Peri-implantar diseases: realities and consequences
Keywords:
dental implant, peri-implantar disease, mucositis, peri-implantitis, peri-implantar failure.Abstract
Introduction: The use of dental implant as method to replace lost teeth has demonstrated to be a treatment with a success rate higher than 89 % in periods of observation between 10-15 years; nevertheless, the number of implants is still increasing and, with it, the prevalence of peri-implantar diseases.
Objective: To deepen the knowledge on the peri-implantar disease and the existing treatments.
Development: As a result of the advance in rehabilitation, the use of dental implants has taken a great boom in the last years and, in particular, in the province of Santiago de Cuba; however, with the use of this technique the complications and failures have also increased due to multiple reasons.
Conclusions: The peri-implantar disease represents a health problem with growing incidence that requires a multidisciplinary approach, what depends on several biological principles that is necessary to respect, such as the diagnosis, the therapeutic plan, the careful implementation of the procedure, the postoperative follow up and the appropriate load of the implant that are important factors to achieve the result desired.
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References
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https://onlinelibrary.wiley.com/doi/epdf/10.1111/jcpe.12956
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11. Berglundh T, Armitage GC, Ávila Ortiz G. Peri-implant diseases and conditions: Consensus report of workgroup 4 of the 2017 World Workshop on the classification of periodontal and peri-implant diseases and conditions. J Clin Periodontol. 2018 [citado 20/01/2020];45(Suppl 20):86-91Disponible en: https://pubmed.ncbi.nlm.nih.gov/29926491/
12. Caton JC, Armitage G, Berglundh T, Chapple ILC, Jepsen S, Kornman KS. . A new classification scheme for periodontal and peri-implant diseases and conditions- introduction and key changes from the 1999 classification. J Clin Periodontol. 2018 [citado 22/01/2020];45(Suppl 20). Disponible en: https://pubmed.ncbi.nlm.nih.gov/29926489/
13. Hämmerle CHF, Tarnow D. The etiology of hard-and soft-tissue deficiencies at dental implants: a narrative review. J Periodontol. 2018 [citado 22/01/2020];89(Supp 1). Disponible en: https://pubmed.ncbi.nlm.nih.gov/29926950/
14. Dreyer J, Grischke C, Tiede J, Eberhard A, Schweitzer S, Toikkanen E. Epidemiology and risk factors of peri-implantitis: A systematic review. J Periodontol Res. 2018 [citado 22/01/2020];53(5):657-81.Disponible en: https://pubmed.ncbi.nlm.nih.gov/29882313/
15. Solano Mendoza P, Ortiz Vigón A, Bascones Martínez A. Concepto actual de la patogénesis de la perimplantitis y el papel que ocupan las bacterias. Av Periodonc. 2017 [citado 22/01/2020];29(1). Disponible en: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1699-65852017000100004&lng=es&nrm=iso&tlng=es
16. Schwarz F, Becker K, Sager M. Efficacy of professionally administered plaque removal with or without adjunctive measures for the treatment of peri-implant mucositis. A systematic review and meta-analysis. J Clin Periodontol. 2015 [citado 22/01/2020];42(Suppl 16). Disponible en: https://onlinelibrary.wiley.com/doi/full/10.1111/jcpe.12349
17. Stacchi C, Berton F, Perinetti G, Frassetto A, Lombardi T, Khoury A, et al. Risk factors for peri-implantitis: effect of history of periodontal disease and smoking habits. A systematic review and meta-analysis. J Oral Maxillofac Res. 2016 [citado 22/01/2020];7(3). Disponible en: https://pubmed.ncbi.nlm.nih.gov/27833728/
18. Ramseier Ch, Anerud A, Dulac M, Lulic M, Cullinan M, Seymour G. Natural history of periodontitis: Disease progression and tooth loss over 40 years. J Clin Periodontol. 2017 [citado 26/01/2020];44(12):1182-91. Disponible en: https://pubmed.ncbi.nlm.nih.gov/28733997/
19. Dalago HR, Schuldt Filho G, Rodrigues MA, Renvert S, Bianchini MA. Risk indicators for peri-implantitis. A cross-sectional study with 916 implants. Clin Oral Implants Res. 2017 [citado 26/01/2020];28(2):144-50. Disponible en: https://pubmed.ncbi.nlm.nih.gov/26754342/
20. Paredes Rodríguez VM, González Serrano J, Cecilia Murga R, Torrijos Gómez G, Gómez Polo MA, López Quiles J, et al. Enfermedades perimiplantarias I: definición y etiopatogenia. Cient Dent. 2016 [citado 22/01/2020];13(2): 97-101. Disponible en: https://dialnet.unirioja.es/servlet/articulo?codigo=5744797
21. Moraschini V, Luz D, Velloso G, Barboza EDP. Quality assessment of systematic reviews of the significance of keratinized mucosa on implant health. Int J Oral Maxillofac Surg. 2017 [citado 22/01/2020];46(6):774-81. Disponible en: https://pubmed.ncbi.nlm.nih.gov/28292550/
22. Esfahanizadeh N, Daneshparvar N, Motallebi S, Akhondi N, Askarpour F, Davaie S. Do we need keratinized mucosa for a healthy peri-implant soft tissue? Gen Dent. 2016 [citado 25/01/2020];64(4):51-5. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/27367634
23.Thoma DS, Naenni N, Figuero E, Hämmerle CHF, Schwarz F, Jung RE. Effects of soft tissue augmentation procedures on peri-implant health or disease: A systematic review and meta-analysis. Clin Oral Implants Res. 2018 [citado 22/01/2020];29 Suppl 15:32-49. Disponible en: https://pubmed.ncbi.nlm.nih.gov/29498129/
24. Segura Andrés G, Gil Pulido R, Vicente González F, Ferreiroa Navarro A, Faus López J, Agustín Panadero R. Perimplantitis y mucositis perimplantaria. Factores de riesgo, diagnóstico y tratamiento. Av Periodonc. 2015 [citado 22/01/2020];27(1):25-36. Disponible en: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1699-65852015000100004
25. Sheridan RA, Decker AM, Plonka AB, Wang HL. The Role of occlusion in implant therapy. Implant Den. 2016 [citado 26/01/2020];25(6):829-38. Disponible en: https://pubmed.ncbi.nlm.nih.gov/27749518/
26. Lianyi X, Xiaojuan S, Jue B, Li J, Shaoyi W, Jun Z. Reosseointegration following regenerative therapy of tissue‐engineered bone in a canine model of experimental peri‐implantitis. Clin Implant Dent Relat Res. 2016 [citado 22/01/2020];18(2):379-91. Disponible en: https://pubmed.ncbi.nlm.nih.gov/26924075/
27. Pedrazzi V, Escobar EC, Cortelli JR, Haas AN, Andrade AK, Pannuti CM, et al. Antimicrobial mouthrinse use as an adjunct method in perimplant biofilm control. Braz Oral Res. 2014 [citado 22/01/2020];28. Disponible en: https://pubmed.ncbi.nlm.nih.gov/25003787/
28. Schwarz F, Schmucker A, Becker J. Eficacia de medidas alternativas o adyuvante a la convencional tratamiento de mucositis y perimplantitis alrededor del implante: una revisión sistemática y meta-análisis. Int J Implant Dent. 2015 [citado 22/01/2020];1:22. Disponible en: http://dspace.utalca.cl/bitstream/1950/11889/5/20180174.pdf
29. Albaker AM, ArRejaie AS, Alrabiah M, Abduljabbar T. Effect of photodynamic and laser therapy in the treatment of per-implant mucositis: A systematic review. Photodiagnosis Photodyn Ther. 2018 [citado 22/01/2020];21:147-52. Disponible en: https://pubmed.ncbi.nlm.nih.gov/29175465/
30. Monje A, Wang HL, Nart J. Association of Preventive Maintenance Therapy Compliance and Peri-Implant Diseases: a cross-sectionals. J Periodontol. 2017 [citado 22/01/2020];88(10):1030-41. Disponible en: https://pubmed.ncbi.nlm.nih.gov/28548886/
2. Louropoulou A. A Phd Ccompleted. Prevention and treatment of peri-implant diseases: cleaning of titanium dental implant surfaces. Ned Tijdschr Tandheelkd. 2017 [citado 12/01/2020];124(9):451-3. Disponible en: https://pubmed.ncbi.nlm.nih.gov/28920972/
3. González Serrano J, Cecilia Murga R, Paredes Rodríguez VM, García-Riart Monzón M, Gómez Polo MA, López-Quiles Martínez J, et al. Enfermedades perimplantarias II: diagnóstico. Cient Dent. 2016 [citado 12/01/2020];13(2):103-6. Disponible en: https://coem.org.es/pdf/publicaciones/cientifica/vol13num2/3.EnfermedadesPerimII.pdf
4. Faot F, Nascimento GG, Bielemann AM, Campao TD, Leite FR, Quirynen M. Can peri-implant crevicular fluid assist in the diagnosis of perimplantitis? A systematic review and meta-analysis. J Periodontol. 2015 [citado 18/01/2020];86(5):631-45. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/25675962
5. Heitz Mayfield LJA, Salvi GE. Peri‐implant mucositis. J Clin Periodontol. 2018 [citado 18/01/2020];45(Suppl 20). Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/29 926488
6. Renvert S, Persson GR, Pirih FQ, Camargo PM. Peri-implant health, peri-implant mucositis, and peri-implantitis: Case definitions and diagnostic considerations. J Clin Periodontol. 2018 [citado 12/01/2020]; 45(Suppl 20). Disponible en:
https://onlinelibrary.wiley.com/doi/epdf/10.1111/jcpe.12956
7. Salvi GE, Cosgarea R, Sculean A. Prevalence and mechanisms of peri-implant diseases. J Dent Res. 2017 [citado 20/01/2020];96:31-7. Disponible en: https://pubmed.ncbi.nlm.nih.gov/27680028/
8. Cavalli N, Corbella S, Taschieri S, Francetti L. Prevalence of peri-implant mucositis and perimplantitis in patients treated with a combination of axial and tilted implants supporting a complete fixed denture. Sci World J. 2015 [citado 20/01/2020];2015. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4438196/
9. Herrera D, Figuero E, Shapira L, Jin L, Sanz M. La nueva clasificación de las enfermedades periodontales y perimplantarias. Periodonc Clin. 2018 [citado 20/01/2020];11. Disponible en: https://www.sepa.es/web_update/wp-content/uploads/2018/10/p11ok.pdf
10. Araujo MG, Lindhe J. Peri‐implant health. J Clin Periodontol. 2018 [citado 20/01/2020];45(Suppl 20):230–6. Disponible en: https://onlinelibrary.wiley.com/doi/epdf/10.1111/jcpe.12952
11. Berglundh T, Armitage GC, Ávila Ortiz G. Peri-implant diseases and conditions: Consensus report of workgroup 4 of the 2017 World Workshop on the classification of periodontal and peri-implant diseases and conditions. J Clin Periodontol. 2018 [citado 20/01/2020];45(Suppl 20):86-91Disponible en: https://pubmed.ncbi.nlm.nih.gov/29926491/
12. Caton JC, Armitage G, Berglundh T, Chapple ILC, Jepsen S, Kornman KS. . A new classification scheme for periodontal and peri-implant diseases and conditions- introduction and key changes from the 1999 classification. J Clin Periodontol. 2018 [citado 22/01/2020];45(Suppl 20). Disponible en: https://pubmed.ncbi.nlm.nih.gov/29926489/
13. Hämmerle CHF, Tarnow D. The etiology of hard-and soft-tissue deficiencies at dental implants: a narrative review. J Periodontol. 2018 [citado 22/01/2020];89(Supp 1). Disponible en: https://pubmed.ncbi.nlm.nih.gov/29926950/
14. Dreyer J, Grischke C, Tiede J, Eberhard A, Schweitzer S, Toikkanen E. Epidemiology and risk factors of peri-implantitis: A systematic review. J Periodontol Res. 2018 [citado 22/01/2020];53(5):657-81.Disponible en: https://pubmed.ncbi.nlm.nih.gov/29882313/
15. Solano Mendoza P, Ortiz Vigón A, Bascones Martínez A. Concepto actual de la patogénesis de la perimplantitis y el papel que ocupan las bacterias. Av Periodonc. 2017 [citado 22/01/2020];29(1). Disponible en: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1699-65852017000100004&lng=es&nrm=iso&tlng=es
16. Schwarz F, Becker K, Sager M. Efficacy of professionally administered plaque removal with or without adjunctive measures for the treatment of peri-implant mucositis. A systematic review and meta-analysis. J Clin Periodontol. 2015 [citado 22/01/2020];42(Suppl 16). Disponible en: https://onlinelibrary.wiley.com/doi/full/10.1111/jcpe.12349
17. Stacchi C, Berton F, Perinetti G, Frassetto A, Lombardi T, Khoury A, et al. Risk factors for peri-implantitis: effect of history of periodontal disease and smoking habits. A systematic review and meta-analysis. J Oral Maxillofac Res. 2016 [citado 22/01/2020];7(3). Disponible en: https://pubmed.ncbi.nlm.nih.gov/27833728/
18. Ramseier Ch, Anerud A, Dulac M, Lulic M, Cullinan M, Seymour G. Natural history of periodontitis: Disease progression and tooth loss over 40 years. J Clin Periodontol. 2017 [citado 26/01/2020];44(12):1182-91. Disponible en: https://pubmed.ncbi.nlm.nih.gov/28733997/
19. Dalago HR, Schuldt Filho G, Rodrigues MA, Renvert S, Bianchini MA. Risk indicators for peri-implantitis. A cross-sectional study with 916 implants. Clin Oral Implants Res. 2017 [citado 26/01/2020];28(2):144-50. Disponible en: https://pubmed.ncbi.nlm.nih.gov/26754342/
20. Paredes Rodríguez VM, González Serrano J, Cecilia Murga R, Torrijos Gómez G, Gómez Polo MA, López Quiles J, et al. Enfermedades perimiplantarias I: definición y etiopatogenia. Cient Dent. 2016 [citado 22/01/2020];13(2): 97-101. Disponible en: https://dialnet.unirioja.es/servlet/articulo?codigo=5744797
21. Moraschini V, Luz D, Velloso G, Barboza EDP. Quality assessment of systematic reviews of the significance of keratinized mucosa on implant health. Int J Oral Maxillofac Surg. 2017 [citado 22/01/2020];46(6):774-81. Disponible en: https://pubmed.ncbi.nlm.nih.gov/28292550/
22. Esfahanizadeh N, Daneshparvar N, Motallebi S, Akhondi N, Askarpour F, Davaie S. Do we need keratinized mucosa for a healthy peri-implant soft tissue? Gen Dent. 2016 [citado 25/01/2020];64(4):51-5. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/27367634
23.Thoma DS, Naenni N, Figuero E, Hämmerle CHF, Schwarz F, Jung RE. Effects of soft tissue augmentation procedures on peri-implant health or disease: A systematic review and meta-analysis. Clin Oral Implants Res. 2018 [citado 22/01/2020];29 Suppl 15:32-49. Disponible en: https://pubmed.ncbi.nlm.nih.gov/29498129/
24. Segura Andrés G, Gil Pulido R, Vicente González F, Ferreiroa Navarro A, Faus López J, Agustín Panadero R. Perimplantitis y mucositis perimplantaria. Factores de riesgo, diagnóstico y tratamiento. Av Periodonc. 2015 [citado 22/01/2020];27(1):25-36. Disponible en: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1699-65852015000100004
25. Sheridan RA, Decker AM, Plonka AB, Wang HL. The Role of occlusion in implant therapy. Implant Den. 2016 [citado 26/01/2020];25(6):829-38. Disponible en: https://pubmed.ncbi.nlm.nih.gov/27749518/
26. Lianyi X, Xiaojuan S, Jue B, Li J, Shaoyi W, Jun Z. Reosseointegration following regenerative therapy of tissue‐engineered bone in a canine model of experimental peri‐implantitis. Clin Implant Dent Relat Res. 2016 [citado 22/01/2020];18(2):379-91. Disponible en: https://pubmed.ncbi.nlm.nih.gov/26924075/
27. Pedrazzi V, Escobar EC, Cortelli JR, Haas AN, Andrade AK, Pannuti CM, et al. Antimicrobial mouthrinse use as an adjunct method in perimplant biofilm control. Braz Oral Res. 2014 [citado 22/01/2020];28. Disponible en: https://pubmed.ncbi.nlm.nih.gov/25003787/
28. Schwarz F, Schmucker A, Becker J. Eficacia de medidas alternativas o adyuvante a la convencional tratamiento de mucositis y perimplantitis alrededor del implante: una revisión sistemática y meta-análisis. Int J Implant Dent. 2015 [citado 22/01/2020];1:22. Disponible en: http://dspace.utalca.cl/bitstream/1950/11889/5/20180174.pdf
29. Albaker AM, ArRejaie AS, Alrabiah M, Abduljabbar T. Effect of photodynamic and laser therapy in the treatment of per-implant mucositis: A systematic review. Photodiagnosis Photodyn Ther. 2018 [citado 22/01/2020];21:147-52. Disponible en: https://pubmed.ncbi.nlm.nih.gov/29175465/
30. Monje A, Wang HL, Nart J. Association of Preventive Maintenance Therapy Compliance and Peri-Implant Diseases: a cross-sectionals. J Periodontol. 2017 [citado 22/01/2020];88(10):1030-41. Disponible en: https://pubmed.ncbi.nlm.nih.gov/28548886/
Published
2021-08-05
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1.
Clavería Clark RA, Rodríguez Guerrero K, Pérez Barrero BR, Almenares Feria FE. Peri-implantar diseases: realities and consequences. MEDISAN [Internet]. 2021 Aug. 5 [cited 2025 Jun. 2];25(4):943-64. Available from: https://medisan.sld.cu/index.php/san/article/view/3319
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