Int J Stomatol ›› 2023, Vol. 50 ›› Issue (2): 152-158.doi: 10.7518/gjkq.2023031

• Implantology • Previous Articles     Next Articles

Research progress on implantoplasty in the treatment of peri-implantitis

Lu Qian(),Xia Haibin,Wang Min.()   

  1. Dept. of Oral Implantology, Hospital of Stomatology, Wuhan University, Wuhan 430079, China
  • Received:2022-09-15 Revised:2022-12-26 Online:2023-03-01 Published:2023-03-14
  • Contact: Min. Wang E-mail:2021283040041@whu.edu.cn;83wangmin@whu.edu.cn
  • Supported by:
    National Natural Science Foundation of China(82071095)

Abstract:

Peri-implantitis is one of the most common biological complications after implant restoration. The implant threads are exposed due to the peri-implant bone loss and gingival recession. Exposed rough surfaces are more prone to plaque accumulation than smooth surfaces. Implantoplasty is the implant surface modification through the removal of exposed threads and antibacterial decontamination of the implant surface by using a series of rotary instruments. This me-thod has shown promising results in the treatment of peri-implantitis by removing the entire outmost infected layer of titanium and reduce the roughness and plaque adhesion of implant surface. This article reviews the treatment procedure, the-rapeutic effect, postoperative problems, and complications of implantoplasty.

Key words: implantoplasty, peri-implantitis, dental implant, rotary instruments

CLC Number: 

  • R 783

TrendMD: 

Tab 1

Commonly used rotary instruments"

打磨抛光器械规格用途
金刚砂车针(diamond burs)106、40、15、8、4 μm粒度;花蕾状/蛋状去除种植体表面污物及螺纹
碳化钨车针(carbide cutting burs)红色(普通);白色(细)去除种植体表面污物及螺纹
碳化硅磨石(silicon carbide stones)绿色棒柱状去除种植体表面污物及螺纹
硅胶抛光器(silicone burs)Brownie(棕色锥状);Greenie(绿色锥状)进一步抛光平整种植体表面
阿肯色石(Arkansas stone)锥状/棒柱状/球状进一步抛光平整种植体表面
1 Anitua E, Piñas L, Begoña L, et al. Prognosis of dental implants immediately placed in sockets affected by peri-implantitis: a retrospective pilot study[J]. Int J Periodont Restorat Dent, 2017, 37(5): 713-719.
2 Schwarz F, Derks J, Monje A, et al. Peri-implantitis[J]. J Clin Periodontol, 2018, 45: S246-S266.
3 Shimchuk AA, Weinstein BF, Daubert DM. The impact of a change in classification criteria on the prevalence of peri-implantitis: a cross-sectional ana-lysis[J]. J Periodontol, 2021, 92(9): 1339-1346.
4 Lozada JL, James RA, Boskovic M, et al. Surgical repair of peri-implant defects[J]. J Oral Implantol, 1990, 16(1): 42-46.
5 Sharon E, Shapira L, Wilensky A, et al. Efficiency and thermal changes during implantoplasty in relation to bur type[J]. Clin Implant Dent Relat Res, 2013, 15(2): 292-296.
6 de Souza JM Jr, Oliveira de Souza JG, Pereira Neto AL, et al. Analysis of effectiveness of different rotational instruments in implantoplasty[J]. Implant Dent, 2016, 25(3): 341-347.
7 Ramel CF, Lüssi A, Özcan M, et al. Surface roughness of dental implants and treatment time using six different implantoplasty procedures[J]. Clin Oral Implants Res, 2016, 27(7): 776-781.
8 Schwarz F, John G, Becker J. The influence of implantoplasty on the diameter, chemical surface composition, and biocompatibility of titanium implants[J]. Clin Oral Investig, 2017, 21(7): 2355-2361.
9 Beheshti Maal M, Aanerød Ellingsen S, Reseland JE, et al. Experimental implantoplasty outcomes correlate with fibroblast growth in vitro [J]. BMC Oral Health, 2020, 20(1): 25.
10 Sahrmann P, Luso S, Mueller C, et al. Titanium implant characteristics after implantoplasty: an in vitro study on two different kinds of instrumentation[J]. Int J Oral Maxillofac Implants, 2019, 34(6): 1299-1305.
11 Bollen CM, Papaioanno W, van Eldere J, et al. The influence of abutment surface roughness on plaque accumulation and peri-implant mucositis[J]. Clin Oral Implants Res, 1996, 7(3): 201-211.
12 Tawse-Smith A, Kota A, Jayaweera Y, et al. The effect of standardised implantoplasty protocol on titanium surface roughness: an in-vitro study[J]. Braz Oral Res, 2016, 30(1): e137.
13 Esteves Lima RP, Abreu LG, Belém FV, et al. Is implantoplasty efficacious at treating peri-implantitis? A systematic review and meta-analysis[J]. J Oral Maxillofac Surg, 2021, 79(11): 2270-2279.
14 Bianchini MA, Galarraga-Vinueza ME, Apaza-Bedoya K, et al. Two to six-year disease resolution and marginal bone stability rates of a modified resective-implantoplasty therapy in 32 peri-implantitis cases[J]. Clin Implant Dent Relat Res, 2019, 21(4): 758-765.
15 Bianchini M, Galarraga-Vinueza M, Bedoya K, et al. Implantoplasty enhancing peri-implant bone stability over a 3-year follow-up: a case series[J]. Int J Periodontics Restorative Dent, 2020, 40(1): e1-e8.
16 Schwarz F, John G, Schmucker A, et al. Combined surgical therapy of advanced peri-implantitis eva-luating two methods of surface decontamination: a 7-year follow-up observation[J]. J Clin Periodontol, 2017, 44(3): 337-342.
17 Khoury F, Keeve PL, Ramanauskaite A, et al. Surgical treatment of peri-implantitis-consensus report of working group 4[J]. Int Dent J, 2019, 69: 18-22.
18 Keeve PL, Koo KT, Ramanauskaite A, et al. Surgical treatment of periimplantitis with non-augmentative techniques[J]. Implant Dent, 2019, 28(2): 177-186.
19 Ravidà A, Siqueira R, Saleh I, et al. Lack of clinical benefit of implantoplasty to improve implant survi-val rate[J]. J Dent Res, 2020, 99(12): 1348-1355.
20 Lasserre JF, Brecx MC, Toma S. Implantoplasty versus glycine air abrasion for the surgical treatment of peri-implantitis: a randomized clinical trial[J]. Int J Oral Maxillofac Implants, 2020, 35(35): 197-206.
21 Pommer B, Haas R, Mailath-Pokorny G, et al. Periimplantitis treatment: long-term comparison of laser decontamination and implantoplasty surgery[J]. Implant Dent, 2016, 25(5): 646-649.
22 杨春山, 徐巍, 刘颖, 等. 种植体打磨抛光联合Er: YAG激光对种植体周围炎的长期临床疗效[J]. 口腔医学研究, 2021, 37(7): 612-616.
Yang CS, Xu W, Liu Y, et al. Long-term clinical effect of implantoplasty combined with Er: YAG laser on peri-implantitis[J]. J Oral Sci Res, 2021, 37(7): 612-616.
23 Stavropoulos A, Bertl K, Eren S, et al. Mechanical and biological complications after implantoplasty-a systematic review[J]. Clin Oral Implants Res, 2019, 30(9): 833-848.
24 Schwarz F, Sahm N, Iglhaut G, et al. Impact of the method of surface debridement and decontamination on the clinical outcome following combined surgical therapy of peri-implantitis: a randomized controlled clinical study[J]. J Clin Periodontol, 2011, 38(3): 276-284.
25 Azzola F, Ionescu AC, Ottobelli M, et al. Biofilm formation on dental implant surface treated by implantoplasty: an in situ study[J]. Dent J, 2020, 8(2): 40.
26 Toma S, Lasserre J, Brecx MC, et al. In vitro evaluation of peri-implantitis treatment modalities on Saos-2 osteoblasts[J]. Clin Oral Implants Res, 2016, 27(9): 1085-1092.
27 Bertl K, Isidor F, von Steyern PV, et al. Does implantoplasty affect the failure strength of narrow and regular diameter implants? A laboratory study[J]. Clin Oral Investig, 2021, 25(4): 2203-2211.
28 Diéguez-Pereira M, Chávarri-Prado D, Viteri-Agustín I, et al. Effect of implantoplasty on the elastic limit of dental implants of different diameters[J]. Int J Implant Dent, 2021, 7(1): 88.
29 Costa-Berenguer X, García-García M, Sánchez-Torres A, et al. Effect of implantoplasty on fracture resistance and surface roughness of standard diameter dental implants[J]. Clin Oral Implants Res, 2018, 29(1): 46-54.
30 Gehrke S, Junior J, Dedavid B, et al. Analysis of implant strength after implantoplasty in three implant-abutment connection designs: an in vitro study[J]. Int J Oral Maxillofac Implants, 2016: e65-e70.
31 Camps-Font O, González-Barnadas A, Mir-Mari J, et al. Fracture resistance after implantoplasty in three implant-abutment connection designs[J]. Med Oral Patol Oral Cir Bucal, 2020, 25(5): e691-e699.
32 Suzuki H, Hata Y, Watanabe F. Implant fracture under dynamic fatigue loading: influence of embedded angle and depth of implant[J]. Odontology, 2016, 104(3): 357-362.
33 Leitão-Almeida B, Camps-Font O, Correia A, et al. Effect of crown to implant ratio and implantoplasty on the fracture resistance of narrow dental implants with marginal bone loss: an in vitro study[J]. BMC Oral Health, 2020, 20(1): 329.
34 Tribst JPM, Dal Piva AMO, Shibli JA, et al. In-fluence of implantoplasty on stress distribution of exposed implants at different bone insertion levels[J]. Braz Oral Res, 2017, 31: e96.
35 Sivolella S, Brunello G, Michelon F, et al. Implantoplasty: carbide burs vs diamond sonic tips. An in vitro study[J]. Clin Oral Implants Res, 2021, 32(3): 324-336.
36 Barrak FN, Li SW, Muntane AM, et al. Particle release from implantoplasty of dental implants and impact on cells[J]. Int J Implant Dent, 2020, 6(1): 50.
37 Toledano-Serrabona J, Gil FJ, Camps-Font O, et al. Physicochemical and biological characterization of Ti6Al4V particles obtained by implantoplasty: an in vitro study. Part Ⅰ[J]. Materials, 2021, 14(21): 6507.
38 Wu XX, Cai CJ, Gil J, et al. Characteristics of particles and debris released after implantoplasty: a comparative study[J]. Materials (Basel), 2022, 15(2): 602.
39 Eriksson AR, Albrektsson T. Temperature threshold levels for heat-induced bone tissue injury: a vital-microscopic study in the rabbit[J]. J Prosthet Dent, 1983, 50(1): 101-107.
40 Jorio IC, Stawarczyk B, Attin T, et al. Reduced fracture load of dental implants after implantoplasty with different instrumentation sequences. An in vitro study[J]. Clin Oral Implants Res, 2021, 32(8): 881-892.
[1] Han Chong,He Dongning,Yu Feiyan,Wu Dongchao. Research progress on the mechanism and treatment of pain after oral implants [J]. Int J Stomatol, 2024, 51(1): 99-106.
[2] Liao Honglin,Fang Zhonghan,Zhang Yanyan,Liu Fei,Shen Jiefei.. Diagnosis and treatment of post-traumatic trigeminal neuropathic pain after dental implantation [J]. Int J Stomatol, 2023, 50(6): 729-738.
[3] Gong Jiaming,Zhao Ruimin,Pan Hongwei,Lang Xin,Yu Zhanhai,Li Jianxue. Meta-analysis of dynamic navigation versus static navigation in the accuracy of implant surgery [J]. Int J Stomatol, 2023, 50(5): 538-551.
[4] Zhu Keshi,Liao Anqi,Yu Youcheng.. Research progress on the application of machine learning in dental implantology [J]. Int J Stomatol, 2023, 50(4): 491-498.
[5] Man Yi, Huang Dingming. Combined treatment strategy of oral implantology and endodontics microsurgery: clinical protocol and practical cases (part 2) [J]. Int J Stomatol, 2022, 49(6): 621-632.
[6] Man Yi, Huang Dingming. Combined treatment strategy of oral implantology and endodontic microsurgery for bone augmentation and en-dodontic diseases in aesthetic area (part 1): application basis and indications [J]. Int J Stomatol, 2022, 49(5): 497-505.
[7] Cao Zhengguo. Periodontal considerations in prosthetic dentistry [J]. Int J Stomatol, 2022, 49(1): 1-11.
[8] Wang Yue,Wen Bing,Deng Mengting,Li Jianping. Research advances of low-level laser therapy on peri-implant tissue healing [J]. Int J Stomatol, 2021, 48(6): 725-730.
[9] Zhu Xuanzhi,Zhao Lei. Research progress on the relationship between hypothyroidism and periodontitis [J]. Int J Stomatol, 2021, 48(4): 380-384.
[10] Feng Lu,Meng Wenxia. Research progress on the problems of dental implant treatment in patients with common oral mucosal disease [J]. Int J Stomatol, 2021, 48(2): 147-155.
[11] Wang Jia,Li Wenxia,Yin Lihua. Restoration strategy of dental implant for impacted teeth in the edentulous area [J]. Int J Stomatol, 2021, 48(1): 77-81.
[12] Wu Jielin,Gao Ying. Application progress on free soft-tissue grafts harvested from palatal mucosa [J]. Int J Stomatol, 2020, 47(6): 686-692.
[13] Zheng Guiting,Xu Yan,Wu Mingyue. Research progress and consensus of experts on the therapy of peri-implant diseases [J]. Int J Stomatol, 2020, 47(6): 725-731.
[14] Tong Zian,Si Misi. Advances in the decontamination of plaque on implant surface in vitro [J]. Int J Stomatol, 2020, 47(5): 589-594.
[15] Zhang Min,Wan Haoyuan. Research progress on drug and laser therapy for peri-implantitis [J]. Int J Stomatol, 2020, 47(4): 463-470.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
[1] . [J]. Foreign Med Sci: Stomatol, 1999, 26(06): .
[2] . [J]. Foreign Med Sci: Stomatol, 1999, 26(06): .
[3] . [J]. Foreign Med Sci: Stomatol, 1999, 26(06): .
[4] . [J]. Foreign Med Sci: Stomatol, 1999, 26(06): .
[5] . [J]. Foreign Med Sci: Stomatol, 1999, 26(06): .
[6] . [J]. Foreign Med Sci: Stomatol, 1999, 26(05): .
[7] . [J]. Foreign Med Sci: Stomatol, 1999, 26(05): .
[8] . [J]. Foreign Med Sci: Stomatol, 1999, 26(05): .
[9] . [J]. Foreign Med Sci: Stomatol, 1999, 26(04): .
[10] . [J]. Foreign Med Sci: Stomatol, 1999, 26(04): .