Eight Keys for the Reconstructive Therapy of Peri-Implantitis-Related Intrabony Defects.

Robert A Levine, Alberto Monje, Muhammad H A Saleh, Debora R Dias, Khushboo Kalani, Harold M Pinsky, Jeffrey Ganeles, Franck Renouard, Maurício G Araújo
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Abstract

Peri-implantitis is a biofilm-mediated inflammatory condition associated with progressive loss of supporting tissue and poses a significant challenge to clinicians worldwide. Because limited efficacy is associated with nonsurgical therapy, surgical intervention is often required to manage this disease. This article focuses on operator factors when treating peri-implantitis and presents a stepwise approach to eight essential keys for successful regenerative/reparative treatment of peri-implantitis defects. These keys are aimed at optimizing clinical outcomes for diverse patient needs and defect anatomies. They include evaluating operator experience, risk assessment, and implant restorative design, as well as nonsurgical and surgical therapies such as the use of biologics and biologic derivatives, the postoperative protocol, and a patient-specific periodontal maintenance program. By adhering to these eight keys, clinicians can achieve successful long-term outcomes in the regenerative treatment of peri-implantitis defects.

植入体周围相关骨内缺损重建治疗的八个关键。
种植体周围炎是一种生物膜介导的炎症,与支持组织的进行性损失有关,对全世界的临床医生提出了重大挑战。由于非手术治疗的疗效有限,因此通常需要手术干预来控制这种疾病。本文重点讨论了种植体周围炎治疗的操作因素,并提出了成功再生/修复种植体周围炎缺陷的八个关键步骤。这些关键是为了优化临床结果不同的病人需要和缺陷解剖。它们包括评估操作人员的经验、风险评估、种植体修复设计,以及非手术和手术治疗,如生物制剂和生物衍生物的使用、术后方案和患者特定的牙周维护计划。通过坚持这八个要点,临床医生可以在种植体周围炎缺陷的再生治疗中取得成功的长期效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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