Treatment decision-making and prognosis assessment of peri-implantitis

doi:10.12337/zgkqzzxzz.2023.12.002

Abstract

Abstract: Peri-implantitis is a common biological complication of dental implant treatment, and it is one of the significant causes of implant failure as well. The treatment decision-making and prognosis assessment of peri-implantitis present two major problems for implantologists in clinical practice. Evidence-based treatment decision-making and accurate prognosis assessment could help doctors propose appropriate treatment approaches and guide patients to conduct oral self-care and systemic factors control according to their own conditions, aiming for more a streamlined treatment process and better clinical outcomes. This literature review provides a comprehensive overview of the treatment decision-making and prognosis assessment of peri-implantitis, discusses its research progress and clinical recommendations, and puts forth suggestions for further research.

Key words: Dental implants, Peri-implantitis, Treatment decision-making, Prognosis assessment

Xu Shulan, Zhu Yuanxi. Treatment decision-making and prognosis assessment of peri-implantitis[J]. Chinese Journal of Oral Implantology, 2023, 28(6): 394-401.

References

[1] Renvert S, Persson GR, Pirih FQ, et al.Peri-implant health, peri-implant mucositis, and peri-implantitis: Case definitions and diagnostic considerations[J]. J Periodontol, 2018,89(Suppl 1): S304-S312. DOI: 10.1002/JPER.17-0588.
[2] Berglundh T, Armitage G, Araujo MG, et al.Peri-implant diseases and conditions: consensus report of workgroup 4 of the 2017 World Workshop on the classification of periodontal and peri-Implant diseases and conditions[J]. J Clin Periodontol, 2018,45(Suppl 20):S286-S291. DOI: 10.1111/jcpe.12957.
[3] Rakic M, Galindo-Moreno P, Monje A, et al.How frequent does peri-implantitis occur? A systematic review and meta-analysis[J]. Clin Oral Investig, 2018,22(4):1805-1816. DOI: 10.1007/s00784-017-2276-y.
[4] Albrektsson T, Jemt T, Mölne J, et al.On inflammation-immunological balance theory-A critical apprehension of disease concepts around implants: mucositis and marginal bone loss may represent normal conditions and not necessarily a state of disease[J]. Clin Implant Dent Relat Res. 2019, 21(1):183-189. DOI:10.1111/cid.12711.
[5] Dreyer H, Grischke J, Tiede C, et al.Epidemiology and risk factors of peri-implantitis: a systematic review[J]. J Periodontal Res, 2018,53(5):657-681. DOI: 10.1111/jre.12562.
[6] Lang N P, Mult. Dr H C, Tonetti M S. Peri-implantitis: etiology, pathogenesis, prevention, and therapy[M]. USA:John Wiley & Sons, Inc. 2015: 170-186.
[7] Sinjab K, Garaicoa-Pazmino C, Wang HL.Decision making for management of periimplant diseases[J]. Implant Dent, 2018,27(3):276-281. DOI: 10.109/7ID.0000000000000775.
[8] LJA H-M.ITI Treatment guide volume 13: prevention and management of peri-implant diseases[M]. Deutschland: Quintessence Publishing,2022.
[9] Toma S, Brecx MC, Lasserre JF.Clinical evaluation of three surgical modalities in the treatment of peri-implantitis: a randomized controlled clinical trial[J]. J Clin Med, 2019,8(7):966. DOI: 10.3390/jcm8070966.
[10] Esposito M, Grusovin MG, Worthington HV. Interventions for replacing missing teeth: treatment of peri-implantitis[J]. Cochrane Database Syst Rev, 2012,1(1):CD004970.DOI: 10.1002/14651858.CD004970.pub5.
[11] De Waal Y, Vangsted TE, Van Winkelhoff AJ.Systemic antibiotic therapy as an adjunct to non-surgical peri-implantitis treatment: a single-blind RCT[J]. J Clin Periodontol, 2021,48(7):996-1006. DOI: 10.1111/jcpe.13464.
[12] Unursaikhan O, Lee JS, Cha JK, et al.Comparative evaluation of roughness of titanium surfaces treated by different hygiene instruments[J]. J Periodontal Implant Sci, 2012,42(3):88-94. DOI: 10.5051/jpis.2012.42.3.88.
[13] Yang SM, Park JB, Ko Y.Use of confocal microscopy for quantification of plastic remnants on rough titanium after instrumentation and evaluation of efficacy of removal[J]. Int J Oral Maxillofac Implants, 2015,30(3):519-525. DOI: 10.11607/jomi.3500.
[14] 伍志荣. 种植体周围炎的病因、临床检查与治疗进展[J]. 口腔疾病防治. 2018,26(6):401-405. DOI: 10.12016/j.issn.2096-1456.2018.06.013.
[15] Park SH, Song YW, Cha JK, et al.Adjunctive use of metronidazole-minocycline ointment in the nonsurgical treatment of peri-implantitis: a multicenter randomized controlled trial[J]. Clin Implant Dent Relat Res, 2021,23(4):543-554. DOI: 10.1111/cid.13006.
[16] Ravidà A, Siqueira R, Saleh I, et al.Lack of Clinical benefit of implantoplasty to improve implant survival rate[J]. J Dent Res, 2020,99(12):1348-1355. DOI: 10.1177/0022034520944158.
[17] Stavropoulos A, Bertl K, Isidor F, et al.Implantoplasty and the risk of fracture of narrow implants with advanced bone loss: a laboratory study[J]. Clin Oral Implants Res, 2023,34(10):1038-1046. DOI: 10.1111/clr.14132.
[18] Wang A M H-L. Unfolding Peri-implantitis[M]. Spain:Quintessence Publishing,2021.
[19] Lee ST, Subu MG, Kwon TG.Emphysema following air-powder abrasive treatment for peri-implantitis[J]. Maxillofac Plast Reconstr Surg, 2018,40(1):12. DOI: 10.1186/s40902-018-0151-7.
[20] Norton MR.Efficacy of Er:YAG laser in the decontamination of peri-implant disease: a one-year prospective closed cohort study[J]. Int J Periodontics Restorative Dent, 2017,37(6):781-788. DOI: 10.11607/prd.3324.
[21] Nevins M, Nevins ML, Yamamoto A, et al.Use of Er:YAG laser to decontaminate infected dental implant surface in preparation for reestablishment of bone-to-implant contact[J]. Int J Periodontics Restorative Dent, 2014,34(4):461-466. DOI: 10.11607/prd.2192.
[22] Mohn D, Zehnder M, Stark WJ, et al.Electrochemical disinfection of dental implants--a proof of concept[J]. PLoS One, 2011,6(1):e16157. DOI: 10.1371/journal.pone.0016157.
[23] Schlee M, Rathe F, Brodbeck U, et al.Treatment of peri-implantitis-electrolytic cleaning versus mechanical and electrolytic cleaning-a randomized controlled clinical trial-six-month results[J]. J Clin Med, 2019,8(11):1909. DOI: 10.3390/jcm8111909.
[24] Sanz M, Chapple IL.Clinical research on peri-implant diseases: consensus report of working group 4[J]. J Clin Periodontol, 2012,39(Suppl 12):S202-S206. DOI: 10.1111/j.1600-051X.2011.01837.x.
[25] Renvert S, Giovannoli J L.Peri-implantitis[M]. France:Quintessence Publishing, 2012.
[26] Aghazadeh A, Persson RG, Renvert S.Impact of bone defect morphology on the outcome of reconstructive treatment of peri-implantitis[J]. Int J Implant Dent, 2020,6(1):33. DOI: 10.1186/s40729-020-00219-5.
[27] 李霞, 路瑞芳. 种植体周炎骨缺损的类型及治疗[J]. 口腔疾病防治. 2022,30(4):289-294. DOI: 10.12016/j.issn.2096-1456.2022.04.010.
[28] Heitz-Mayfield L, Levine R, Grunder U, et al.Ask the experts: what are your decision criteria for when to remove an implant with peri-implantitis?[J]. Forum Implantologicum, 2021, 17(1):2021. DOI: 10.3290/iti.fi.45627.
[29] Stiesch M, Grischke J, Schaefer P, et al.Supportive care for the prevention of disease recurrence/progression following peri-implantitis treatment: a systematic review[J]. J Clin Periodontol, 2023,50(Suppl 26):S113-S134. DOI: 10.1111/jcpe.13822.
[30] Armitage GC, Xenoudi P.Post-treatment supportive care for the natural dentition and dental implants[J]. Periodontol 2000, 2016,71(1):164-184. DOI: 10.1111/prd.12122.
[31] Renvert S, Hirooka H, Polyzois I, et al.Diagnosis and non-surgical treatment of peri-implant diseases and maintenance care of patients with dental implants-Consensus report of Working Group 3[J]. Int Dent J, 2019,69(Suppl 2):S12-S17. DOI: 10.1111/idj.12490.
[32] Khoury F, Keeve PL, Ramanauskaite A, et al. Surgical treatment of peri-implantitis-Consensus report of Working Group 4[J]. Int Dent J, 2019,69 Suppl 2(Suppl 2):S18-S22. DOI: 10.1111/idj.12505.
[33] Costa FO, Lages E, Cortelli SC, et al.Association between cumulative smoking exposure, span since smoking cessation, and peri-implantitis: a cross-sectional study[J]. Clin Oral Investig, 2022,26(7):4835-4846. DOI: 10.1007/s00784-022-04451-8.
[34] Jepsen S, Berglundh T, Genco R, et al.Primary prevention of peri-implantitis: managing peri-implant mucositis[J]. J Clin Periodontol, 2015,42(Suppl 16):S152-S157. DOI: 10.1111/jcpe.12369.
[35] Heitz-Mayfield L, Salvi GE, Mombelli A, et al.Supportive peri-implant therapy following anti-infective surgical peri-implantitis treatment: 5-year survival and success[J]. Clin Oral Implants Res, 2018,29(1):1-6. DOI: 10.1111/clr.12910.
[36] Xie Y, Meng H, Han J, et al.A retrospective cohort study of peri-implant condition in Chinese patients with different periodontal condition and maintenance frequency[J]. Clin Oral Implants Res, 2018,29(11):1135-1142. DOI: 10.1111/clr.13377.
[37] Zhang H, Li W, Zhang L, et al.A nomogram prediction of peri-implantitis in treated severe periodontitis patients: a 1-5-year prospective cohort study[J]. Clin Implant Dent Relat Res, 2018,20(6):962-968. DOI: 10.1111/cid.12686
[38] 黄婕, 林云红. 种植体周围角化龈宽度与种植体周围骨高度的相关性[J]. 国际口腔医学杂志,2019,46(2):149-155. DOI: 10.7518/gjkq.2019018.
[39] Mameno T, Wada M, Otsuki M, et al.Risk indicators for marginal bone resorption around implants in function for at least 4 years: a retrospective longitudinal study[J]. J Periodontol. 2020,91(1):37-45. DOI: 10.1002/JPER.18-0756.
[40] Roos-Jansåker AM, Renvert H, Lindahl C, et al.Nine-to fourteen-year follow-up of implant treatment. Part III: factors associated with peri-implant lesions[J]. J Clin Periodontol, 2006,33(4):296-301. DOI: 10.1111/j.1600-051X.2006.00908.x.
[41] Kwok V, Caton JG, Hart ID, et al.Dental implant prognostication: a commentary[J]. J Periodontol, 2023,94(6):713-721. DOI: 10.1002/JPER.22-0196.
[42] Li A, Qiu B, Goettsch M,et al.Association between the quality of plant-based diets and periodontitis in the U.S. general population[J]. J Clin Periodontol. 2023,50(5):591-603.DOI: 10.1111/jcpe.13785.
[43] Li A, Chen Y, Schuller AA, et al.Dietary inflammatory potential is associated with poor periodontal health: a population-based study[J]. J Clin Periodontol, 2021,48(7):907-918. DOI: 10.1111/jcpe.13472.
[44] Li A, Tang Z, Zhu P, et al.Serum antioxidant vitamins mediate the association between periodontitis and metabolically unhealthy overweight/obesity[J]. Nutrients, 2022,14(22):4939. DOI: 10.3390/nu14224939.
[45] Zhu P, Li A, Cai Q, et al. Sex differences in the association between dual-energy x-ray absorptiometry-measured body composition and periodontitis[J]. J Periodontol.2023 Jul 28. DOI: 10.1002/JPER.23-0162.
[46] Darby I.Risk factors for periodontitis & peri-implantitis[J]. Periodontol 2000, 2022,90(1):9-12. DOI: 10.1111/prd.12447.
[47] Nobre MA, Salvado F, Nogueira P, et al.A prognostic model for the outcome of Nobel biocare dental implants with peri-implant disease after one year[J]. J Clin Med, 2019,8(9):1352. DOI: 10.3390/jcm8091352.