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what

is periimplantitis?

HOW

does ist develop?

how

can I protect myself?

Peri-implantitis is the term for an inflammation

around a dental implant, i.e. for pathological changes
of the tissue surrounding the implant.

 

Depending on the severity and nature of thE
inflammation, peri-implantitis is sub-classified as:

 

  • peri-implant mucositis
  • marginal peri-implantitis
  • retrograde peri-implantitis

 

 

Peri-implant mucositis

The soft tissue surrounding the implant becomes
inflamed, as in gingivitis. It is usually reversible,
i.e. it can subside without further sequelae.

 

 

Marginal peri-implantatis

If peri-implant mucositis is not treated in time,
progressive bone loss also occurs, in a process similar
to that seen in parodontitis, which is usually not or
only slightly reversible. Marginal peri-implantitis is
therefore generally not reversible and can only under
certain circumstances be brought under
control by surgery.

 

 

Retrograde peri-implantitis

This is a special case which only occurs rarely. It is
due to residual scar and granulation tissue. As a rule
it can be well controlled by curettage of the affected
area.

There are some important
differences in the structure of the
tissue in the mucosa surrounding
the implant, some of which can be
seen in the opposite figure.

 

 

In the connective tissue surrounding the tooth (left side
of the figure) bundles of collagen fibres radiate out into the cement layer of the root of the tooth. With implants

this is not possible. Here the fibre bundles simply run parallel to the surface of the implant (right side of the figure).

 

There are also differences in the composition of the connective tissue. With its high collagen content the connective tissue of the mucosa around the implant is more similar to scar tissue and thus contains distinctly fewer blood vessels. This leads to a fall in immune status and thus to an increase in susceptibility to peri-implant infections.

 

All peri-implant infections have one thing in common:
if they are not treated they lead to loss of the implant.
The main causes are bacteria already known from periodontology: Actinobacillus actinomycetemcomitans, Porphyromonas gingivalis, Tannerella forsythensis, Peptostreptococcus micros and Fusobacterium nucleatum.

The biological weak point of all implants is the transition between the oral cavity and the jaw bone at the neck of the implant. The implants available to date have not had this closure, which in natural teeth is impermeable to bacteria.

 

This area around the implant therefore needs to be particularly thoroughly cleansed and cared for to prevent inflammations developing due to invading bacteria.

 

In addition to obtaining support from your dentist in the form of dental examinations, instruction in oral hygiene and motivation, checks on the prostheses and, to begin with, annual follow-up x-rays, there are a number of things that you can do to promote long-term success:

 

 

Cleansing of implants

It is important to remove plaque and dental calculus
thoroughly. This can be done by cleaning the teeth
regularly, using dental floss and special brushes and
also, where necessary, additional professional cleaning
every 6–12 months.

 

Care of implants

The gums surrounding implants should also be cleansed gently and regularly in order to maintain their protective function as effectively as possible.

 

Using durimplant

The allantoin contained in durimplant soothes and cares for the mucosa and accelerates cell regeneration. The liquid paraffin also cares for the skin and ensures

that durimplant is less rapidly removed by the saliva.

 

Sage oil soothes any inflammations before they have the chance to develop further.

Thymol, a component of thyme, has a strong disinfectant effect and thus slows bacterial recolonisation.

a smile will always work...

 

Long-term protection

for dental implants due to effective
gum care:

 

the Implant care gel

 

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