Management of Peri-Implantitis II

A special issue of Dentistry Journal (ISSN 2304-6767). This special issue belongs to the section "Dental Implantology".

Deadline for manuscript submissions: closed (15 February 2024) | Viewed by 1352

Special Issue Editors


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Guest Editor
Department of Biomedical, Surgical and Dental Sciences, Università degli Studi di Milano–Dental Clinic IRCCS Istituto Ortopedico Galeazzi, 20161 Milan, Italy
Interests: implant dentistry; peri-implant diseases; biomaterials; bone regeneration; evidence-based dentistry
Special Issues, Collections and Topics in MDPI journals

E-Mail Website
Guest Editor
1. Department of Biomedical, Surgical and Dental Sciences, Università degli Studi di Milano – Dental Clinic IRCCS Istituto Ortopedico Galeazzi, 20161 Milan, Italy
2. Department of Oral Surgery, Institute of Dentistry, I. M. Sechenov First Moscow State Medical University, 119435 Moscow, Russia
Interests: implant dentistry; oral surgery; bone augmentation; peri-implantitis
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

This Special Issue, entitled “Management of peri-implantitis”, will cover all aspects related to the epidemiology, diagnosis, prevention, treatment, and prognosis of peri-implantitis.

Dental implants should be considered as a safe and effective treatment option to solve partial and full edentulism, by supporting fixed or removable dental prosthesis. However, both technical and biological complications may affect the outcome of implant-supported restorations, thus reducing implant survival and success rate.

Dental implant biological complications were peri-implant mucositis and peri-implantitis. Peri-implant mucositis is a reversible inflammatory condition affecting peri-implant soft tissues, and it is characterized by bleeding; swelling; and, eventually, suppuration, without any sign of bone resorption. Peri-implantitis has been defined as a pathologic condition correlated with the presence of dental plaque; it is characterized by the inflammation of the peri-implant mucosa and progressive marginal bone loss. Peri-implantitis has also been found to be correlated with the presence of plaque (namely, poor oral hygiene) and with a history of periodontitis. The effect of other risk factors (systemic diseases and conditions, and smoking status) remains controversial. Its reported prevalence varies largely due to the different definitions of peri-implantitis adopted in published studies.

The treatment of peri-implantitis should imply the removal of the noxious agent and the detoxification of the implant surface, aiming at arresting the bone resorption process. Both nonsurgical and surgical treatment options have been proposed to treat lesions from peri-implantitis. Moreover, both resective and regenerative approaches have been applied to treat these bony lesions.

For this Special Issue, submissions dealing with all clinical and research aspects related to peri-implantitis will be considered. A strict research protocol is required for all articles considered, and papers describing innovations in the clinical management of peri-implantitis are especially sought after. Critical and systematic reviews, case reports and case series, clinical studies and basic research studies will be accepted for publication in this Special Issue.

Dr. Stefano Corbella
Dr. Silvio Taschieri
Guest Editors

Manuscript Submission Information

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Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Dentistry Journal is an international peer-reviewed open access monthly journal published by MDPI.

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Keywords

  • peri-implant mucositis
  • peri-implantitis
  • regenerative surgery
  • peri-implant diseases
  • prevention

Published Papers (1 paper)

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Research

11 pages, 2862 KiB  
Article
Novel Technique to Reconstruct Peri-Implant Keratinised Mucosa Width Using Xenogeneic Dermal Matrix. Clinical Case Series
by Attila Horváth, Péter Windisch, Dániel Palkovics and Xinda Li
Dent. J. 2024, 12(3), 43; https://doi.org/10.3390/dj12030043 - 20 Feb 2024
Viewed by 1019
Abstract
Reconstruction of sufficient buccal peri-implant keratinised mucosa width (PIKM-W) is reported to reduce the symptoms of peri-implantitis. In order to reduce the drawbacks of autogenous graft harvesting, we investigated a novel porcine dermal matrix (XDM, mucoderm®) using a modified surgical technique [...] Read more.
Reconstruction of sufficient buccal peri-implant keratinised mucosa width (PIKM-W) is reported to reduce the symptoms of peri-implantitis. In order to reduce the drawbacks of autogenous graft harvesting, we investigated a novel porcine dermal matrix (XDM, mucoderm®) using a modified surgical technique for augmentation of PIKM-W. Twenty-four patients were recruited with insufficient (<2 mm) PIKM-W. After split thickness flap preparation, the XDM was trimmed, rehydrated and tightly attached to the recipient periosteal bed using modified internal/external horizontal periosteal mattress sutures via secondary wound healing. Change of the PIKM-W and dimension of the graft remodelling were evaluated at 6 and 12 months postoperatively. The mean PIKM-W changed from 0.42 ± 0.47 to 3.17 ± 1.21 mm at 6 M and to 2.36 ± 1.34 mm at 12 M in the maxilla and from 0.29 ± 0.45 mm to 1.58 ± 1.44 mm at 6 M and to 1.08 ± 1.07 mm at 12 M in the mandible. Graft dimensions decreased by 67.7 ± 11.8% and 81.6 ± 16.6% at 6 M, and continued to 75.9 ± 13.9% and 87.4 ± 12.3% at 12 M, in the maxilla and mandible, respectively. Clinical parameters showed statistically significant intra- and intergroup differences between the baseline and 6 and 12 months (p < 0.05). The present technique using the XDM was safe and successfully reconstructed PIKM-W in both arches. The XDM alone seems to be a suitable alternative to autograft for PIKM-W augmentation in the maxilla. Full article
(This article belongs to the Special Issue Management of Peri-Implantitis II)
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