In a recent "Just Ask" session, Ausra Ramanauskaite, a renowned periodontist and expert in peri-implantitis, shared her extensive knowledge on the treatment of peri-implant diseases, focusing on the differences between mucositis and peri-implantitis. The discussion, hosted by Stefan, aimed to guide clinicians on the latest approaches to diagnosing and treating these common complications in dental implantology.
The session opened with Ramanauskaite addressing the prevalence of peri-implant diseases, emphasizing that nearly half of dental implant patients experience mucositis, with one in five facing peri-implantitis over time. The presentation focused on understanding the bacterial plaque-induced nature of these diseases, but also pointed out the significance of patient-specific factors, such as untreated periodontitis and prosthesis design, in disease progression.
Ramanauskaite shared key treatment strategies for mucositis, including mechanical biofilm removal and adjunctive therapies like photodynamic therapy and probiotics. She highlighted that while alternative methods like air polishing and H2O2 brushing may seem promising, evidence suggests they are equally effective as traditional curettage. For more advanced peri-implantitis, surgical interventions like implantoplasty and bone grafting may be required, with the goal of managing bone loss and ensuring long-term stability.
One critical takeaway was the importance of customized treatment plans. In advanced cases with severe bone loss, non-surgical approaches often fall short, and surgery is needed. However, Ramanauskaite underscored that implant removal should be considered when implants are beyond repair, particularly in cases of implant fracture or severe soft tissue recession.
The session wrapped up with a reminder that success in peri-implant disease treatment lies in proper diagnosis, timely intervention, and personalized care, with ongoing maintenance crucial for preventing recurrence. Ramanauskaite’s insightful presentation emphasized the evolving nature of peri-implantitis management and the need for continuous learning and adaptation in clinical practice.