Peri Implant Disease Management

peri implant disease



Peri Implant disease is the infection of the gums around an implant.

It is relatively similar to the gum disease around a tooth.
Therefore, if you have dental implants in your mouth it is important to make maintenance appointments
with your dentist or hygienist to have them checked and cleaned regularly in order to prevent gum
infection around your implant.Implants are now a routine treatment option for lost dentition.
Also, in many cases where the prognosis of a tooth is not favourable the clinician may advise the patient
to opt for an implant as a more predictable option than saving a compromised tooth.

But a lot of people assume that these prosthetic structures will be free of complications, and this is not entirely true.Just like a natural tooth, the implant can get infected.

The most common area of infection is the gum tissue surrounding an implant (peri-implant mucositis),

but in some more severe cases the infection can lead to the loss of surrounding bone (peri-implantitis).

But what happens if you already have peri-implant disease?

Your dentist is likely to refer you to the periodontist.

The periodontist will assess your implant by a) using a probing technique, b) assessing the level of

attachment changes, and c) taking diagnostic X-rays (to see if there is any sign of loss of surrounding bone).

He/she will then manage the peri-implant disease to control the infection and prevent disease progression.

Based on the severity of the infection, the management options are:

1) Peri-implant non-surgical management

This management strategy focuses on reducing the inflammation by control of biofilm (bacterial colonisation on the surface of the implant).

This is achieved when the periodontist mechanically removes the biofilm from the implant using specialised instruments.

There are a variety of different techniques and instruments that can be used to remove the biofilm and Dr Mellati will choose the best technique that suits your condition.

2) Peri-implant surgical management

In cases where the peri-implant disease persists after non-surgical treatments have been exhausted, or when bone loss is advanced, surgical intervention is required.

In such cases, the periodontist will open access to the infected area, via a gingival flap, and clean the contaminated peri-implant sites.

Bone grafts may be utilized to fill the defect around then implant with the aim of regenerating the lost bone.

3) Removal of the implant

In some cases where the infection around the implant has progressed beyond the “point of no return”, it may be in your best interest to have the implant removed.

Depending on the situation, your periodontist may be able to reconstruct the area with bone/gum grafting to enable placing a new implant at a later date.

Sometimes the damage to the jaw bone from the infected implant can be to the extent that a new implant cannot be done. In these cases, other options of tooth replacement may have to be considered.

To consult a periodontist, call Precision Periodontics on (02) 8093 2680 or book an appointment.