Treatment Options Related to Cement Contamination and Repair of Lesions

Chapter

Abstract

Periodic evaluation of the implant and restoration should be made to monitor overall health. The examination should include mobility (restoration as well as implant), probing (depth and especially bleeding on probing), plaque score, radiographic and visual tissue examination (color, texture, tissue dimension changes), recession, and suppuration. The ability for the patient to adequately clean and maintain the implant site is also vitally important, and this too should be assessed regularly. The level of therapy required to restore implant health will be determined by the severity of the issue, which can often be determined during these examinations. Sequential information and how this changes between examinations will also give an indication of progression, although it must be remembered that peri-implant disease may have a unique pattern of onset time and progression, very different from periodontal disease.

Keywords

Mobility Bleeding on probing Probing depth Recession Suppuration Mobility Implant health Biological complication Incremental approach Decontamination Laser Air-flow device Re-osseointegration Regeneration Explantation 

Bibliography

  1. Adell R, Lekhol U, Rockler B, Branemark PI. A 15-year study of osseointegrated implants in the treatment of the edentulous jaw. Int J Oral Surg. 1981;10:387–416.PubMedCrossRefGoogle Scholar
  2. Akimoto K, Becker W, Persson R, Baker DA, Rohrer MD, O’Neal RB. Evaluation of titanium implants placed into simulated extraction sockets: a study in dogs. Int J Oral Maxillofac Implants. 1999;14:351–60.PubMedGoogle Scholar
  3. Albrektsson T, Jansson T, Lekholm U. Osseointegrated dental implants. Dent Clin North Am. 1986;30:151–74.PubMedGoogle Scholar
  4. Atassi F. Periimplant probing: positives and negatives. Implant Dent. 2002;11:356–62.PubMedCrossRefGoogle Scholar
  5. Balleri P, Cozzolino A, Ghelli L, Momicchioli G, Varriale A. Stability measurements of osseointegrated implants using Osstell in partially edentulous jaws after 1 year of loading: a pilot study. Clin Implant Dent Relat Res. 2002;4:128–32.PubMedCrossRefGoogle Scholar
  6. Becker W, Becker BE, Berg L, Samsam C. Clinical and volumetric analysis of three-wall intrabony defects following open flap debridement. J Periodontol. 1986;57:277–85.PubMedCrossRefGoogle Scholar
  7. Cavusoglu Y, Sahin E, Akca K. Efficacy of resonance frequency analysis in the diagnosis of compromised bone-implant interface. Implant Dent. 2012;21:394–8.PubMedCrossRefGoogle Scholar
  8. Corbella S, Del Fabbro M, Taschieri S, De Siena F, Francetti L. Clinical evaluation of an implant maintenance protocol for the prevention of peri-implant diseases in patients treated with immediately loaded full-arch rehabilitations. Int J Dent Hyg. 2011;9:216–22.PubMedCrossRefGoogle Scholar
  9. de Waal YC, Raghoebar GM, Huddleston Slater JJ, Meijer HJ, Winkel EG, van Winkelhoff AJ. Implant decontamination during surgical peri-implantitis treatment: a randomized, double-blind, placebo-controlled trial. J Clin Periodontol. 2013;40:186–95.PubMedCrossRefGoogle Scholar
  10. Etter TH, Hakanson I, Lang NP, Trejo PM, Caffesse RG. Healing after standardized clinical probing of the perlimplant soft tissue seal: a histomorphometric study in dogs. Clin Oral Implants Res. 2002;13:571–80.PubMedCrossRefGoogle Scholar
  11. Gerber J, Wenaweser D, Heitz-Mayfield L, Lang NP, Persson GR. Comparison of bacterial plaque samples from titanium implant and tooth surfaces by different methods. Clin Oral Implants Res. 2006;17:1–7.PubMedCrossRefGoogle Scholar
  12. Heitz-Mayfield LJ. Diagnosis and management of peri-implant diseases. Aust Dent J. 2008;53 Suppl 1:​S43–8.PubMedCrossRefGoogle Scholar
  13. Ito T, Yasuda M, Kaneko H, Sasaki H, Kato T, Yajima Y. Clinical evaluation of salivary periodontal pathogen levels by real-time polymerase chain reaction in patients before dental implant treatment. Clin Oral Implants Res. 2014;25(8):977–82.Google Scholar
  14. Kawashima H, Sato S, Kishida M, Yagi H, Matsumoto K, Ito K. Treatment of titanium dental implants with three piezoelectric ultrasonic scalers: an in vivo study. J Periodontol. 2007;78:1689–94.PubMedCrossRefGoogle Scholar
  15. Kolonidis SG, Renvert S, Hammerle CH, Lang NP, Harris D, Claffey N. Osseointegration on implant surfaces previously contaminated with plaque. An experimental study in the dog. Clin Oral Implants Res. 2003;14:373–80.PubMedCrossRefGoogle Scholar
  16. Korkmaz FM, Tuzuner T, Baygin O, Buruk CK, Durkan R, Bagis B. Antibacterial activity, surface roughness, flexural strength, and solubility of conventional luting cements containing chlorhexidine diacetate/cetrimide mixtures. J Prosthet Dent. 2013;110:107–15.PubMedCrossRefGoogle Scholar
  17. Lindhe J, Meyle J. Peri-implant diseases: Consensus Report of the Sixth European Workshop on Periodontology. J Clin Periodontol. 2008;35:282–5.PubMedCrossRefGoogle Scholar
  18. Mohn D, Zehnder M, Stark WJ, Imfeld T. Electrochemical disinfection of dental implants–a proof of concept. PLoS One. 2011;6:e16157.PubMedCentralPubMedCrossRefGoogle Scholar
  19. Mombelli A. Microbiology and antimicrobial therapy of peri-implantitis. Periodontol 2000. 2002;28:177–89.PubMedCrossRefGoogle Scholar
  20. Olive J, Aparicio C. Periotest method as a measure of osseointegrated oral implant stability. Int J Oral Maxillofac Implants. 1990;5:390–400.PubMedGoogle Scholar
  21. Persson LG, Araujo MG, Berglundh T, Grondahl K, Lindhe J. Resolution of peri-implantitis following treatment. An experimental study in the dog. Clin Oral Implants Res. 1999;10:195–203.PubMedCrossRefGoogle Scholar
  22. Renvert S, Polyzois I, Maguire R. Re-osseointegration on previously contaminated surfaces: a systematic review. Clin Oral Implants Res. 2009;20 Suppl 4:216–27.PubMedCrossRefGoogle Scholar
  23. Rosenberg ES, Torosian JP, Slots J. Microbial differences in 2 clinically distinct types of failures of osseointegrated implants. Clin Oral Implants Res. 1991;2:135–44.PubMedCrossRefGoogle Scholar
  24. Sahrmann P, Ronay V, Sener B, Jung RE, Attin T, Schmidlin PR. Cleaning potential of glycine air-flow application in an in vitro peri-implantitis model. Clin Oral Implants Res. 2013;24:666–70.PubMedCrossRefGoogle Scholar
  25. Schou S, Holmstrup P, Jorgensen T, Skovgaard LT, Stoltze K, Hjørting-Hansen E, et al. Implant surface preparation in the surgical treatment of experimental peri-implantitis with autogenous bone graft and ePTFE membrane in cynomolgus monkeys. Clin Oral Implants Res. 2003;14:412–22.PubMedCrossRefGoogle Scholar
  26. Schwarz F, Sahm N, Schwarz K, Becker J. Impact of defect configuration on the clinical outcome following surgical regenerative therapy of peri-implantitis. J Clin Periodontol. 2010a;37:449–55.PubMedCrossRefGoogle Scholar
  27. Schwarz F, Jung RE, Fienitz T, Wieland M, Becker J, Sager M. Impact of guided bone regeneration and defect dimension on wound healing at chemically modified hydrophilic titanium implant surfaces: an experimental study in dogs. J Clin Periodontol. 2010b;37:474–85.PubMedCrossRefGoogle Scholar
  28. Schwarz F, Sahm N, Iglhaut G, Becker J. Impact of the method of surface debridement and decontamination on the clinical outcome following combined surgical therapy of peri-implantitis: a randomized controlled clinical study. J Clin Periodontol. 2011;38:276–84.PubMedCrossRefGoogle Scholar
  29. Schwarz F, John G, Mainusch S, Sahm N, Becker J. Combined surgical therapy of peri-implantitis evaluating two methods of surface debridement and decontamination. A two-year clinical follow up report. J Clin Periodontol. 2012;39:789–97.PubMedCrossRefGoogle Scholar
  30. Sennerby L, Meredith N. Implant stability measurements using resonance frequency analysis: biological and biomechanical aspects and clinical implications. Periodontol 2000. 2008;47:51–66.PubMedCrossRefGoogle Scholar
  31. Shumaker ND, Metcalf BT, Toscano NT, Holtzclaw DJ. Periodontal and periimplant maintenance: a critical factor in long-term treatment success. Compend Contin Educ Dent. 2009;30:388–90, 392, 394.PubMedGoogle Scholar
  32. Souza PP, Aranha AM, Hebling J, Giro EM, Costa CA. In vitro cytotoxicity and in vivo biocompatibility of contemporary resin-modified glass-ionomer cements. Dent Mater. 2006;22:838–44.PubMedCrossRefGoogle Scholar
  33. Subramani K, Wismeijer D. Decontamination of titanium implant surface and re-osseointegration to treat peri-implantitis: a literature review. Int J Oral Maxillofac Implants. 2012;27:1043–54.PubMedGoogle Scholar
  34. Vervaeke S, Collaert B, Cosyn J, Deschepper E, De Bruyn H. A multifactorial analysis to identify predictors of implant failure and peri-implant bone loss. Clin Implant Dent Relat Res. 2013. doi: 10.1111/cid.12149.PubMedGoogle Scholar
  35. Wadhwani CP, Chung KH. The role of cements in dental implant success, Part 2. Dent Today. 2013;32(46):48–51.Google Scholar
  36. Wadhwani CP, Schwedhelm ER. The role of cements in dental implant success, Part I. Dent Today. 2013;​32:74–8; quiz 78–9.PubMedGoogle Scholar
  37. Wilson Jr TG. The positive relationship between excess cement and peri-implant disease: a prospective clinical endoscopic study. J Periodontol. 2009;80:1388–92.PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2015

Authors and Affiliations

  1. 1.Department of PeriodonticsUniversity of Washington, Private Practice Limited to Periodontics and ImplantIssaquahUSA
  2. 2.Department of PeriodonticsUniversity of Washington School of DentistrySeattleUSA
  3. 3.Department of PeriodonticsPrivate Practice Limited to Periodontics and Implant DentistrySeattleUSA

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