Insights into the Clinical Diagnosis of Peri-implantitis: to Probe or Not to Probe
- PDF / 3,513,173 Bytes
- 9 Pages / 595.276 x 790.866 pts Page_size
- 58 Downloads / 150 Views
PERI-IMPLANTITIS (I DARBY, SECTION EDITOR)
Insights into the Clinical Diagnosis of Peri-implantitis: to Probe or Not to Probe Alberto Monje 1,2 & David French 3 & José Nart 1 & Mia Rakic 4
# Springer Nature Switzerland AG 2020
Abstract Purpose of Review The present review aimed at assessing the primary and secondary diagnostic tools currently used to monitor peri-implant conditions. Recent Findings There has been much debate on the diagnostic accuracy of clinical parameters in monitoring peri-implant conditions. Given the association between pocket depth measured around teeth and implants and the extent of microbial plaque biofilm deposits, it seems plausible for probing pocket depth to be indicative of disease progression or stability. Moreover, understanding the inflammatory nature of peri-implantitis, it seems reasonable to advocate that bleeding, erythema, tumour and suppuration are indicators of pathology. However, cautiousness must be exercised when interpreting clinical findings, since the morphology of peri-implant tissues differ significantly from the periodontal structures. Summary The routine clinical assessment of dental implants, including probing and visual examination, may lead to the accurate diagnosis of peri-implant disorders. Nevertheless, the definitive diagnosis should be based on agreement with progressive radiographic bone loss. In fact, primary diagnostic tools seem to be highly specific for monitoring peri-implant conditions, while their sensitivity is lower compared with their use in monitoring periodontal stability. Keywords Peri-implantitis . Periodontitis . Tooth mobility . Dental implants . Dental prosthesis . Endosseous implantation
Introduction Neglect of the biological complications of periimplantitis has resulted in part from vague understanding of the disorder, and scarce consensus on case
This article is part of the Topical Collection on Peri-implantitis One-sentence summary: Probing can lead to accurate diagnosis of periimplantitis. * Alberto Monje [email protected] 1
Department of Periodontology, Universidad Internacional de Catalunya, Barcelona, Spain
2
Department of Periodontics and Oral Medicine, The University of Michigan, Ann Arbor, MI, USA
3
Faculty of Dentistry, Division of Periodontics, University of British Columbia, Vancouver, BC, Canada
4
INSERM UMR-1229 RMeS, Faculty of Dental Surgery, University of Nantes, Nantes, France. Institute for Biological Research “Sinisa Stankovic,” University of Belgrade, Belgrade, Serbia
definition. Indeed, several definitions have been proposed in the literature, led mainly by empirical decisions. Levignac described peri-implantitis as an infectious condition of the peri-implant tissues [1]. Two decades later, Mombelli et al. compared peri-implantitis with chronic periodontitis in that both are driven by pathogenic bacteria [2]. Posteriorly, the American Academy of Periodontology and the European Federation of Periodontology proposed different definitions. The European Workshop on Periodontology agreed in 2011 that the case
Data Loading...
