Recent Advances in Non-surgical and Surgical methods/techniques for diagnosis and management of Peri-Implantitis.

About this Research Topic

Background

With a marked increase in the replacement of edentulous sites with implants, implant-related complications and diseases such as peri-implant mucositis and peri-implantitis are drastically rising. Peri-implantitis is a destructive inflammatory condition affecting the soft and hard tissues surrounding dental implants. The peri-implant disease initially begins as peri-implant mucositis, which involves inflammation of the peri-implant soft tissue without any marginal bone loss. If peri-implant inflammation is not treated initially, it progresses to peri-implantitis, which may manifest as bleeding, swelling, and pus discharge around the implant, implant mobility, bone loss, bad breath, and pain. Therefore, the diagnosis and management of peri-implant mucositis and peri-implantitis are essential to prevent the continued loss of bone around the implant and subsequent implant failure.

The fundamental step in managing peri-implant mucositis and peri-implantitis is the mechanical debridement of oral biofilm formed around the implant surface through thorough debridement and control of the microbial load. However, over the years, various advancements and research have broadened the treatment options for managing peri-implant disease. Non-surgical methods involving subgingival instrumentation with modified hand or power-driven devices, such as air abrasion polishing, as well as newer mechanical and chemical plaque control methods with or without interdental aids (for both at-office and home use), LASERS, and antimicrobial or antioxidant therapy are commonly employed for managing inflamed peri-implant tissues. For more advanced stages of peri-implant disease, involving bone loss, surgical interventions involving bone grafts, platelet concentrates, and guided tissue regeneration procedures have been recommended. Accordingly, the European Federation of Periodontology (EFP) S3 clinical guidelines recommend using non-surgical protocols to establish healthier peri-implant soft tissue conditions before considering adjunctive surgical therapy. However, no single treatment strategy has demonstrated superiority in peri-implant surface decontamination. With increased understanding of the complex etiology related to peri-implantitis, interventions have evolved to include a dual approach combining mechanical and chemical decontamination. Recently, evidence and research have emphasized the importance of early diagnosis, personalized treatment plans, and the use of artificial intelligence and machine learning models for better and quicker diagnosis of peri-implantitis. Many newer biomaterials and implant surface modifications have also emerged to prevent bacterial colonization, reflecting a shift from purely reactive to more proactive and multidisciplinary approaches to managing peri-implantitis.

With numerous advancements in treatment approaches and techniques for managing peri-implantitis taking place, this research call aims to collect explore innovative and emerging approaches in the form of Original Research articles, literature review, Narrative Reviews, Scoping reviews, and Systematic Reviews and Metanalysis, case reports, case series, under, but not limited to, the following themes:

· Advances in biochemical, microbiological, radiographic, and clinical methods/tools/devices for the diagnosis of peri-implantitis. AI-based methods for diagnosis and management of peri-implant diseases
· Recent advancements in non-surgical methods of managing peri-implantitis: instruments/instrumentation techniques/ debridement methods/ tools for oral biofilm removal or control around dental implants and peri-implant soft tissues. Mechanical or chemical plaque control for peri-implant mucositis and peri-implantitis
· Methods of implant surface decontamination and design modification for managing peri-implantitis.
· Role of antimicrobial therapy (local/systemic antimicrobial therapy), antioxidant and anti-inflammatory therapy for managing peri-implantitis.
· Advances in systemic and localized drug delivery systems for peri-implantitis treatment
· Role of alternative or complementary medicine, traditional medicine, herbal/plant-based therapy for managing peri-implantitis.
· Patient education methods or tools for peri-implant health maintenance
· Newer surgical designs, techniques, and methods of managing peri-implant bone defects using guided tissue/ bone regeneration techniques.
· Studies assessing the clinical outcomes of any non-surgical or surgical approaches for managing peri-implantitis
· Role and methods of supportive periodontal care and maintenance for patients with peri-implantitis
· Prosthetic, endodontic, and orthodontic considerations in managing peri-implantitis.

Article types and fees

This Research Topic accepts the following article types, unless otherwise specified in the Research Topic description:

• Brief Research Report
• Case Report
• Classification
• Clinical Trial
• Community Case Study
• Curriculum, Instruction, and Pedagogy
• Data Report
• Editorial
• General Commentary
• ... View all formats

Articles that are accepted for publication by our external editors following rigorous peer review incur a publishing fee charged to Authors, institutions, or funders.

Article types

This Research Topic accepts the following article types, unless otherwise specified in the Research Topic description:

• Brief Research Report
• Case Report
• Classification
• Clinical Trial
• Community Case Study
• Curriculum, Instruction, and Pedagogy
• Data Report
• Editorial
• General Commentary
• Hypothesis and Theory
• Methods
• Mini Review
• Opinion
• Original Research
• Perspective
• Policy and Practice Reviews
• Policy Brief
• Review
• Study Protocol
• Systematic Review
• Technology and Code

Keywords: Peri-implant disease; Peri-implantitis; Dental implants; Oral health; Non-surgical periodontal therapy; Surgical Periodontology; Antimicrobial therapy; Dental materials; Oral Implantology; Prosthodontics

Important note: All contributions to this Research Topic must be within the scope of the section and journal to which they are submitted, as defined in their mission statements. Frontiers reserves the right to guide an out-of-scope manuscript to a more suitable section or journal at any stage of peer review.

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