Department of Periodontics and Community Dentistry, College of Dentistry, King Saud University, Riyadh, Saudi Arabia. H.A.
Department of Oral and Maxillofacial Surgery, Dental School, National and Kapodistrian University of Athens, Greece.
Braz Dent J. 2024 Oct 25;35:e246160. doi: 10.1590/0103-6440202406160. eCollection 2024.
Dental implants have become the most effective treatment option for replacing missing teeth, worldwide. The popularity and demand for dental implants are continually increasing. Nevertheless, its complications are undeniable. Peri-implant diseases, including peri-implant mucositis and peri-implantitis, are a multifaceted clinical condition. Therefore, it is in the best interest to optimize the management of peri-implantitis, and there are still numerous methods to treat and manage infections in the vicinity of dental implants. The main goal of peri-implantitis treatment is to arrest disease progression, eliminate infection, and reconstruct damaged tissues around the implant. The clinical evidence on treating peri-implantitis that is available in PubMed was reviewed. Additionally, we presented the most comprehensive management strategies. As a result, numerous clinical trials recommended mechanical debridement and local administration of antimicrobial agents as well as topical oxygen therapy to mitigate bacterial biofilm and manage infection. The regenerative (bone grafting) approach for the treatment of peri-implantitis is another effective method. Finally, implant surface engineering can address high antibacterial efficacy and site-specific biofilm reduction.
种植牙已成为全球范围内缺失牙修复的最有效治疗选择。种植牙的普及和需求不断增加。然而，其并发症是不可否认的。种植体周围疾病，包括种植体周围黏膜炎和种植体周围炎，是一种多方面的临床情况。因此，优化种植体周围炎的管理符合最佳利益，并且仍然有许多方法可以治疗和管理种植牙附近的感染。种植体周围炎治疗的主要目标是阻止疾病进展、消除感染和重建种植体周围受损组织。我们回顾了在 PubMed 上可获得的有关治疗种植体周围炎的临床证据，并提出了最全面的管理策略。因此，许多临床试验推荐机械清创和局部应用抗菌剂以及局部氧气治疗来减轻细菌生物膜并控制感染。再生（骨移植）方法治疗种植体周围炎是另一种有效方法。最后，种植体表面工程可以实现高的抗菌效果和特定部位生物膜减少。
