Articles

The effect of adjuvant oral irrigation on the management of peri-implant mucositis

August 20, 2020

The effect of adjuvant oral irrigation on the management of peri-implant mucositis

The prevalence of peri-implant diseases is rising along with the overall number of dental implants. Peri-implant mucositis, which affects 64.6% of all implant patients, is the most typical biological issue surrounding dental implants.

Peri-implant mucositis, if left untreated, can develop into peri-implantitis, which causes progressive soft tissue and bone loss. Effective methods to establish and maintain wholesome peri-implant conditions are necessary for the primary prevention of peri-implantitis, which includes the treatment of peri-implant mucositis.

Since peri-implant mucositis can be treated by removing plaque, adequate mechanical plaque control is necessary to stop peri-implant diseases from developing and worsening.

Studies have demonstrated that the adjuvant use of an oral irrigator containing 0.06% CHX in addition to mechanical biofilm removal and oral hygiene instruction may decrease the presence and severity of peri-implant mucositis after 12 weeks.

References

Bunk, D,  Eisenburger, M,  Häckl, S,  Eberhard, J,  Stiesch, M,  Grischke, J.  The effect of adjuvant oral irrigation on self-administered oral care in the management of peri-implant mucositis: A randomized controlled clinical trial. Clin Oral Impl Res.  2020; 31: 946–958. https://doi.org/10.1111/clr.13638

Berglundh, T., Armitage, G., Araujo, M. G., Avila-Ortiz, G., Blanco, J., Camargo, P. M., … Zitzmann, N. (2018). Peri-implant diseases and conditions: Consensus report of workgroup 4 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. Journal of Clinical Periodontology,  45(Suppl 20), S286–S291. https://doi.org/10.1111/jcpe.12957

Chye, R. M. L., Perrotti, V., Piattelli, A., Iaculli, F., & Quaranta, A. (2019). Effectiveness of different commercial chlorhexidine-based mouthwashes after periodontal and implant surgery: A systematic review. Implant Dentistry,  28(1),  74–85. https://doi.org/10.1097/ID.0000000000000854

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