configuration and explains the options to bring this defect to an optimal result. The various treatment methods available to treating clinicians are presented with a solid scientific background.
When planning the treatment for a peri-implantitis case, it is important to keep in mind that the ideal combination of two methods can be leading to a successful outcome and rehabilitation of the affected implant. This includes established, well-proven treatment methods as well as new treatment methods, such as electrolytic cleaning, that present additional options to the treatment process.
View part one of this series here with Dr. France Lambert’s introduction to the topic and Dr. Giacomo Fabbri’s discussion on the prosthetic aspects of prevention of peri-implant disease and return to for.org for more episodes in this series.
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