Fighting Back Against Peri-Implantitis
One of the most recent challenges among periodontists has been the prevention and treatment of peri-implantitis. In order to prevent this, it is essential that periodontists and other dental professionals address the early inflammatory response. Unfortunately, for established patients, proper treatment in the various stages of breakdown has not been well defined. As it turns out, I have found that laser therapy is one of the best treatments that address the inflammatory issue in the prevention and treatment stages of peri-implantitis. I have also observed firsthand that laser therapy can reverse the destructive granulation tissue to healing reparative tissue.
Early attempts at bone grafting the peri-implantitis implant emphasized the need for optimal cleaning, decontamination, and preparation of the implant surface. More traditional methods, such as scalers, ultrasonics, rotary brushes, and topical medicaments, often result in residual hard and soft tissue deposits on the implant surface. Similarly, thread removal of the implant surface often resulted in the titanium becoming embedded in the surrounding tissues and a foreign body reaction in patients.
Research has shown that the Erbium lasers, such as the Waterlase, are particularly efficient at removing both hard and soft tissue deposits for decontamination while being safe on the implant surface when used properly. In my practice, I have found that proper implant surface decontamination using the Waterlase laser has greatly improved my surgical results on my peri-implantitis cases.