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Microbiology and antimicrobial therapy of peri‐implantitis
Author(s) -
MOMBELLI ANDREA
Publication year - 2002
Publication title -
periodontology 2000
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.725
H-Index - 122
eISSN - 1600-0757
pISSN - 0906-6713
DOI - 10.1034/j.1600-0757.2002.280107.x
Subject(s) - medicine , peri implantitis , antimicrobial , microbiology and biotechnology , pharmacotherapy , biology , surgery , implant
The term peri-implantitis was introduced in the 1980s (56) to describe a destructive inflammatory process affecting the soft and hard tissues around osseointegrated implants, leading to the formation of a peri-implant pocket and loss of supporting bone (1st European Workshop on Periodontology, Ittingen, Switzerland, 1993). A peri-implantitis defect usually assumes the shape of a saucer around the implant and is well demarcated. Because the bottom part of the implant retains perfect osseointegration, bone destruction may proceed without any notable signs of implant mobility until osseointegration is completely lost. The inflammation of the soft tissues is associated with bleeding after gentle probing with a blunt instrument. There may be suppuration from the pocket. Swelling and redness of the marginal tissues is not always very prominent, and there is usually no pain associated with peri-implantitis (47). It is important to recognize that peri-implantitis is not a synonym for ‘‘failing implant’’ or ‘‘ailing implant’’. These terms do not mean the same, and they can not be used interchangeably. It is the basic assumption of this chapter that peri-implant infections are amenable to treatment just as periodontal infections are and that the presence of an infection of the peri-implant tissues does not inevitably mean that an implant fails, just as a tooth with periodontitis is not a failing or ailing tooth.