Hideaki Hirooka1, Stefan Renvert2. 1. Part-time Lecturer, Division of Advanced Prosthetic Dentistry, Tohoku University Graduate School of Dentistry, Sendai, Miyagi, Japan. 2. Professor, Department of Oral Health Sciences, Faculty of Health, Kristianstad University, Kristianstad, Sweden Honorary Professor, School of Dental Science, Trinity College, Dublin, Ireland.
Abstract
PURPOSE: The aim of this review is to describe the current guidelines for the differential diagnosis of periimplant diseases. MATERIALS AND METHODS: Synopsis reviews were conducted to define the differential diagnosis of periimplant disease through an electronic literature search in MEDLINE up to February 2018. DISCUSSION: Periimplant mucositis is defined by the presence of bleeding and/or suppuration on gentle probing with or without an increased probing depth compared with previous examinations and by the absence of bone loss beyond crestal bone-level changes resulting from initial bone remodeling. Periimplantitis is defined by the presence of bleeding and/or suppuration on gentle probing with an increased probing depth compared with previous examinations and by the presence of bone loss beyond crestal bone-level changes resulting from initial bone remodeling. Thus, a combination of clinical registrations (probing pocket depth, bleeding on probing, and presence of pus) combined with radiographic signs of possible bone loss is needed for differential diagnosis. CONCLUSIONS: An accurate baseline registration at the time of placement of the prosthesis (probing pocket depth and bone level) with ongoing yearly monitoring is essential for diagnosis and appropriate disease management.
PURPOSE: The aim of this review is to describe the current guidelines for the differential diagnosis of periimplant diseases. MATERIALS AND METHODS: Synopsis reviews were conducted to define the differential diagnosis of periimplant disease through an electronic literature search in MEDLINE up to February 2018. DISCUSSION: Periimplant mucositis is defined by the presence of bleeding and/or suppuration on gentle probing with or without an increased probing depth compared with previous examinations and by the absence of bone loss beyond crestal bone-level changes resulting from initial bone remodeling. Periimplantitis is defined by the presence of bleeding and/or suppuration on gentle probing with an increased probing depth compared with previous examinations and by the presence of bone loss beyond crestal bone-level changes resulting from initial bone remodeling. Thus, a combination of clinical registrations (probing pocket depth, bleeding on probing, and presence of pus) combined with radiographic signs of possible bone loss is needed for differential diagnosis. CONCLUSIONS: An accurate baseline registration at the time of placement of the prosthesis (probing pocket depth and bone level) with ongoing yearly monitoring is essential for diagnosis and appropriate disease management.
Authors: Stefan Renvert; Hideaki Hirooka; Ioannis Polyzois; Anastasia Kelekis-Cholakis; Hom-Lay Wang Journal: Int Dent J Date: 2019-09 Impact factor: 2.607