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What is periimplantitis

More and more people with dental implants start complaining about inflammatory processes around artificial teeth. Gums start swelling and bleeding after minor touches, and purulent processes also take place. Inflammation of soft tissues around the implant is called “mucositis”. Progressive destruction of bones and lack of fixation from the soft tissues leads to development of periimplantitis (destructive inflammatory process affecting the soft and hard tissues surrounding dental implants), which can lead to loss of implant. The causes of both diseases are bacterial deposits, so-called “plaque”. Other provoking factors are smoking, diabetes, and residues of cement under dental prostheses.

Types of therapy

The doctor decides whether surgical or conservative treatment is preferable.

Conservative treatment

Removal of biofilm

The main aim of non-surgical treatment is to reduce the signs of inflammation in mouth. Bacterial film on implants is removed with the help of special instruments, or an apparatus with special powder (air-abrasive technology). Repetitive procedures lead to positive results.

Antiseptic/antibiotic therapy

Local treatment with medications. Injection of drugs, ointments and mouth rinsing without additional removal of biofilm will not reduce inflammation.

This therapy does not only eliminate the signs of inflammatory process, but creates better conditioned to prevent reoccurrence of disease.

Laser therapy

Laser therapy gives the same results as therapy with the help of air-abrasive apparatus

Surgical invasion

When periimplantitis is treated surgically, the hole near the implant is removed, which allows defending this area from bacteria, which prevents repetitive occurrence of disease. There are resection and augmentation therapies applied.

Resection therapy

In case of resection therapy, deep periodental channels around the implant are removed. As the result, the most part of implant surface is available, and the patient can brush teeth more efficiently.

Augmentation therapy

This therapy presupposes filling of defects with bone substance. In order to eliminate bone defect fully, the area should be cleaned and prepared properly. This therapy is only applied in case of minor bone defects.


Today, there is no general standard for treatment of inflammatory processes around implants. Better results can be reached with various therapeutic approaches. It should be noted that if conservative therapy is possible, a patient should resolve to it first. то сначала следует прибегнуть к ней, и только потом прибегать к хирургическому вмешательству.

How to care about the implants

In order to prevent diseases that provoke using implants in mouth cavity, a patient should have the implant fixed in mouth cavity correctly, which can guarantee proper and correct care after it.

It should be noted that implants require a high level of hygiene and regular dentist’s examination. A high-quality specialist can ensure optimal care about patient’s implants and prevent possible complications.

Regular examinations help to prevent development of periimplantitis.

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