背景:最近发表的牙周和种植体周围疾病的新分类明确了正确诊断这些疾病的不同阶段所要考虑的参数。迄今为止,然而,没有同样明确的适应症来解决这些疾病。本共识报告的目的是为种植体周围黏膜炎和种植体周围炎的非手术治疗提供指导。为了起草共识,对最新的科学文献进行了分析。
方法:意大利技术科学协会选出了15名意大利牙科专家(AIDI,UNID和ATASIO)和,从文献综述开始,他们根据分级方法(建议分级,评估,发展,和评估,一种评估证据质量的工具,用于制定系统评价和临床指南)关于种植体周围黏膜炎的治疗,种植体周围炎和各种种植表面的管理。
结论:根据国际文献,单独的非手术治疗可以解决种植体周围粘膜炎,但不是种植体周围炎.已经考虑了几种辅助疗法,其中一些似乎有助于控制炎症。
The recent publication of the new classification of periodontal and peri-implant disease has given clear indications on the parameters to be taken into consideration to correctly diagnose the different phases of these diseases. To date, however, there are no equally clear indications on the treatments to be implemented to solve these diseases. The objective of this Consensus Report is to provide guidance for the non-surgical management of peri-implant mucositis and peri-implantitis. For the drafting of the consensus, the most recent scientific literature was analysed.
A group of 15 expert Italian dental hygienists were selected by the Italian technical-scientific societies (AIDI, UNID and ATASIO) and, starting from the literature review, they formulated indications according to the GRADE method (Grading of Recommendations, Assessment, Development, and Evaluation, a tool for rating the quality of evidence, used to draw up systematic reviews and clinical guidelines) on the treatment of peri-implant mucositis, peri-implantitis and on management of the various implanting surfaces.
in accordance with the international literature, non-surgical therapy alone can resolve peri-implant mucositis, but not peri-implantitis. Several adjunctive therapies have been considered and some appear to be helpful in managing inflammation.