A clinical practice guideline for the prevention and treatment of peri-implant diseases.
Date
2017-11
Authors
Marín Jaramillo, Rubiel Antonio
Journal Title
Journal ISSN
Volume Title
Publisher
Universidad CES
Abstract
The incidence of peri-implant diseases is high, and their optimal management is
still debated.
Purpose: To explore the levels of available evidence and to suggest evidencebased recommendations for the treatment of peri-implant mucositis and periimplantitis.
Materials and methods: A clinical practice guideline has been developed using
the Scottish Intercollegiate Guidelines Network (SIGN) criteria. A search strategy
was formulated, and a critical review of the following evidence was performed: 1)
prevention of peri-implant diseases, 2) treatment of peri-implant mucositis, and 3)
treatment of peri-implantitis. Systematic reviews and randomized controlled clinical
trials were the primary literature types identified. Current levels of evidence were
established, and recommendations were determined.
Results: A total of 67 articles were included. Regarding the prevention of periimplant diseases, there is strong evidence for the involvement of patients in a
regular maintenance program according to their risk profile. Regarding the
treatment of peri-implant mucositis, infection control measures are recommended,
controversy exists over the usefulness of antimicrobial agents, and there is
evidence against the use of antibiotics. Selection of the peri-implantitis treatment
method depends on the severity of the condition and patient-related factors.
Resective and regenerative therapies may be used for treatment. The use of
systemic antibiotics favors the response of clinical parameters. There is conditional
evidence for the use of other adjunctive therapies.
Conclusions: The best way to prevent peri-implantitis is to prevent peri-implant
mucositis through adherence to supportive periodontal therapy. Treatment of periimplant diseases depends on local and systemic conditions that affect the success
of other treatment options.
Description
Keywords
Facultad de Medicina - Maestría en Ciencias Odontológicas, Implantes mentales, Perimplantitis