Mucositis and peri-implantitis represent one of the most frequent pathological conditions dentists and dental hygienists face. Peri-implantitis has been increasingly investigated to better understand the etiopathogenesis and to validate treatment protocols. Ultimately, a cost effective treatment is necessary for patients with peri-implantitis. Currently, there are no randomized clinical trials in the literature comparing non-surgical treatment versus surgical treatment, however there are several studies that compare various types of non-surgical treatment regiments for peri-implantitis. Although not a gold standard of treatment, this is the first essential step in developing an effective treatment for peri-implantitis. During the lecture, I will analyze the literature, protocols and clinical cases that show positive results of several non-surgical approaches. I will focus on the role of low abrasive powders and topical antibiotics describing the MAINST (Multiple Anti Infective Non Surgical Therapy) protocol and the results obtained after 18 months.
- Describe what is a healthy implant and what is a healthy tooth
- Show different tools and protocols for biofilm removal on implant surfaces
- Summarize the evidence regarding non-surgical treatment of peri-implant diseases
- Describe step by step the MAINST protocol and detail the clinical results and statistical analysis of a pilot study