Čes. stomatol. Prakt. zub. lék. (Czech Dental Journal) 2023; 123(3): 77-85 | DOI: 10.51479/cspzl.2023.007

PERI-IMPLANTITIS: NON-SURGICAL TREATMENT

Štefanatný M.^{1, 2}, Starosta M.³, Žižka R.², Štefanatná J.¹

¹ Blanc Dental Studio, Žilina, Slovenská republika

² Klinika zubního lékařství, Lékařská fakulta Univerzity Palackého v Olomouci, a Fakultní nemocnice Olomouc

³ Stomatologická klinika, Univerzita Karlova, 1. lékařská fakulta, a Všeobecná fakultní nemocnice v Praze

Introduction: The aim of this article is to present and summarize the non-surgical treatment options in management of peri-implant diseases and compare the effectiveness of the treatment with/without adjunctive use of antibiotics.

Methods: A search was conducted in the PubMed- MEDLINE, Scopus, Embase, and Google Scholar databases, and available repositories, followed by a hand search. The relevant clinical studies, reviews, and consensuses about the non-surgical peri-implant therapy published between 1990–2022 in English language were included.

Conclusion: Based on the available information, it can be said that there is a great diversity in the treatment of dental implants affected by peri-implantitis. Studies testing different therapeutic protocols are rare and highly heterogeneous. Stabilization of peri-implant disease after the treatment without systemic or local antibiotics is possible, but the reduction of probing depth around the dental implant using only the non-surgical therapy is still insufficient. Non-surgical treatment is therefore successful particularly in solving the peri-implant mucositis and also as a conditioning before surgical therapy.

Keywords: peri-implantitis, non-surgical therapy, conservative therapy, scaling, laser, photodynamic therapy, air-flow, antibiotics

Received: March 2, 2023; Revised: May 7, 2023; Accepted: May 14, 2023; Prepublished online: August 29, 2023; Published: September 11, 2023  Show citation