Re-osseointegration of Dental Implants After Periimplantitis Treatments: A Systematic Review.

Abstract:

PURPOSE:This review considers possible surgical treatment modalities for induced periimplantitis to regain re-osseointegration as reported in the recent literature. MATERIALS AND METHODS:Electronic searches in MEDLINE/PubMed and Google Scholar databases were performed on experimental studies considering induced periimplantitis and attempts to achieve re-osseointegration from 2003 up to December 2016. Conflicts about articles were solved by authors' discussion. RESULTS:A total of 15 studies of 159 were finally included in the review. DISCUSSION:Various implant surface decontamination techniques chemical and/or mechanical have been used either alone or simultaneously with/without guided bone regeneration. Despite the access-flap surgery, it was observed that application of single decontamination measure either chemical or mechanical was not adequate to provide a better treatment outcome. Laser application such as CO2, diode, and Er: YAG has been a new treatment approach used for periimplantitis treatment. Er: YAG laser had showed no implant surface alteration and provided favorable environment for re-osseointegration. CONCLUSION:Promising results were observed in the studies that used combination of bone substitutes together with guided bone regeneration for the regenerative therapy. Regarding implant surfaces, better re-osseointegration was observed with rough implant surfaces rather than smooth ones.

journal_name

Implant Dent

journal_title

Implant dentistry

authors

Madi M,Htet M,Zakaria O,Alagl A,Kasugai S

doi

10.1097/ID.0000000000000712

subject

Has Abstract

pub_date

2018-02-01 00:00:00

pages

101-110

issue

1

eissn

1056-6163

issn

1538-2982

journal_volume

27

pub_type

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