Share Page:

Volume 32 , Issue 2
March/April 2017

Pages 356362

The Impact of Implant Design, Defect Size, and Type of Superstructure on the Accessibility of Nonsurgical and Surgical Approaches for the Treatment of Peri-implantitis

David Polak, PhD, DMD/Efrat Maayan, DMD/Tali Chackartchi, DMD

PMID: 27643587
DOI: 10.11607/jomi.4781

Purpose: The success of nonsurgical or surgical treatments of peri-implantitis is unpredictable, often without a clear reason. The aim of this study was to investigate the efficacy of nonsurgical and surgical cleaning, focusing on the impact of implant design, defect size, type of superstructure, and experience of the operator. Materials and Methods: Conical and straight implants were coated with a biofilm-like material and placed in shallow/deep defects in an artificial jaw model. Treatment was done by three operators and included either healing abutments or crowns as superstructures. Analysis was done using stereomicroscopy and ImageJ software. Results: Nonsurgical treatment of peri-implantitis defects was inefficient in removing all biofilm areas, regardless of the depth of the defect. The type of implant, experience of the operator, or type of superstructure did not have a significant impact. Surgical treatment was more efficient than a nonsurgical approach with regard to biofilm residues. However, the surgical approach failed to clean the apical portion of the exposed part of the implants. Conclusion: Nonsurgical and surgical treatment were found to be ineffective in cleaning the exposed portion of implants with peri-implantitis. Treatment of periimplantitis should therefore also include other approaches, such as chemical or biological modalities.

Full Text PDF File | Order Article


Get Adobe Reader
Adobe Acrobat Reader is required to view PDF files. This is a free program available from the Adobe web site.
Follow the download directions on the Adobe web site to get your copy of Adobe Acrobat Reader.


© 2018 Quintessence Publishing Co, Inc JOMI Home
Current Issue
Ahead of Print
Author Guidelines
Submission Form
Quintessence Home
Terms of Use
Privacy Policy
About Us
Contact Us