Pommer Bernhard, Haas Robert, Mailath-Pokorny Georg, Fürhauser Rudolf, Watzek Georg, Busenlechner Dieter, Müller-Kern Michael, Kloodt Claudia
*Associate Professor, Oral Surgeon and Researcher, Academy for Oral Implantology, Vienna, Austria. †University Professor, Oral Surgeon and Founding Partner, Academy for Oral Implantology, Vienna, Austria. ‡Chief Physician, Prosthodontist and Founding Partner, Academy for Oral Implantology, Vienna, Austria. §Associate Professor, Oral Surgeon and Partner, Academy for Oral Implantology, Vienna, Austria. ¶Periodontist, Academy for Oral Implantology, Vienna, Austria.
Implant Dent. 2016 Oct;25(5):646-9. doi: 10.1097/ID.0000000000000461.
Periimplantitis is the most frequent cause of late implant failure; however, little is known about the long-term success of periimplantitis treatment and the effectiveness of various therapeutic interventions.
A total of 142 patients were referred to the Academy for Oral Implantology in Vienna for the treatment of recurrent periimplantitis around single-tooth implants. Of them, 72 patients (51%) were treated by laser decontamination, 47 patients (33%) by implantoplasty surgery, and 23 patients (16%) by a combination of both approaches.
Overall success of periimplantitis therapy was 89% after 9 years of follow-up, and it did not differ significantly between female and male patients (P = 0.426). The number of implant failures that could not be prevented by periimplantitis treatment was 6 after laser decontamination (8%), 6 after implantoplasty surgery (13%), and 4 after a combination of both therapies (17%). Implant loss occurred after 4.9 ± 1.9 years of therapy, on average. No significant difference between the 3 treatment groups could be observed (P = 0.393).
The present results suggest that success rates of periimplantitis therapy with either laser decontamination or surgical implantoplasty are high. These success rates do not appear to be associated with patient gender or treatment strategy.
种植体周围炎是种植体后期失败最常见的原因；然而，关于种植体周围炎治疗的长期成功率以及各种治疗干预措施的有效性，人们知之甚少。
共有142例患者因单颗牙种植体周围复发性种植体周围炎转诊至维也纳口腔种植学会接受治疗。其中，72例患者（51%）接受了激光去污治疗，47例患者（33%）接受了种植体成形术，23例患者（16%）接受了两种方法的联合治疗。
经过9年的随访，种植体周围炎治疗的总体成功率为89%，男性和女性患者之间无显著差异（P = 0.426）。激光去污治疗后有6例（8%）种植体失败无法通过种植体周围炎治疗预防，种植体成形术后有6例（13%），两种治疗联合后有4例（17%）。种植体平均在治疗4.9±1.9年后发生脱落。3个治疗组之间未观察到显著差异（P = 0.393）。
目前的结果表明，激光去污或手术种植体成形术治疗种植体周围炎的成功率很高。这些成功率似乎与患者性别或治疗策略无关。
