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ePaper created 2016-09-30, 16:42:46 | version 1.38.0
business 25th EAO Annual Scientific Meeting 22 n Peri-implantitis has been among the most discussed topics at the Eu- ropean Association for Osseointegra- tion congress in Paris in France this year. Despite major advancements in implant placement and increasing success rates, peri-implantitis con- tinues to pose the risk of implant failure. This inflammatory disease arises as a result of the formation of dental plaque on the implant sur- face. While peri-implant mucositis is reversible, peri-implantitis might lead to implant failure. Both surgical and non-surgical mechanical de- bridement, antimicrobial therapeu- tics, or the combination of chemical and surgical methods help to man- age peri-implantitis – even if it re- quires sacrificing the implant. How- ever, a new approach to dental care— individually trained oral prophy- laxis—in combination with the best available cleaning tools can help prevent these inflammatory dis- eases progressing to the extent of failure of implant treatment. Dental implants require special care: the implant surfaces and inac- cessible areas must be cleaned care- fully. Implants are prone to infection owing to their form and the sur- rounding dental anatomy, which al- low bacteria to enter the sulcus, leading to the formation of dental plaque. Dental plaque is the pri- mary cause of mucositis and, even- tually, peri-implantitis. However, bacteria in the sulcus can be re- moved mechanically using tooth- brushes and interdental brushes and chemically with chlorhexidine mouthwashes. Therefore, peri-im- plantitis can be prevented by clean- ing implants regularly with the most suitable tools in the right places in combination with appro- priate techniques. Only regular im- plant care maintains the conditions necessary to prevent such diseases and ensures long-term success of the treatment and implant health. Swiss oral health care provider Curaden, through its CURAPROX brand, offers innovative dental hy- giene products suited for this pur- pose. “Dental hygiene is an aspect oral surgeons usu- ally leave to dental hygien- ists and general practition- ers, but all dental profes- sionals should get to know their patients and adapt the treatment to the spe- cific needs of each of them, especially in order to pre- vent peri-implantitis,” said Dr Laura Ventimiglia, an oral surgeon and implant specialist from Sweden. “Any dentist who places im- plants has to teach his or her patients proper oral hy- giene techniques and pro- vide the necessary infor- mation to help them maintain a bal- anced microbial environment. Most importantly, however, the dental pro- fessional should be able to recom- mend the appropriate cleaning tools to his or her patients. This begins with the measurement of the inter- dental space and the use of the cor- rect toothbrush for gentle and effec- tive cleaning of implants and the gin- gival margin, as well as chlorhexi- dine mouthrinses in certain cases.” As a leading oral health care com- pany, Curaden recommends cleaning the gap between the implant and soft tissue twice a day, ideally with an in- terdental brush. Specifically designed for implant patients, only interdental brushes with long, resilient bristles can reach the sulcus and other critical interdental areas to remove the bacte- ria responsible for inflammatory peri- odontal disease, lowering the probabil- ity of developing periodontal disease. The CPS soft implant plas- tic-coated series with its fine, long bristles has been specially designed for cleaning of large interdental spaces after implant treatment. Patient ac- ceptance of these interdental brushes has proven to be very high “The Curaprox interdental toothbrush is the thinnest on the market and can even be used by patients as an alterna- tive to dental floss. Their special de- sign makes them reliable and easy to use, durable and effective. Owing to technological innovation, CURAPROX is able to manufacture interdental brushes that have a very thin central wire supporting long, soft bristles, which makes them very versatile and extremely effective, even in tight inter- dental spaces,” explained Dr Mayur Dixit, Director of Marketing at Curaden. The CPS soft implant range is available in five sizes, ranging from 5.5 mm (CPS 505) to 16 mm (CPS 516). Choosing the right chlorhexidine In combination with interdental brushes and toothbrushes, oral anti- septics reduce the bacteria in the oral cavity prior to and during implant placement and supplement mechani- cal plaque control. Based on 40 years of research, chlorhexidine continues to be the most effective anti-plaque agent in dentistry. Used in a specific concentration in a mouthwash, chlor- hexidine is bactericidal and disrupts the formation of biofilm. CURASEPT ADS Implant was developed for short-term intensive plaque control after surgery, such as implant treat- ment, bone regeneration and aug- mentation procedures, and periodon- tal and peri-implant operations. The chlorhexidine concentration of 0.2 per cent is highly effective in the management of plaque and bacteria and protects the surgically treated ar- eas from superinfection. The combi- nation of chlorhexidine with polyvi- nylpyrrolidone-vinylacetate (PVP-VA) and hyaluronic acid (HA) offers fur- ther benefits both for patients and for dental professionals: it promotes healing and tissue regeneration, re- duces pain as well as plaque accumu- lation, and serves as an important ad- junct in the treatment of peri-implan- titis and mucositis. In order to address chlorhex- idine’s side-effect of staining the teeth—which often lowers patient compliance and interrupts the treat- ment and healing process, Curaden’s chlorhexidine mouthwash contains ADS (anti-discoloration system). The benefits of chlorhexidine are not af- fected by this addition and several studies have shown that Curaden’s 0.2 per cent chlorhexidine mouth- wash containing ADS has the same beneficial effect as other 0.2 per cent chlorhexidine mouthwashes, but without discolouration of the teeth. The company’s portfolio of chlorhex- idine products includes CURASEPT ADS 350 Periodontal Gel with 0.5 per cent chlorhexidine for topical ap- plication. The product can be used weekly in treating difficult periodon- tal cases and peri-implantitis. The right kit used according to the right technique As an all-in-one solution to im- plant care, the CURAPROX im- plant kit contains a CS 5460 ultra soft toothbrush, a CS 1009 single toothbrush, CPS soft implant inter- dental brushes, an interdental access probe and a brochure that compre- hensively explains why care of your patient’s implant is so important and easy. “When recommending this kit to your patients, it is helpful to use the brochure to explain the right techniques to your patient. No matter what tools you use for implant care, implant specialists need to deter- mine the individual periodontal situ- ation of each patient,” said Ventimi- glia. “Following a simple, non-trau- matic oral hygiene routine for im- plant patients should be standard in implant treatment.” 7 Preventing peri-implantitis AD 5 The CPS soft implant series, ranging from 5.5 mm (CPS 505, left) to 16 mm (CPS 516, right), has been specially designed for cleaning of large interdental spaces after implant treatment. “Peri-implantitis can be prevented by cleaning implants regularly with the most suitable tools in the right places in combination with appropriate techniques.”