Considerations in dental care in implant-treated patients

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

Abstract

Peri-implant pathology consists of an inflammatory process affecting the soft and hard tissues surrounding the implant, resulting in rapid loss of supporting bone associated with bleeding and suppuration. Mechanical therapy has been proven to affect bacterial infections and it has been suggested as a treatment modality around implants. Chemotherapeutic treatments are also considered essential in eliminating pathogenic organisms from the affected areas. In this view, the treatment of peri-implant mucositis comprises mechanical therapy, subgingival delivery of antiseptic agents, local application of antibiotics or the cumulative combination of above-mentioned treatments. During the surgery, preoperative antibiotics may be considered to reduce the infectious complications. Applying antiseptic agent such as chlorhexidine before and after implant surgery may be beneficial. Exposed coverscrew may be removed to achieve better hygiene. Additional surgery such as bone graft or soft tissue graft may be needed to achieve better outcomes. In this review, considerations in implant treatment before, during and after surgery will be reviewed. Various methods to control the peri-implant pathology will be discussed and the effect and efficacy of mechanical and chemotherapeutic treatment will be addressed.

Original languageEnglish
Title of host publicationHandbook of Dental Care
Subtitle of host publicationDiagnostic, Preventive and Restorative Services
PublisherNova Science Publishers, Inc.
Pages347-356
Number of pages10
ISBN (Electronic)9781616689827
ISBN (Print)9781607412816
StatePublished - 1 Jan 2009

Bibliographical note

Publisher Copyright:
© 2009 Nova Science Publishers, Inc. All rights reserved.

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