Periimplantitis – Diagnostik und Therapie

Nach dem Lesen dieses Artikels sollten Sie über die diagnostischen Kriterien für eine Periimplantits sowie die relevanten Risikofaktoren Bescheid wissen. Außerdem behandelt der Artikel die Fragen, wann ein nicht chirurgisches bzw. ein chirurgisches Vorgehen der Therapie gewählt werden sollte und welche Aspekte im Rahmen der Kontrolle von Implantaten beachtet werden müssen.

Publikationsverlauf

Artikel online veröffentlicht:
08. Dezember 2020

• Literatur

• 1 Albrektson T, Isidor F. Consensus Report: Implant therapy. In: Lang NP, Karring T. eds. Proceeding of the 1st European Workshop on Periodontology. Berlin: Quintessence; 1994: 365-369
• 2 Koldsland OC, Scheie AA, Aass AM. Prevalence of peri-implantitis related to severity of disease with different degrees of bone loss. J Periodontol 2010; 81: 231-238
• 3 Berglundh T, Armitage G, Araujo MG. et al. Peri-implant diseases and conditions: Consensus Report of Workgroup 4 of the 2017 World Workshop on the Classification of Periodontal and Peri-implant Diseases and Conditions. J Clinical Periodontol 2018; 45: 286-291
• 4 Tomasi C, Derks J. Clinical research of peri-implant diseases – quality of reporting, case definitions and methods to study incidence, prevalence and risk factors of peri-implant dieseases. J Clin Periodontol 2012; 39: 207-223
• 5 Lang NP, Berglund T. Periimplant diseases: where are we now? Consensus of the Seventh European Workshop on Periodontology. J Clin Periodontol 2011; 38: 178-181
• 6 Lang NP, Wetzel AC, Stich H. et al. Histologic probe penetration in healthy and inflamed peri-implant tissues. Clin Oral Implants Res 1994; 5: 191-201
• 7 Ravald N, Dahlgren S, Teiwik A. et al. Long-term evaluation of Astra-Techand Branemark implants in patients treated with full-arch bridges. Results after 12–15 years. Clin Oral Implants Res 2013; 24: 1144-1151
• 8 Derks J, Tomasi C. Peri-implant health and disease. A systematic review of current epidemiology. J Clin Periodontol 2015; 42: 158-171
• 9 Köttgen C, Köttgen I. Parodontale Erhaltungstherapie und präventionsorientierte Zahnreinigung – Ein Praxiskonzept. Parodontologie 2010; 21: 109-120
• 10 Heitz-Mayfield LJ. Peri-implant diseases: diagnosis and risk indicators. J Clin Periodontol 2008; 35: 292-304
• 11 Zitzmann NU, Berglundh T, Marinello CP. et al. Experimental peri-implant mucositis in man. J Clin Periodontol 2001; 28: 517-523
• 12 Lindhe J, Wennström J, Berglundh T. The Mucosa at Teeth and Implants. In: Lindhe J, Lang NP, Karring T. eds. Clinical Periodontology and Implant Dentistry. Vol. 1. 5th ed. Oxford, UK: Blackwell Munksgaard; 2008: 129-179
• 13 Leonhardt A, Renvert S, Dahlén G. Microbial findings at failing implants. Clin Oral Implants Res 1999; 10: 339-345
• 14 Berglundh T, Zitzmann NU, Donati M. Are peri-implant lesions different from periodontitis lesions?. J Clin Periodontol 2011; 38 (Suppl. 11) 188-202
• 15 Cho-Yan-Lee J, Mattheos N, Nixon KC. et al. Residual periodontal pockets are a risk indicator for peri-implantitis in patient treated for periodontitis. Clin Oral Implants Res 2012; 23: 325-333
• 16 Lalla E, Papapanou PN. Diabetes mellitus and periodontitis: a tale of two common interrelated diseases. Nat Rev Endocrinol 2011; 7: 738-748
• 17 Lin GH, Chan HL, Wang HL. The significance of keratinized mucosa on implant health: a systematic review. J Periodontol 2013; 84: 1755-1767
• 18 Isidor F. Histological evaluation of peri-implant bone at implants subjected to occlusal overload or plaque accumulation. Clin Oral Impl Res 1997; 8: 1-9
• 19 Louropoulou A, Slot DE, van der Weijden F. The effects of mechanical instruments on contaminated titanium dental implant surfaces: a systematic review. Clin Oral Implants Res 2015; 26: 841-850
• 20 Schwarz F, Ferrari D, Popovski K. et al. Influence of different air-abrasive powders on cell viability at biologically contaminated titanium detal implants surfaces. J Biomed Mater Res B Appl Biomater 2009; 88: 83-91
• 21 Sahrmann P, Ponay V, Sener B. et al. Cleaning potential of glycine air-flow application in an in-vitro peri-implant model. Clin Oral Implants Res 2013; 24: 666-670
• 22 Schmage P, Thielemann J, Nergiz I. et al. Effects of 10 cleaning instruments on four different implant surfaces. Int J Oral Maxillofac Implants 2012; 27: 308-317
• 23 Bach G, Neckel C, Mall C. et al. Conventional versus laser assisted therapy of peri-implantitis: a five-year comparative study. Implant Dent 2000; 9: 247-251
• 24 Sahm N, Becker J, Santel T. et al. Non-surgical treatment of peri-implantitis using an air-abrasive decive or mechanical debridement and local application of chlorhexidine: a prospective, randomized controlled clinical study. J Clin Periodontol 2011; 38: 872-878
• 25 Schwarz F, Bieling K, Bonsmann M. et al. Nonsurgical treatment of moderate and advanced peri-implantitis lesions: a controlled clinical study. Clin Oral Investig 2006; 10: 279-288
• 26 Rams TE, Degener JE, van Winkelhoff AJ. Antibiotic resistence in human peri-implantitis microbiota. Clin Oral Implants Res 2014; 25: 82-90
• 27 Al-Nawas B, Shah PM. In-vitro activity of new macrilides against intracellular staphylococci. Rev Esp Quimoter 1996; 9: 126-129
• 28 Charalampakis G, Rabe P, Leonhardt A. et al. A follow-up-study of peri-implantitis cases after treatment. J Clin Periodontol 2011; 38: 864-871
• 29 Romeo E, Ghisolfi M, Murgolo N. et al. Therapy of peri-implantitis with resective surgery. A 3-year clinical tril on rough screw-shaped oral implants. Part I- clinical outcome. Clin Oral Implants Res 2005; 16: 9-18
• 30 Schwarz F, Sahm N, Iglhaut G. et al. Impact of the method of surface debridement and decontamination on the clinical outcome following combined surgical therapy of peri-implantitis: a randomized controlled clinical study. J Clin Periodontol 2011; 38: 276-284
• 31 Schwarz F, Sahm N, Schwarz K. et al. Impact of defect configuration on the clinical outcome following surgical regenerative therapy of peri-implantitis. J Clin Periodontol 2010; 37: 449-455
• 32 Wiltfang J, Zernial O, Behrens E. et al. Regenerative treatment of peri-implantitis bone defects with a combination of autologous bone and a demineralized xenogenic bone craft: a series of 36 defects. Clin Implant Dent Relat Res 2012; 14: 421-427
• 33 Roos-Jansaker AM, Lindahl C, Persson R. et al. Long-term stability of surgical bone regenerative procedures of peri-implantitis lesions in a prospective case-control study over 3 years. J Clin Periodontol 2011; 38: 590-597
• 34 Etter TH, Hakanson I, Lang NP. et al. Healing after standardized clinical probing of the perlimplant soft tissue seal: a histomorphometric study in dogs. Clin Oral Implants Res 2012; 13: 571-580
• 35 Linkevicius T, Vindasiute E, Puisys A. et al. The influence of margin location on the amount of undetected cement excess after delivery of cement-retained implant restorations. Clin Oral Implants Res 2011; 22: 1379-1384
• 36 Wilson TG. The positive relationship between excess cement and peri-implant disease: a prospective clinical endoscopy study. J Periodontol 2009; 80: 1388-1392