RDH DHA, Department of Biomedical, Surgical and Dental Sciences, University of Milan, 20122 Milan, Italy.
RDH DHA, IRCCS Foundation, Ca'Granda General Hospital in Milan, 20122 Milan, Italy.
Int J Environ Res Public Health. 2023 Jan 27;20(3):2268. doi: 10.3390/ijerph20032268.
The recent publication of the new classification of periodontal and peri-implant disease has given clear indications on the parameters to be taken into consideration to correctly diagnose the different phases of these diseases. To date, however, there are no equally clear indications on the treatments to be implemented to solve these diseases. The objective of this Consensus Report is to provide guidance for the non-surgical management of peri-implant mucositis and peri-implantitis. For the drafting of the consensus, the most recent scientific literature was analysed.
A group of 15 expert Italian dental hygienists were selected by the Italian technical-scientific societies (AIDI, UNID and ATASIO) and, starting from the literature review, they formulated indications according to the GRADE method (Grading of Recommendations, Assessment, Development, and Evaluation, a tool for rating the quality of evidence, used to draw up systematic reviews and clinical guidelines) on the treatment of peri-implant mucositis, peri-implantitis and on management of the various implanting surfaces.
in accordance with the international literature, non-surgical therapy alone can resolve peri-implant mucositis, but not peri-implantitis. Several adjunctive therapies have been considered and some appear to be helpful in managing inflammation.
最近发表的牙周病和种植体周围病新分类明确指出了需要考虑的参数，以正确诊断这些疾病的不同阶段。然而，迄今为止，对于实施哪些治疗方法来解决这些疾病，还没有同样明确的指示。本共识报告的目的是为种植体周围黏膜炎和种植体周围炎的非手术治疗提供指导。为了起草共识，分析了最新的科学文献。
意大利技术科学学会（AIDI、UNID 和 ATASIO）选择了一组 15 名意大利口腔卫生专家，他们从文献回顾开始，根据 GRADE 方法（推荐分级、评估、发展和评估，一种用于评估证据质量的工具，用于制定系统评价和临床指南）制定了关于种植体周围黏膜炎、种植体周围炎以及各种种植体表面处理的治疗指示。
根据国际文献，单独的非手术治疗可以解决种植体周围黏膜炎，但不能解决种植体周围炎。已经考虑了几种辅助治疗方法，其中一些似乎有助于控制炎症。
