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KMID : 0362720150530050318
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Journal of the Korean Dental Association
2015 Volume.53 No. 5 p.318 ~ p.325
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Treatment considerations in peri-implantitis
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Kim Bo-Bae
Ko Young-Kyung
Park Jun-Beom
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Abstract
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Peri-implantitis is defined as an inflammatory process affecting the tissues around an osseointegrated implant, resulting in the loss of the supporting bone. Microbial adherence and colonization appear to play a major role in the pathogenesis of periimplantitis. The decision regarding treatment strategies is based on the diagnosis. The severity of the peri-implant lesion and the treatment strategies must include mechanical cleaning (infection control) procedures. Mechanical instrumentation is widely used for the debridement of dental implants, but this may alter the titanium’s surface properties. Therefore, selection of the type of instrumentation should be made depending on the type of surface to be debrided. Also, patients with dental implants must always be enrolled in a supportive therapy program.
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KEYWORD
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Peri-implantitis, Periodontal debridement, Surface properties, Titanium
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