Arrow Development & Clínica Ortiz-Vigón have just launched their latest study describing chronologically those aspects that allow a specialist to obtain an overview of peri-implant pathologies. For this purpose, Dr. Erik Regidor and Dr. Alberto Ortiz-Vigón -together with the rest of their periodontal therapy team- have based their work on the documentation of clinical cases treated within the clinic itself, which have served to illustrate the different steps described. Now, the prestigious specialized magazine El Dentista Moderno echoes this in an article detailing all aspects of this review.
The aim of this document is to help any specialist and periodontal therapy teams in making a correct diagnosis and treatment, both surgical and non-surgical. This is achieved by means of a narrative review of those factors that intervene both during the diagnosis and treatment of peri-implant pathologies (mucositis and peri-implantitis). In this way, an overview is obtained that favors a correct diagnosis. Among the factors described are the decontamination of the peri-implant surface, the use of biomaterials to reconstruct the lost bone and the management of soft tissues to reconstruct the lost gingiva or mucosa around the implant.
According to Dr. Regidor, dental implants are right now the best way to replace missing teeth or replace those that are considered to have an impossible prognosis. “However, they are not exempt from complications and the prevalence of peri-implant pathologies such as mucositis and peri-implantitis is increasing,” he adds. Mucositis would refer exclusively to the inflammation of the gum or mucosa around an implant, while peri-implantitis, in addition to inflammation, would involve bone loss around the implant, which in the most advanced cases could lead to the loss of the implant. In addition, the situation is critical, since the absence of a correct diagnosis and treatment of mucositis can cause the situation to progress towards peri-implantitis.
Throughout the article, the diagnostic and prevention phase is analyzed, where a recently created tool is mentioned that assesses the parameters most related to peri-implantitis, and which helps to draw up a diagram visualizing the development of the pathology. After this, the three-dimensional configuration phase of the bone defect is discussed, which will help to define the type of approach to be used. The following phases are the decontamination of the implant surface, treating each type of treatment in depth, the management of soft tissues and keratinized mucosa and, finally, periodontal and peri-implant maintenance therapy.
Knowing all these risk factors, diagnostic and therapeutic criteria is crucial for a specialist to make the best decision when taking care of peri-implant health.