From the available literature on peri-implantitis, it is difficult for the clinician to judge which treatments are the most effective. In this lecture, Pedja Pavlovic gives a comprehensive overview of the treatment of peri-implantitis and the role of supportive periodontal therapy. This presentation first addresses the need to begin with careful diagnosis to identify the primary cause of peri-implant bone loss as well as a consideration of the defect morphology. The selection of the appropriate treatment option for implants in the esthetic zone is also described.
While the currently available evidence does not allow any firm, specific recommendations for surgical therapy, this presentation covers in detail the treatment steps common to all surgical procedures for peri-implantitis - debridement, decontamination, and chemical inactivation - and also illustrates two surgical approaches, resection and implantoplasty.
At the end of this Congress Lecture you should be able to…
describe how peri-implant bone loss can be related to microbial or non-microbial events
discuss the significance of low bleeding and plaques scores prior to surgical treatment of peri-implantitis
recognize that the surgical treatment options depend on whether the site is in the esthetic zone or not
describe the importance of careful diagnosis and evaluation of the defect configuration in the selection of the treatment options
discuss the treatment steps common to all surgical peri-implantitis treatments as well as the resective and implantoplasty approaches