Peri-implantitis: Associated microbiota and treatment

doi:10.4317/medoral.17227

Q2 · DentistryImpact Factor · 2.131

AutoresAta-Ali J, Candel-Marti ME, Flichy-Fernández AJ, Peñarrocha-Oltra D, Balaguer-Martinez JF, Peñarrocha Diago MA

Por qué importa

Este estudio revisa la literatura científica sobre la periimplantitis, una complicación tardía asociada a los implantes dentales, y su relación con los cambios en la microbiota. Se subraya que la flora bacteriana presente en condiciones de periimplantitis es más compleja que en implantes sanos, estando dominada por bacterias anaerobias gramnegativas. La investigación realizada identificó una falta de criterios claros para el diagnóstico y tratamiento de esta patología. Comprender la microbiota implicada y la evidencia actual sobre las opciones terapéuticas, tanto no quirúrgicas como quirúrgicas, resulta fundamental para que los profesionales puedan abordar de manera más efectiva esta frecuente complicación y mejorar el pronóstico de los tratamientos implantológicos.

Abstract original

Introduction: Peri-implantitis is a late complication of dental implant treatment, induced by microbiological changes. Since the disorder is frequent, a review is indicated of the microorganisms that influence it and of the existing treatment options. Objective: To conduct a literature review of the microbiota associated to peri-implantitis and the existing treatment options. Material and Method: A PubMed literature search was made of the studies on the microbiota associated to dental implants in healthy patients and patients with peri-implantitis, as well as of the latest treatment developments, using the following key words: "peri-implantitis AND microbiota", "periimplantitis AND microbiota", "peri-implantitis AND treatment", and "periimplantitis AND treatment". Only clinical studies in humans were considered. The following criteria were applied for including articles in the analysis: a) for the peri-implant microbiota, the search limits were human studies after the year 2000; and b) for the treatment of peri-implantitis, the search limits were randomized and controlled clinical trials (RCTs) in humans, with a minimum follow-up of 4 months, and publication after the year 2000. Results: A total of 18 articles were selected in relation to peri-implant microbiota, and 13 in relation to the treatment of peri-implantitis (8 involving nonsurgical mechanical treatments and 5 surgical procedures). Conclusions: Evaluation of the literature has shown the microbiota associated to peri-implantitis to be more complex than that found under healthy peri-implant conditions – the main flora consisting of anaerobic gramnegative bacteria. No clear criteria have been identified for the diagnosis and treatment of peri-implantitis.

Leer texto completo ↗DOI · 10.4317/medoral.17227

Autor Doctor&Cols

Toni Flichy
Cirugía Oral e Implantología

Cómo citar

Ata-Ali J, Candel-Marti ME, Flichy-Fernández AJ, Peñarrocha-Oltra D, Balaguer-Martinez JF, Peñarrocha Diago MA. Peri-implantitis: Associated microbiota and treatment. Medicina Oral, Patología Oral y Cirugía Bucal. 2011. doi:10.4317/medoral.17227