PERI-IMPLANTITIS: IDENTIFICATION OF RISK FACTORS AND TREATMENT PROTOCOLS – PART II
S. Lauri1, M. Scarpati Cioffari di Castiglione2*, A. Della Corte3, A. Danieli4, I. Mastrorilli5, F. De Falco6, F. Cena6, A. Coppola7 and P. Poliçi8
1 Independent Researcher, 00073, Rome, Italy;
2 Independent Researcher, 81021, Caserta, Italy;
3 Independent Researcher,72021, Brindisi, Italy;
4 Independent Researcher, 00010, Rome, Italy;
5 Independent Researcher, 00135, Rome, Italy;
6 Department of System Medicine, University of Rome “Tor Vergata”, Rome, Italy;
7 Dentistry and Implantology, Private Practice, Studio Armando Coppola, Naples, Italy;
8 Catholic University Our Lady of Good Counsel, Tirana, Albania.
*Correspondence to:
M. Scarpati Cioffari di Castiglione,
Independent Researcher,
81021, Caserta, Italy.
e-mail: mariascarpati98@gmail.com
| Received: 15 July, 2025 Accepted: 30 August, 2025  |
ISSN 2975-044X (online) ISSN 2038-4106 (print) Copyright © by BIOLIFE 2025 This publication and/or article is for individual use only and may not be further reproduced without written permission from the copyright holder. Unauthorized reproduction may result in financial and other penalties. Disclosure: All authors report no conflicts of interest relevant to this article. |
ABSTRACT
This article delves into the surgical treatment strategies for peri-implantitis, an inflammatory condition affecting the tissues around dental implants. It emphasizes that while non-surgical therapy can be effective in the early stages, surgical intervention often becomes indispensable to halt the progression of the pathology. The article reviews various surgical approaches, including resective surgery, regenerative surgery, mechanical decontamination, laser treatments, antibiotic therapy, electrolytic cleaning, and implantoplasty. Resective surgery aims to reduce the depth of peri-implant pockets through resection of inflamed soft tissue and bone remodeling, while regenerative surgery aims to reconstruct lost bone tissue using bone biomaterials, barrier membranes, and biological factors. Mechanical decontamination involves removing biofilm and mineralized deposits from the implant surface, while laser treatments and electrolytic cleaning offer alternative methods for decontamination. Antibiotic therapy, both systemic and topical, is sometimes used as a support to mechanical decontamination. Finally, implantoplasty involves removing implant threads and smoothing the exposed surface to reduce biofilm accumulation. The article highlights the importance of appropriate selection of the surgical strategy based on the patient’s characteristics, the severity of the bone damage, and the risk factors present. It further emphasizes the need for a multidisciplinary approach that integrates surgical therapies with non-surgical treatments and careful follow-up management to ensure the success of peri-implantitis treatment and the durability of dental implants. The article concludes by highlighting the need for further research to refine surgical techniques, develop new biomaterials, and evaluate the effectiveness of emerging therapies, with the aim of improving clinical outcomes and the quality of life of individuals affected by peri-implantitis.
KEYWORDS: Peri-implantitis, surgical treatment, regenerative surgery, mechanical decontamination, laser therapy