Reference : Primary prevention of peri-implantitis: Managing peri-implant mucositis
Scientific journals : Article
Human health sciences : Dentistry & oral medicine
http://hdl.handle.net/2268/186680
Primary prevention of peri-implantitis: Managing peri-implant mucositis
English
Jepsen, Søren [University of Bonn, Bonn, Germany > > > >]
Berglundh, Tord []
Genco, Robert []
Aass, Anne Merete []
Demirel, Korkud []
Derks, Jan []
Figuero, Elena []
Giovannoli, Jean Louis []
Goldstein, Moshe []
LAMBERT, France mailto [Centre Hospitalier Universitaire de Liège - CHU > > Médecine dentaire >]
Ortiz-Vigon, Alberto []
Polyzois, Ioannis []
Salvi, Giovanni []
Schwarz, Frank []
Serino, Giovanni []
Tomasi, Cristiano []
Zitzmann, Nicola []
31-Mar-2015
Journal of Clinical Periodontology
Wiley
42
S16
S152–S157
Yes (verified by ORBi)
International
0303-6979
1600-051X
[en] chemical plaque control ; mechanical plaque control ; meta-analysis ; peri-implant mucositis ; peri-implantitis ; primary prevention ; secondary prevention ; systematic review
[en] Abstract
AIMS:
Over the past decades, the placement of dental implants has become a routine procedure in the oral rehabilitation of fully and partially edentulous patients. However, the number of patients/implants affected by peri-implant diseases is increasing. As there are--in contrast to periodontitis--at present no established and predictable concepts for the treatment of peri-implantitis, primary prevention is of key importance. The management of peri-implant mucositis is considered as a preventive measure for the onset of peri-implantitis. Therefore, the remit of this working group was to assess the prevalence of peri-implant diseases, as well as risks for peri-implant mucositis and to evaluate measures for the management of peri-implant mucositis.
METHODS:
Discussions were informed by four systematic reviews on the current epidemiology of peri-implant diseases, on potential risks contributing to the development of peri-implant mucositis, and on the effect of patient and of professionally administered measures to manage peri-implant mucositis. This consensus report is based on the outcomes of these systematic reviews and on the expert opinion of the participants.
RESULTS:
Key findings included: (i) meta-analysis estimated a weighted mean prevalence for peri-implant mucositis of 43% (CI: 32-54%) and for peri-implantitis of 22% (CI: 14-30%); (ii) bleeding on probing is considered as key clinical measure to distinguish between peri-implant health and disease; (iii) lack of regular supportive therapy in patients with peri-implant mucositis was associated with increased risk for onset of peri-implantitis; (iv) whereas plaque accumulation has been established as aetiological factor, smoking was identified as modifiable patient-related and excess cement as local risk indicator for the development of peri-implant mucositis; (v) patient-administered mechanical plaque control (with manual or powered toothbrushes) has been shown to be an effective preventive measure; (vi) professional intervention comprising oral hygiene instructions and mechanical debridement revealed a reduction in clinical signs of inflammation; (vii) adjunctive measures (antiseptics, local and systemic antibiotics, air-abrasive devices) were not found to improve the efficacy of professionally administered plaque removal in reducing clinical signs of inflammation.
CONCLUSIONS:
Consensus was reached on recommendations for patients with dental implants and oral health care professionals with regard to the efficacy of measures to manage peri-implant mucositis. It was particularly emphasized that implant placement and prosthetic reconstructions need to allow proper personal cleaning, diagnosis by probing and professional plaque removal.
Researchers ; Professionals ; Students
http://hdl.handle.net/2268/186680
10.1111/jcpe.12369
http://onlinelibrary.wiley.com/doi/10.1111/jcpe.12369/abstract

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