Diagnosis and Treatment of Peri-implantitis among Dentists in Saudi Arabia

  • Rahaf Al-Safadi Department of Preventive Dentistry, College of Dentistry, Riyadh Elm University, Riyadh, Kingdom of Saudi Arabia
  • Riham Al-Safadi Department of Preventive Dentistry, College of Dentistry, Riyadh Elm University, Riyadh, Kingdom of Saudi Arabia
  • Reef Al-Safadi Department of Preventive Dentistry, College of Dentistry, Riyadh Elm University, Riyadh, Kingdom of Saudi Arabia
  • Maha Al-Tamami University Dental Hospital, College of Dentistry, Riyadh Elm University, Riyadh, Kingdom of Saudi Arabia
  • Abdulrahman Al-Sayeh University Dental Hospital, College of Dentistry, Riyadh Elm University, Riyadh, Kingdom of Saudi Arabia
  • Maryam Al-Qanbar University Dental Hospital, College of Dentistry, Riyadh Elm University, Riyadh, Kingdom of Saudi Arabia
  • Fatimah Al-Taha University Dental Hospital, College of Dentistry, Riyadh Elm University, Riyadh, Kingdom of Saudi Arabia
  • Ghaida Al-Shaqaqeq University Dental Hospital, College of Dentistry, Riyadh Elm University, Riyadh, Kingdom of Saudi Arabia
  • Maria Al-Sinan University Dental Hospital, College of Dentistry, Riyadh Elm University, Riyadh, Kingdom of Saudi Arabia

Abstract

Aim: The aim of this study was to detect the knowledge and awareness of dentists practicing dental
implantology in Saudi Arabia regarding the diagnosis and treatment of peri-implantitis.
Materials and Methods: 100 dentists practicing dental implantology in Saudi Arabia were randomly
selected and asked to answer a systematized questionnaire about the diagnosis and treatment of periimplantitis that comprised of six parts as the following: The dentist’s demographic data, bacteria, implant
surface, antimicrobials and antibiotics, diagnosis, management and treatment modalities of peri-implantitis.
The sample of the study consisted of dentists who hadn’t received any specialty or training degree other than
implantology and dentists who had received other specialty degree in addition to implantology. The validity
and the reliability of the questionnaire were tested. The data obtained were tabulated, and the statistical
parameter was estimated.
Results: The majority of the dentists agreed that treated-surface implants have better osseointegration and
higher long-term success rate in comparison to smooth-surface implants. Also, roughly half or more than
half the dentists used the diagnostic parameters bleeding on probing, probing depth, suppuration, and bone
loss ≥2 mm for the detection of peri-implantitis. In addition, the most preferable surgical treatment modality
employed by the dentists for implants with peri-implantitis was bone grafting combined with a membrane.
Furthermore, the most preferable delayed loading protocol chosen by the dentists for definitive prosthesis
installation after implant placement was 3-6 months.
Conclusion: There is need for randomized clinical trials on the pathogenesis, etiology, diagnostic
parameters, and treatment modalities of peri-implantitis with large sample sizes. Workshops and symposia
are recommended.

Downloads

Download data is not yet available.

References

Rosen P, Clem D, Cochran D, et al. Peri‐implant mucositis and peri-implantitis: a current understanding of their diagnoses and clinical implications. J periodontol. 2013;84(4):436–443.

Lindhe J, Meyle J, Group D of the European Workshop on Periodontology.Peri-implant diseases: consensusreport of the sixth European workshop on periodontology. J Clin Periodontol. 2008;35(Suppl 8):282-285.

Sanz M, Chapple IL, Working Group 4 of the VIII European Workshop on Periodontology. Clinical research on peri-implant diseases: consensus report of Working Group 4. J ClinPeriodontol. 2012;39(Suppl12):202–206.

Togashi AY, Carmelo RA, Pereira NC. Level of knowledge of dentists about thediagnosis and treatment of peri-implantitis. Dent Press Implantol. 2014;8(1):30-38.

Nunnally JC, Bernstein IH, eds. Psychometric Theory. 3rd. New York: McGraw-Hill; 1994.

MombelliA, Van Oosten MAC, Schürch JrE, Lang NP. The microbiota associated with successful or failing osseointegrated titanium implants .Oral Microbiol Immunol. 1987;2:145-151.

Persson GR, Renvert S. Cluster of bacteria associated with peri-implantitis. Clin Implant Dent Relat Res. 2014;16(6):783-793.

Palmer RM, Howe LC, Palmer PJ, eds. Implants in Clinical Dentistry. 2nd ed. London: Informa Healthcare; 2012.

ThurnheerT, Belibasakis GN. Incorporation of staphylococci into titanium-grown biofilms: an in vitro “submucosal” biofilm model for peri-implantitis. Clin Oral Implants Res. 2016;27(7):890–895.

Alla RK, Ginjupalli K, Upadhya N, Shammas M, Ravi RK, Sekhar R. Surface roughness of implants: a review. Trends BiomaterArtif Organs. 2011;25(3):112-118.

Bagno A, Di Bello C. Surface treatments and roughness properties of Ti-based biomaterials.J Mater Sci Mater Med. 2004;15(9):935-949.

Teughels W, Van Assche N, Sliepen I, Quirynen M. Effect of material characteristics and/orsurface topography on biofilmdevelopment. Clin Oral Implants Res.2006;17(Suppl 2): 68–81.

Quirynen M, Bollen CM, Papaioannou W, Van Eldere J, Van Steenberghe D. The influence of titanium abutment surface roughness on plaque accumulation and gingivitis: short-term observations. Int J Oral Maxillofac Implants. 1996;11(2):169-178.

Dahiya V, Shukla P, Gupta S. Surface topography of dental implants: a review. J Dent Implants. 2014;4(1):66-71.

Porras R, Anderson GB, Caffesse R, Narendran S, Trejo PM. Clinical response to 2 different therapeutic regimens to treatperi-implant mucositis. J Periodontol. 2002;73(10):1118-1125.

Thöne-Mühling M, Swierkot K, Nonnenmacher C,Mutters R, Flores-de-Jacoby L, Mengel R. Comparisonof two full-mouth approaches in the treatment ofperi-implant mucositis: a pilot study. Clin Oral Implants Res 2010;21:504–512.

Heitz-Mayfield LJA, Salvi GE, Botticelli D, Mombelli A, Faddy M, Lang NP. Anti-infective treatment of peri-implantmucositis: a randomised controlled clinical trial.Clin Oral Implants Res. 2011;22(3):237–241.

Renvert S, Lessem J, Dahlén G, Lindahl C, Svensson M. Topicalminocycline microspheres versus topical chlorhexidinegel as an adjunct to mechanical debridement of incipientperi-implant infections: a randomized clinical trial. J ClinPeriodontol.2006;33(5):362-369.

Heitz-Mayfield LJA. Systemic antibiotics in periodontal therapy. Aust Dent J. 2009;54 (Suppl 1):S96–S101.

Heitz-Mayfield LJA, Lang NP. Antimicrobial treatment of peri-implant diseases. Int J Oral Maxillofac Implants. 2004;19(Suppl):128–139.

Jan van Winkelhoff A. Antibiotics in the treatment of peri-implantitis. Eur J Oral Implantol. 2012;5(Suppl):S43–S50.

Javed F, AlGhamdi AST, Ahmed A, Mikami T, Ahmed HB, Tenenbaum HC. Clinical efficacy of antibiotics in the treatment of peri-implantitis. Int Dent J. 2013;63(4): 169–176.

Mombelli A, Lang NP. Antimicrobial treatment of peri-implant infections. Clin Oral Implants Res.1992;3(4):162–168.

Figuero E, Graziani F,Sanz I, Herrera D, Sanz M. Management of peri-implantmucositis and peri-implantitis. Periodontol 2000. 2014;66(1):255–273.

Renvert S, Lessem J, Dahlén G, Renvert H, Lindahl C. Mechanical and repeated antimicrobial therapy using a local drugdelivery system in the treatment of peri-implantitis: a randomized clinical trial. J Periodontol. 2008;79(5):836-844.

Schär D, Ramseier CA, Eick S, Arweiler NB, Sculean A, SalviGE. Anti-infective therapy of peri-implantitis with adjunctivelocal drug delivery or photodynamic therapy: six-monthoutcomes of a prospective randomized clinical trial.Clin Oral Implants Res. 2013;24(1):104–110.

Büchter A, Meyer U, Kruse-Lösler B, Joos U, Kleinheinz J.Sustained release of doxycycline for the treatment of peri-implantitis:randomized controlled trial. Br J Oral Maxillofac Surg. 2004;42(5):439-444.

Schenk G, Flemmig TF, Betz T, Reuther J, Klaiber B. Controlled local delivery of tetracycline HCl in the treatment of priimplant mucosal hyperplasia and mucositis. A controlled case series. Clin Oral Implants Res. 1997;8:427-433.

Elemek E, Almas K. Peri-implantitis: etiology, diagnosis and treatment: an update.NY State Dent J. 2014;80(1):26-32.

Lin GH, Kapila Y, Wang HL. Parameters to define peri-implantitis: a review and a proposed multi-domain scale. J Oral Implantol. 2017;43(6):491-496.

Pjetursson BE, Helbling C, Weber HP, et al. Peri-implantitis susceptibility as it relates to periodontal therapyand supportive care.Clin Oral Implants Res. 2012;23(7):888–894.

Poli PP, Cicciu M, Beretta M, Maiorana C. Peri-implant mucositis and peri-implantitis: a current understanding of their diagnosis, clinical implications, and a report of treatment using a combined therapy approach. J Oral Implantol. 2017;43(1):45-50.

Koldsland OC, Scheie AA, Aass AM. Prevalence of peri-implantitis related to severity of the disease with different degrees of bone loss.J Periodontol. 2010;81(2):231-238.

Mombelli A, Müller N, Cionca N. The epidemiology of peri-implantitis.Clin Oral Implants Res. 2012;23(suppl 6):67–76.

Kontturi‐Närhi V, Markkanen S, Markkanen H. Effects of airpolishing on dental plaque removal and hard tissues as evaluated by scanning electron microscopy. J Periodontal. 1990;61(6):334-338.

Palmer RM, Smith BJ, Howe LC, Palmer PJ, eds. Implants in Clinical Dentistry. London: MartinDunitz; 2002.

Published
2019-03-31
How to Cite
Al-Safadi, R., Al-Safadi, R., Al-Safadi, R., Al-Tamami, M., Al-Sayeh, A., Al-Qanbar, M., Al-Taha, F., Al-Shaqaqeq, G., & Al-Sinan, M. (2019). Diagnosis and Treatment of Peri-implantitis among Dentists in Saudi Arabia . International Journal of Emerging Trends in Science and Technology, 6(03), 6787-6801. Retrieved from http://ijetst.in/index.php/ijetst/article/view/1431
Section
Articles

Most read articles by the same author(s)