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Article

Management of Peri-Implant Diseases: A Survey of Australian Periodontists

by 1 and 2,3,*
1
College of Medicine and Dentistry, James Cook University, 14-88 McGregor Road, Smithfield 4878, QLD, Australia
2
Department of Periodontics, James Cook University, 14-88 McGregor Road, Smithfield 4878, QLD, Australia
3
The Australian Institute of Tropical Health and Medicine (AITHM), James Cook University, 14-88 McGregor Road, Smithfield 4878, QLD, Australia
*
Author to whom correspondence should be addressed.
Dent. J. 2020, 8(3), 100; https://doi.org/10.3390/dj8030100
Received: 24 July 2020 / Revised: 14 August 2020 / Accepted: 14 August 2020 / Published: 1 September 2020
(This article belongs to the Section Oral Hygiene, Periodontology and Peri-implant Diseases)
Background/Aim: This survey-based study aims to explore the clinical management protocols of followed by Australian periodontists in relation to peri-implant diseases. Materials and Methods: A five-part online questionnaire was developed and administered through email. Descriptive statistics were used for analysis, with the univariate associations between a categorical outcome and the variables evaluated using Pearson’s Chi-squared test. Results: The survey yielded 99 responses, resulting in a response rate of 41.8%. Most participants were male and aged 35–44 years. More than a quarter of practitioners had been placing implants for 6–10 years and almost two-fifths of practitioners placed 1–10 implants per month. The estimated prevalence of peri-implant mucositis and peri-implantitis in the general Australian population was 47% and 21%, respectively. Practitioners reported using systemic antibiotics to manage peri-implant mucositis (7%) and (72%) peri-implantitis lesions, with a combination of amoxicillin and metronidazole. Most common treatment modalities were oral hygiene instructions, nonsurgical debridement and antimicrobial gel/rinse. Surgical debridement and systemic antibiotics were also often used for peri-implantitis treatment. Practitioners preferred a 3-month clinical follow-up and 6-month radiographic evaluation. Furthermore, three-quarters of practitioners rated their management as moderately effective, although upwards of nine-tenths expressed the need for further training and awareness. Conclusion: This study confirms a significant use of empirical treatment modalities due to lack of standard therapeutic protocol. However, some approaches followed by the specialists may provide a basis to formulate a therapeutic protocol for peri-implant disease management. View Full-Text
Keywords: peri-implant mucositis; peri-implantitis; dental implants; therapeutics; aetiology peri-implant mucositis; peri-implantitis; dental implants; therapeutics; aetiology
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MDPI and ACS Style

Khan, A.; Sharma, D. Management of Peri-Implant Diseases: A Survey of Australian Periodontists. Dent. J. 2020, 8, 100. https://doi.org/10.3390/dj8030100

AMA Style

Khan A, Sharma D. Management of Peri-Implant Diseases: A Survey of Australian Periodontists. Dentistry Journal. 2020; 8(3):100. https://doi.org/10.3390/dj8030100

Chicago/Turabian Style

Khan, Ahsen, and Dileep Sharma. 2020. "Management of Peri-Implant Diseases: A Survey of Australian Periodontists" Dentistry Journal 8, no. 3: 100. https://doi.org/10.3390/dj8030100

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