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Dentistry Journal
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Latest Advances in Peri-Implantitis
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Latest Advances in Peri-Implantitis

A special issue of Dentistry Journal (ISSN 2304-6767). This special issue belongs to the section "Oral Hygiene, Periodontology and Peri-implant Diseases".

Deadline for manuscript submissions: closed (5 November 2024) | Viewed by 8002

Special Issue Editors

Prof. Dr. Jon B. Suzuki

E-Mail Website
Guest Editor
1. Department of Graduate Periodontics, University of Maryland, Baltimore, MD 20742, USA
2. Department of Graduate Prosthodontics, University of Washington, Seattle, WA 98195, USA
3. Department of Graduate Periodontics, Nova Southeastern University, Fort Lauderdale, FL 33314, USA
4. Department of Microbiology and Immunology (Medicine), Temple University, Philadelphia, PA 19140, USA
5. Department of Periodontology and Oral Implantology (Dentistry), Temple University, Philadelphia, PA 19140, USA
Interests: immunology; periodontology; dental implants
Special Issues, Collections and Topics in MDPI journals
Dr. Miriam Ting

E-Mail Website
Guest Editor
Department of Periodontics, University of Pennsylvania, Philadelphia, PA 19104, USA
Interests: periodontology; dental implants; periodontal microbiology; periodontal virology

Special Issue Information

Dear Colleagues,

Dental implants are becoming the primary and preferred treatment for patients to replace missing teeth. These current treatments extend from partially edentulous to the fully edentulous patients. Despite remarkable accomplishment of the dental profession in achieving 95–98% success rates for dental implants, recent prevalence studies have indicated that dental implant failure rates are significantly increasing. These failure rates are largely due to peri-implantitis and initial forms of peri-implantitis (peri-implant mucositis).

Various etiological factors encompassing both dental and systemic disease have recently been elucidated and reported. However, there is no consistency and congruence of the causes of peri-implantitis. The proper diagnosis and treatment of patients prone to peri-implantitis is of increasing importance, in order to identify the risk factors prior to surgical implant placement and implement appropriate maintenance therapies.

Management of peri-implantitis and impending implant failures have been reported in the literature; however, there is no consensus as to the best approaches to implant rescue. These therapies range from non-surgical to laser treatments, to regenerative and resective surgical approaches.

This special issue aims to provide new information on the prevalence, diagnosis, etiology, risk factors and pathological mechanism of peri-implantitis. It will also focus on advances in treatment, and new preventative and maintenance measures for peri-implantitis, and cover the effects of systemic diseases and metal allergies relating peri-implantitis. This Special Issue welcomes laboratory and clinical studies from around the world to offer their solutions for peri-implantitis treatment and management.

Prof. Dr. Jon B. Suzuki
Dr. Miriam Ting
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

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.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2000 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • dental implants
  • peri-implantitis
  • peri-implant
  • mucositis
  • implant failures
  • implant rescue

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Published Papers (4 papers)

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Research

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14 pages, 592 KiB  
Article
CBCT in Dental Implantology: A Key Tool for Preventing Peri-Implantitis and Enhancing Patient Outcomes
by Souheil Hussaini, Michael Glogauer, Zeeshan Sheikh and Haider Al-Waeli
Dent. J. 2024, 12(7), 196; https://doi.org/10.3390/dj12070196 - 26 Jun 2024
Viewed by 2621
Abstract
(1) Introduction: Trust is a cornerstone of the patient–physician relationships. Unforeseen complications in the health care system could jeopardize patients’ trust in their physicians. (2) Aim: This article presents a quantitative figure regarding foreseeing the necessity of a three-dimensional quantitative visualization of bone [...] Read more.
(1) Introduction: Trust is a cornerstone of the patient–physician relationships. Unforeseen complications in the health care system could jeopardize patients’ trust in their physicians. (2) Aim: This article presents a quantitative figure regarding foreseeing the necessity of a three-dimensional quantitative visualization of bone structure and concurrently preparing for an ancillary procedure by a dentist to successfully perform the surgery that could minimize unforeseen complications; (3) Materials and method: This retrospective study has been derived based on an analysis of 1134 patients who had received 4800 dental implants from January 2001 to August 2020, out of which 200 cases were randomly selected for this study. Each procedure during implant treatment was categorized as OPG (Orthopantomography) or OPG with CBCT as per all the procedures which included and were coded as follows, 1: Surgery & Restoration, 2: GBR (Guided Bone Regeneration), 3: GTR (Guided Tissue Regeneration), 4: Block Bone Graft, 5: Spreading, 6: Splitting, 7: Internal Sinus, 8: External Sinus, 9: PRF (Platelet Rich Fibrin). Any of the 200 cases in which implant placement could not have been performed for reasons related to a lack of CBCT were selected for this study. The surgery was aborted halfway through without implant placement in these cases due to a lack of bone quantity and/or lack of primary stability. These cases were registered for re-evaluation and statistical analysis; (4) Results: 7% of the cases that used OPG alone led the surgeon to unexpectedly abort in the middle of the surgery without implant placement. All (100%) of the patients who had CBCT during treatment planning were able to receive implants during the surgery. None of the patients left the surgery without receiving implants if CBCT was used (0%); (5) Discussion: Radiographic image quality is defined as the amount of information within the image that allows the radiologist to make a diagnostic decision with a particular level of certainty (Martin et al., 1999) and hence the importance of CBCT. The unexpected 7% of devastating situations for patients who started surgery but did not have implant placement led to [A] aborting the surgery, [B] procedural difficulties requiring an alternative treatment plan, [C] a negative impact on the patient’s behavior, and [D] wanting to change doctor due to a lack of trust; (6) Conclusion: This study indicates that in implant dentistry patients’ mistrust could be avoided by 7% if CBCT is obtained. It also shows the significance of cone-beam computed tomography as an adjunct to panoramic radiography during the diagnosis and treatment planning phase. The use of panoramic radiography alone can lead to a 7% likelihood of misdiagnosis. A lack of CBCT during treatment planning negatively affects the outcome of surgical procedures. Full article
(This article belongs to the Special Issue Latest Advances in Peri-Implantitis)
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Review

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21 pages, 908 KiB  
Review
The Oral Microbiome of Peri-Implant Health and Disease: A Narrative Review
by Natalia de Campos Kajimoto, Yvonne de Paiva Buischi, Mansour Mohamadzadeh and Peter Loomer
Dent. J. 2024, 12(10), 299; https://doi.org/10.3390/dj12100299 - 24 Sep 2024
Viewed by 1453
Abstract
Peri-implantitis disease has increased significantly over the last years, resulting in increased failure of implants. Many factors may play a role in implant complications and failure, including ones related to the oral microbiota. This literature review aims to summarize the current knowledge of [...] Read more.
Peri-implantitis disease has increased significantly over the last years, resulting in increased failure of implants. Many factors may play a role in implant complications and failure, including ones related to the oral microbiota. This literature review aims to summarize the current knowledge of microbiome of implants in health and disease, focusing not only on the presence/absence of specific microbiota or on their relative abundance, but also on their phenotypic expression and their complex relationships with the host. The authors examined the MEDLINE database and identified key topics about peri-implant oral microbiome in health and disease. The peri-implant microbiome differs from that of the tooth, both in health and disease, as they are structurally and chemically different. The adhesion and formation of the peri-implant biofilm can be affected by the surface energy, topography, wettability, and electrochemical charges of the implant surface. In addition, the morphogenesis of the tissues surrounding the dental implant also differs from the tooth, making the dental implant more susceptible to bacterial infection. This interplay between the microbiome and the host immune system in peri-implant infections still needs to be elucidated. Full article
(This article belongs to the Special Issue Latest Advances in Peri-Implantitis)
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14 pages, 797 KiB  
Review
Peri-Implantitis
by Miriam Ting and Jon B. Suzuki
Dent. J. 2024, 12(8), 251; https://doi.org/10.3390/dj12080251 - 9 Aug 2024
Viewed by 1893
Abstract
Peri-implantitis can affect the longevity of successfully integrated implants. Implant success is dependent on reducing the peri-implantitis risk or successfully managing peri-implantitis. Further understanding of peri-implantitis can be derived from its prevalence, microbial and diagnostic findings, existing therapies, and the effects of systemic [...] Read more.
Peri-implantitis can affect the longevity of successfully integrated implants. Implant success is dependent on reducing the peri-implantitis risk or successfully managing peri-implantitis. Further understanding of peri-implantitis can be derived from its prevalence, microbial and diagnostic findings, existing therapies, and the effects of systemic health issues and medication. Based on published information: (1) peri-implantitis is higher in patients who have periodontitis or smoke as well as in implants with 5 years of function; (2) peri-implantitis microflora is different from periodontitis; (3) peri-implantitis risk is increased in patients with cardiovascular diseases and uncontrolled diabetes; (4) most reported peri-implantitis therapies may result in resolution, but the best peri-implantitis treatment is still to be determined; (5) more frequent peri-implant maintenance may reduce risk for peri-implantitis. Full article
(This article belongs to the Special Issue Latest Advances in Peri-Implantitis)
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Other

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16 pages, 774 KiB  
Systematic Review
Implant Health in Treated Periodontitis Patients: A Systematic Review and Meta-Analysis
by Léa Marty, Alain Hoornaert, Bénédicte Enkel, Alan Penhoat, Jacques Colat-Parros, Assem Soueidan and Fabienne Jordana
Dent. J. 2024, 12(8), 240; https://doi.org/10.3390/dj12080240 - 29 Jul 2024
Cited by 1 | Viewed by 1115
Abstract
Background: The aim of this meta-analysis was to evaluate the role of a history of periodontitis on implant failure. The two main judgment criteria studied are peri-implantitis and the survival rate. The two secondary judgment criteria studied are the mean pocket depth and [...] Read more.
Background: The aim of this meta-analysis was to evaluate the role of a history of periodontitis on implant failure. The two main judgment criteria studied are peri-implantitis and the survival rate. The two secondary judgment criteria studied are the mean pocket depth and the mean peri-implant bone loss. Methods: An electronic search was performed via five databases (MEDLINE, Embase, ScienceDirect, LILACS and the Cochrane Library) and was supplemented by manual searching. The search was undertaken in June 2024. Results: Of 10 775 potentially eligible articles, 8 were included in the qualitative analysis and 10 in the quantitative synthesis. Conclusions: This meta-analysis suggests that a history of periodontitis has a significant impact on the rate of peri-implantitis, survival rate, mean bone loss and pocket depth. Full article
(This article belongs to the Special Issue Latest Advances in Peri-Implantitis)
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