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Decision-making on peri-implant mucositis management and treatment approaches.
Romito, Giuseppe A; Hassan, Mohamed A; do Amaral, Guilherme C L S; Villar, Cristina C.
Afiliação
  • Romito GA; Discipline of Periodontics, School of Dentistry, University of São Paulo, São Paulo, Brazil. garomito@usp.br.
  • Hassan MA; Discipline of Periodontics, School of Dentistry, University of São Paulo, São Paulo, Brazil.
  • do Amaral GCLS; Discipline of Periodontics, School of Dentistry, University of São Paulo, São Paulo, Brazil.
  • Villar CC; Discipline of Periodontics, School of Dentistry, University of São Paulo, São Paulo, Brazil.
Br Dent J ; 236(10): 797-801, 2024 05.
Article em En | MEDLINE | ID: mdl-38789757
ABSTRACT
Peri-implant mucositis is characterised by inflammation of soft tissues surrounding a dental implant without associated bone loss beyond initial remodelling. Early detection and timely intervention are critical to prevent its progression to peri-implantitis. This paper focuses on various treatment options for treating peri-implant mucositis. The cornerstone of professional treatment lies in the mechanical disruption and removal of microbial biofilms around the implant. This can be achieved through careful use of manual or powered instruments, such as ultrasonic scalers or air polishing devices. However, there is a need for further research to determine the most effective single approach for treating peri-implant mucositis. Current evidence does not support the combination of mechanical debridement with locally administered antibiotics. Contrarily, evidence strongly supports the removal, cleaning, and modifications of prostheses to improve both self-performance and professional cleanability. The use of adjunctive therapies like photodynamic therapy and diode laser, in conjunction with mechanical instrumentation, is not currently recommended due to the limited strength of available evidence. Preventive measures emphasise the importance of comprehensive oral hygiene care, encompassing professional guidance and at-home practices, to manage biofilms effectively. This encompasses oral hygiene instruction, regular debridement, and maintenance care. Supporting peri-implant therapy is also vital for ongoing implant monitoring, preventing the recurrence of mucositis, and halting its progression to peri-implantitis. This multifaceted approach is key to effectively managing and treating peri-implant mucositis.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Estomatite / Implantes Dentários / Biofilmes / Peri-Implantite Limite: Humans Idioma: En Revista: Br Dent J Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Estomatite / Implantes Dentários / Biofilmes / Peri-Implantite Limite: Humans Idioma: En Revista: Br Dent J Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido