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August 2-8, 201018 Implant Tribune United Kingdom Edition REFERENCES 1. Albrektsson T, et al. Osseointegrated oral implants - A Swedish multicenter study of 8139 consecutively inserted Nobelpharma implants. J Periodontol 1988;59:287-296.2. Berglundh T, et al. A systematic review of the incidence of biological and technical complications in implant dentistry reported in prospective longitudinal studies of at least 5 years. J Clin Periodontol 2002;29:197-212. 3. Rosenberg ES, et al. Microbial differences in 2 clinically distinct types of failures of osseointegrated implants. Clin Oral Implants Res 1991;2:135-144. 4. Esposito M, et al. Differential diagnosis and treatment strategies for biologic complications and failing oral implants: a review of the literature. Int J Oral Maxillofac Implants 1999;14:473-490. 5. Klinge B, et al. A systematic review of the effect of anti-infective therapy in the treatment of peri-implantitis. J Clin Periodontol 2002;29:213-0. 6. Grunder U, et al. Treatment of Ligature-lnduced Periimplantitis Using Guided Tissue Regeneration: A Clinical and Histologic Study in the Beagle Dog. Int J Oral Maxillofac Implants 1993; 8:282-292. 7. Jovanovic S. The management of peri-implant breakdown around functioning osseointegrated dental implants. J Periodontol 1993; 64:1176-1183. 8. Schupbach P, et al. Implant-tissue interfaces following treatment of periimplantitis using guided tissue regeneration: a light and electron microscopic study. Clin Oral Implants Res 1994; 5:55-65. 9. Lang NP, et al. Clinical trials on therapies for peri-implant infections. Ann Periodontolgy 1997; 2:343-356. 10. Lehmann B, Bragger U, Hammerle CHF, Foumousis I, Lang NP. Treatment of an early implant failure according to the principles of guided tissue regeneration (GTR). Clin Oral Implants Res 1992; 3:42-48. 11. Hammerle CHF, et al. Successful Bone Fill in Late Peri-Implant Defects Using Guided Tissue Regeneration. A Short Com- munication. J Periodontol 1995;66:303-308. 12. Zablotsky MH. Chemotherapeutics in Implant Dentistry. Implant Dent 1993;2:19-25. 13. Parham PL, Cobb CM, French A. Effect of an air-powder abrasive system on plasmasprayed titanium implant surface: an in vitro evaluation. J Oral Implant 1989;15:78-86. 14. Mombelli A, Lang NP. Antimicrobial treatment of peri-implant infections. Clin Oral Implants Res 1992;3:162-168. 15. Mombelli A. Etiology, diagnosis, and treatment considerations in periimplantitis. Current Opinion in Dentistry 1997;4:127-136. 16. Scheck G, et al. Controlled local delivery of tetracycline HCl in the treatment of periimplant mucosal hyperplasia and mucositis. Clin Oral Implants Res 1997;8:427-433. 17. Lindhe J, et al. Peri-implant diseases: Consensus report of the Sixth European Workshop on Periodontology. 2008 Sep;35(8 Suppl):282-5. 18. Esposito M, et al.The role of implant surface modifications, shape and materi- al on the success of osseointegrated dental implants. A systematic review. Eur J Prosthodont Restor Dent. 2005 Mar; 13(1):15-31. 19. Esposito M, et al. Cochrane Database Syst Rev. 2006; 3:CD004970, Cochrane Database Syst Rev. 2008 Apr 16 ;( 2) Interventions for replacing missing teeth: treatment of peri-implantitis. Esposito M, et al. 20. Mombelli A et al.The diagnosis and treatment of peri-implantitis.Periodontology 2000 1998 Jun; 17:63-76 21. Pontoriero et al. Experi- mentally induced peri-implant mucositis. A clinical study in humans. Clin Oral Implants Res. 1994 Dec;5(4):254-9 22. Klinge b et al. Peri-implantitis.Dent Clin North Am. 2005 Jul; 49(3):661-76 23. Romanos Ge et al. Regenerative therapy of deep peri-implant infrabony defects after CO2 laser implant surface decontamination. Int J Periodontics Restorative Dent. 2008 Jun; 28(3):245-55 24. Claffey N et al. Surgical treatment of peri-implantitis. J Clin Periodontol 2008; 35 (Suppl. 8): 316–332. 25. Deppe H et al .Convensional versus CO2 laser assisted treatment of peri implant defects with the concomitant use of pure phase beta tricalcium phosphate: a 5-year clinical report. Int J Oral Maxillofac Implants. 2007 Jan-Feb;22(1):79-86 26. Leonhardt A. Five-Year Clinical, Microbiological and Radiological Outcome Following Treatment of Peri-Implantitis in Man. J Periodontol 2003; 74:1415-1422 27. Mombelli A. Microbiology and antimicrobial therapy of peri-implantitis Periodontol 2000, 2002; 13:127-132 28. De Araujo Nombre M, Non-surgical treatment of peri-implant pathology: Int J Dent Hyg, 2006 May; 4(2):84-90 29. Lindhe J et al.. Experimental breakdown of peri-implant and periodontal tissues. Clin Oral Impalnts Res 1992;3:9-16 30. Schwarz, F et al. (2006a) .Nonsurgical treatment treatment of moder- ate and advanced periimplantitis lesions: a controlled clinical study. Clinical Oral Investigations 10, 279–288. 31. Schwarz, F et al. (2006b) Healing of intrabony periim- plantitis defects following application of a nanocrystalline hydroxyapatite (Ostimt) or a bovine-derived xenograft (Bio-Osst) in combination with a collagen membrane (Bio-Gidet). A case series. Journal of Clini- cal Periodontology 33, 491–499 32. Schwarz, F et al. (2008) Two year clinical results fol- lowing treatment of peri-implantitis lesions using a nanocristalline hydroxyapatite or a natural bone mineral in combination with a collagen membrane. Journal of Clinical Periodontology 35, 80–87. 33. Renvert S, Topi- cal minocycline microspheres versus topical chlorhexidine gel as an adjunct to mechan- ical debridement of incipient peri-implant infections: a randomized clinical trial. J Clin Periodontol. 2006 May; 33 (5): 362-9. 34. Karring Es, Treatment of peri-implantitis by the vector system. Clin Oral Implants Res. 2005 Jun; 16(3):288-93 35. Mombelli A. Colonization of osseointegrated titanium implants in edentulous patients. Early results. Oral Microbiol Immunol. 1988 Sep;3(3):113-20. 36. Albrektsson, T et al. (1994) Consensus report of session IV. In: Lang, N. P. & Karring, T (eds) Proceedings of the 1st European Workshop on Periodontology, pp. 365-369: London Quintessence Publishing Co. Ltd. About the author Vavalekas Michail graduated from the University “Gr. T. Popa” in 2001, and continued with the advanced educa- tion in general dentistry from “Carol Davila” from 2002 to 2005, before re- turning to Greece to work in a private office. During the period 2008-2010 he has been specialising in the depart- ment of Periodontics and Implant den- tistry at New York University College of Dentistry as a student and a clinical assistant fellow where he got involved in different clinical and research ac- tivities. page 17DTß infections should be focused both on infection control of the lesion, detoxification of the im- plant surface, and on regen- eration procedures. Treatment options can be surgical or non- surgical.Itwasobservedthatnon- surgical treatment of peri- implantitis was unpredictable, while the use of chemical agents such as chlorhexidine had only limited effects on clinical and microbiological parameters. Adjunctive local or systemic antibiotics were shown to reduce bleeding on probing and prob- ing depths and some beneficial effects of laser therapy on peri- implantitis have been shown, but this approach needs to be further evaluated. Despite treatment and re-treatment of lesions, estab- lishing an adequate healthy envi- ronment was found to be difficult since inflammation can be still present in a significant number of patients. DT WITH BICON’S SHORT IMPLANTS YOU CAN: 3 Avoid vital structures 3 Minimize bone grafting procedures 3 Maximize placement possibilities 3 Increase patient acceptance 3 Offer single unit restorations without splinting4.5 x 6.0mm 5.0 x 6.0mm 6.0 x 5.7mm ™ 7 YEARS 7 YEARS Since 1985 » Simple. Predictable. 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