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Maintenance of Full-Arch Implant-Supported Restorations, Peri-implant and Prosthetic Considerations

  • Sanda MoldovanEmail author
  • Saj Jivraj
Chapter
Part of the BDJ Clinician’s Guides book series (BDJCG)

Abstract

Peri-implant disease develops silently, and often it is diagnosed when bone loss has already occurred. The prevalence of peri-implantitis in the literature is overestimated but it does occur. It is an unpredictable disease to treat and practitioners should make every effort to prevent its occurrence if possible. This is best achieved through a personalized approach to both home care and office hygiene visits, whose duration and frequency should be determined according to the individual patient’s need. The objective of an effective dental implant maintenance program is to recognize early signs of inflammation and peri-implant mucositis, and be able to reverse it back to health.

References

  1. 1.
    Froum SJ, Rosen PS. A proposed classification for peri-implantitis. Int J Periodontics Restorative Dent. 2012;32:533–40.PubMedGoogle Scholar
  2. 2.
    Atieh MA, Alsabeeha NH, Faggion CM Jr, Duncan WJ. The frequency of peri-implant diseases: a systematic review and meta-analysis. J Periodontol. 2013;84(11):1586–98.PubMedGoogle Scholar
  3. 3.
    Daubert DM, Weinstein BF, Bordin S, et al. Prevalence and predictive factors for peri-implant diseases and implant failure: a cross-sectional analysis. J Periodontol. 2015;86(3):337–47.CrossRefGoogle Scholar
  4. 4.
    Truhlar RS, Morris HF, Ochi S. The efficacy of a counter-rotational powered toothbrush in the maintenance of endosseous dental implants. J Am Dent Assoc. 2000;131(1):101–7.CrossRefGoogle Scholar
  5. 5.
    Louropoulou A, Slot DE, Van der Weijden F. Mechanical self-performed oral hygiene of implant supported restorations: a systematic review. J Evid Based Dent Pract. 2014;14(Suppl 60–69):e1.Google Scholar
  6. 6.
    Grusovin MG, Coulthard P, Worthington HV, Esposito M. Maintaining and recovering soft tissue health around dental implants: a Cochrane systematic review of randomised controlled clinical trials. Eur J Oral Implantol. 2008;1(1):11–22.PubMedGoogle Scholar
  7. 7.
    Magnuson B, Harsono M, Stark PC, et al.. Comparison of the effect of two interdental cleaning devices around implants on the reduction of bleeding: a 30-day randomized clinical trial. Compend Contin Educ Dent. 2013;34(Spec No 8):2–7.Google Scholar
  8. 8.
    Ioannidis A, Thurnheer T, Hofer D, et al. Mechanical and hydrodynamic homecare devices to clean rough implant surfaces: an in vitro polyspecies biofilm study. Clin Oral Implants Res. 2015;26(5):523–8.CrossRefGoogle Scholar
  9. 9.
    The effect of a water flosser with Plaque Seeker Tip® on gingival bleeding for implant patients. Presented at the International Association of Dental Research, Seattle, WA, USA. 23 Mar 2013. Abstract #3761.Google Scholar
  10. 10.
    Gorur A, Lyle DM, Schaudinn C, Costerton JW. Biofilm removal with a dental water jet. Compend Contin Educ Dent. 2009;30(Spec No 1):1–6.Google Scholar
  11. 11.
    Misch CE. Contemporary implant dentistry. 3rd ed: St Louis, Missouri: Mosby Elsevier; 2008. p. 75–6.Google Scholar
  12. 12.
    Hallmon WW, Waldrop TC, Houston GD, Hawkins BF. Flossing clefts. Clinical and histologic observations. J Periodontol. 1986;57(8):501–4.CrossRefGoogle Scholar
  13. 13.
    S J, Berglundh T, Genco R, et al. Primary prevention of peri-implantitis: managing peri-implant mucositis. J Clin Periodontol. 2015;42(Suppl 16):S152–7.Google Scholar
  14. 14.
    Albrektsson T, Buser D, Chen ST, et al. Statements from the Estepona consensus meeting on peri-implantitis, February 2–4, 2012. Clin Implant Dent Relat Res. 2012;14(6):781–2.CrossRefGoogle Scholar
  15. 15.
    Moldovan S. Update on nutrition for better healing. Inside Dent. 2015;11(7):45–52.Google Scholar
  16. 16.
    Quirynen M, van der Mei HC, Bollen CM, et al. An in vivo study of the influence of the surface roughness of implants on the microbiology of supra- and subgingival plaque. J Dent Res. 1993;72(9):1304–9.CrossRefGoogle Scholar
  17. 17.
    Baldi D, Menini M, Pera F, et al. Plaque accumulation on exposed titanium surfaces and peri-implant tissue behavior. A preliminary 1 year clinical study. Int J Prosthodont. 2009;22:447–55.PubMedGoogle Scholar
  18. 18.
    Hasturk H, Nguyen DH, Sherzai H, Song X, Soukos N, Bidlack FB, Van Dyke TE. Comparison of the impact of scaler material composition on polished titanium implant abutment surfaces. J Dent Hyg. 2013;87(4):200–11.PubMedGoogle Scholar
  19. 19.
    Tastepe CS, van Waas R, Liu Y, Wismeijer D. Air powder abrasive treatment as an implant surface cleaning method: a literature review. Int J Oral Maxillofac Implants. 2012;27(6):1461–73.PubMedGoogle Scholar
  20. 20.
    Wilson TG Jr. The positive relationship between excess cement and peri-implant disease: a prospective clinical endoscopic study. J Periodontal. 2009;80(9):1388–92.CrossRefGoogle Scholar
  21. 21.
    Burbano M, Wilson TG Jr, Valderrama P, Blansett J, Wadhwani CP, Choudhary PK, Rodriguez LC, Rodrigues DC. Characterization of cement particles found in peri-implantitis-affected human biopsy specimens. Int J Oral Maxillofac Implants. 2015;30(5):1168–73.CrossRefGoogle Scholar
  22. 22.
    Gay IC, et al. Role of supportive maintenance therapy on implant survival: a university-based 17 years retrospective analysis. Int J Dent Hyg. 2016;14(4):267–71.CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Private PracticeBeverly HillsUSA
  2. 2.Herman Ostrow USC School of DentistryLos AngelesUSA
  3. 3.Eastmann Dental InstituteLondonUK
  4. 4.Private PracticeOxnardUSA

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