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Decision-making on peri-implant mucositis management and treatment approaches

British Dental Journal volume 236, pages 797–801 (2024)Cite this article

Abstract

Peri-implant mucositis is characterised by inflammation of soft tissues surrounding a dental implant without associated bone loss beyond initial remodelling. Early detection and timely intervention are critical to prevent its progression to peri-implantitis. This paper focuses on various treatment options for treating peri-implant mucositis. The cornerstone of professional treatment lies in the mechanical disruption and removal of microbial biofilms around the implant. This can be achieved through careful use of manual or powered instruments, such as ultrasonic scalers or air polishing devices. However, there is a need for further research to determine the most effective single approach for treating peri-implant mucositis. Current evidence does not support the combination of mechanical debridement with locally administered antibiotics. Contrarily, evidence strongly supports the removal, cleaning, and modifications of prostheses to improve both self-performance and professional cleanability. The use of adjunctive therapies like photodynamic therapy and diode laser, in conjunction with mechanical instrumentation, is not currently recommended due to the limited strength of available evidence. Preventive measures emphasise the importance of comprehensive oral hygiene care, encompassing professional guidance and at-home practices, to manage biofilms effectively. This encompasses oral hygiene instruction, regular debridement, and maintenance care. Supporting peri-implant therapy is also vital for ongoing implant monitoring, preventing the recurrence of mucositis, and halting its progression to peri-implantitis. This multifaceted approach is key to effectively managing and treating peri-implant mucositis.

Key points

  • The effective management of peri-implant mucositis hinges on early detection and prompt intervention to prevent its progression to peri-implantitis.

  • Professional treatment focuses on disrupting and removing biofilms through cautious mechanical debridement using hand instruments or ultrasonic tips.

  • Supportive peri-implant therapy through routine professional maintenance is crucial for implant health monitoring, preventing disease recurrence, and averting peri-implantitis progression.

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Authors and Affiliations

  1. Discipline of Periodontics, School of Dentistry, University of São Paulo, São Paulo, Brazil

    Giuseppe A. Romito, Mohamed A. Hassan, Guilherme C. L. S. do Amaral & Cristina C. Villar

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All authors, Giuseppe A. Romito, Mohamed A. Hassan, Guilherme C. L. S. do Amaral and Cristina C. Villar, participated in the conception, design and writing of the manuscript. All authors approved the submission of the first and revised version of the manuscript.

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Correspondence to Giuseppe A. Romito.

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Romito, G., Hassan, M., do Amaral, G. et al. Decision-making on peri-implant mucositis management and treatment approaches. Br Dent J 236, 797–801 (2024). https://doi.org/10.1038/s41415-024-7397-5

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