Treatment of Peri-implantitis Success, Failure and innovations

The aim of this lecture is to summarize recent evidence on the prevalence of peri-implant diseases. Reports on the extent and severity of peri-implant diseases are influenced by different case definitions. The prevalence of peri-implant diseases is reported at the subject or implant level and affected by the type of population samples analyzed. The outcomes of studies on animals and humans indicate that experimental biofilm accumulation leads to a higher frequency of bleeding sites around implants as compared with teeth. Despite the proof of principle that experimentally induced mucositis may be reversible, early diagnosis and management of naturally occurring peri-implant mucositis are clinically relevant. Tissue destruction at experimental peri-implantitis sites is faster and more extensive when compared with that at experimental periodontitis sites. Although human periodontitis and peri-implantitis lesions share similarities with respect to etiology and clinical features, but the treatment for periimplantitis is so difficult than periodontitis recent protocols and tools have not sufficient successfully result for treatment of this type disease. GBR technique have very different and controversial result for treatment of bone loss around implants. One of the main reasons for this problem is lack of decontamination of implant surface after affecting. In this lecture I will present a new material for better cleaning of implant surface.