Peri-Implant Mucositis - Treatment

 

How do we treat peri-implant mucositis?

Typically, peri-implant mucositis is treated with non-surgical procedures to prevent the disease progressing to peri-implantitis and becoming irreversible. The removal of plaque and tartar from around the implant and the surrounding tissue through mechanical debridement is essential for treating peri-implant mucositis.[i] This, combined with a thorough and specific oral hygiene routine carried out by the patient will help to reverse the issue – this may include the use of antiseptic or antimicrobial rinses when appropriate.[ii

 

What is the effectiveness of adjunctive antiseptics and antibiotics?

Professionally administered plaque control is the main treatment type used in the management of peri-implant mucositis. Whilst there are a number of adjunctive treatments that may be used alongside this, including antiseptics, systemic antibiotics, and air abrasive devices, research suggests that mechanical debridement has limited efficacy when administered alone, and adjunctive measures may improve the overall outcomes of therapy. Studies found that bleeding on probing scores reduced when oral hygiene instruction and mechanical plaque removal are provided on a regular basis.[i]

 

What is the effectiveness of mechanical debridement in the treatment of peri-implant mucositis?

In the treatment of peri-implant mucositis, non-surgical therapies are effective. Mechanical debridement reduces plaque, bleeding on probing, and probing pocket depth. Research suggests that mucositis lesions progress when no therapeutic intervention is taken, but clinical indicators improve when mechanical plaque removal is undertaken on a regular basis.[i]

 

What is the suggested home care for prevention of peri-implant mucositis?

Excellent oral hygiene routines are essential for the prevention of peri-implant mucositis. Studies suggest that patient-administered mechanical plaque control can help reverse inflammation levels to baseline. Because patient-administered plaque control is an important factor in preventing peri-implant mucositis, implant-supported restorations must be designed to allow good accessibility for at-home cleaning. Those with submucosal restoration margins show increased probing depth.[ii]