D75 – Tout savoir sur les Péri-implantites

Objectifs :

_Savoir faire le diagnostic précoce des peri-implantites.
_Appréhender les protocoles du traitement non-chirurgical.
_Connaître les limites des traitements chirurgicaux.

Responsable scientifique :

Filippo Graziani

Intervenants :

Alberto Monje
les traitements chirurgicaux des péri-implantites

Luigi Canullo
le traitement non-chirurgical des péri-implantites et les différents moyens de décontamination de la surface implantaire

Mia Rakic
les moyens de diagnostic précoce des péri-implantites

Résumé :

Over the last twenty years, implant-supported protheses have been vastly used for the rehabilitation of partially or completely edentulous patients. Indeed, implantology was proven to be an effective and predictable way to restore patient’s chewing, aesthetic and phonetic functions. Moreover, implant-supported restorations showed also high survival rates after 10 to 20 years of service. However, it is undeniable that some implants may be lost even years after osseointegration took place. Implant loss is often linked to peri-implant diseases, in particular peri-implantitis, which is an inflammatory lesion caused by biofilm accumulation on the implant surfaces. Overall, peri-implant diseases encompass peri-implant mucositis and peri-implantitis.
Clinically, peri-implant mucositis was defined as a reversible inflammatory lesion
limited to the mucous tissues surrounding the implant; conversely,
peri-implantitis is characterized by the progressive loss of peri-implant bone support.
Over time, different methods have been proposed to evaluate peri-implant tissues health, such as the peri-implant probing, intraoral radiographic examination and analysis
of peri-implant crevicular fluid or saliva, correlated by microbiological tests. The current
scientific evidence has identified, as fundamental parameters for diagnosing
peri-implant disease, the increase in probing depth (PPD) and the presence of
bleeding on probing (BoP). The intraoral radiography allows instead to appreciate the
peri-implant bone loss.
The diagnosis of mucositis is recognized solely as the presence of BoP in the peri-implant mucosa; conversely, the diagnosis of peri-implantitis entails the presence of BoP + sites, sites with PPD greater than 4 mm and loss of peri-implant bone support.
Given the excruciating impact of peri-implant diseases on implant survival, it is of paramount importance to understand their etiology, and to early recognize their clinical signs and symptoms in order to perform an early diagnosis.
Our session will cover all the aspect of diagnosis and most importantly treatment in order to give further insights to the clinicians.