Biological Implant Stability: Prevention and Management of Peri-implantitis
Biological Implant Stability: Prevention and Management of Peri-implantitis
Course overview
Long-term success of implant treatment depends not only on correct implant placement but also on the clinician's ability to timely identify risks, prevent complications, and effectively manage inflammatory processes.
This course offers a comprehensive approach to the prevention, diagnosis, and treatment of peri-implantitis, enabling clinicians of all experience levels to make more predictable clinical decisions and effectively manage complex cases.
During the course you will learn:
Strategies for preventing peri-implant mucositis and peri-implantitis at all stages of implant therapy
Modern approaches to diagnosing peri-implantitis and treatment planning taking into account the patient's individual phenotypic characteristics
Surgical techniques for preserving implants and reconstructing surrounding tissues in peri-implant complications
Features of managing patients with peri-implantitis who are taking antiresorptive agents and the risk of developing medication-related osteonecrosis
Contemporary methods of pharmacological management of periodontitis and the potential use of the M-Chip nanomatrix
Clinical algorithms for selecting treatment tactics, supportive therapy, and long-term patient follow-up.
Course lessons
Lesson 1. Strategies and algorithms for prevention of peri-implant mucositis and peri-implantitis
Levels of prevention of peri-implant diseases according to the EFP Clinical Guideline
How many steps separate an implant patient from health to the development of peri-implant diseases?
The "5P" concept of prevention and hygiene — an algorithm for successful patient maintenance
Risk factor control when assessing the likelihood of developing peri-implant diseases
Therapeutic and preventive measures in the patient maintenance algorithm for dental implants
Features of individual oral hygiene around implants and prosthetic constructions
The SPIC (Supportive Peri-Implant Care) maintenance program for long-term implant health.
Lesson 2. Diagnosis and treatment planning of peri-implantitis considering individual phenotypic characteristics
Principles of analyzing individual data in the phenotypic planning system
Collection and analysis of baseline clinical data (metric indicators, phenotypic planning table data, CBCT)
Clinical examples of reading and analyzing diagnostic indicators
Identification of causes of the pathological process and conducting etiological diagnosis
Decision-making regarding implant preservation or removal
Review of various treatment options based on clinical cases
Surgical techniques for implant preservation with analysis of clinical cases
Features of postoperative management of patients with this pathology.
Lesson 3. Surgical techniques for implant preservation
Design and principles of flap formation in various clinical situations
Treatment of implant surfaces and superstructures in the management of peri-implant diseases
Restoration of bone volume according to the classification of bone defects
Combined surgical protocols for restoration of the bone and soft tissue complex
Methods for increasing soft tissue volume at various stages of implant therapy
Main criteria for making the decision to remove implants
Restoration of bone defects after implant removal and possibilities for reimplantation.
Lesson 4. Peri-implantitis in patients taking antiresorptive agents: a new reality in implantology
Peri-implantitis: current concept, classification, etiology, pathogenesis, epidemiology and clinical manifestations
Drugs — antiresorptive agents: classification, mechanisms of action and usage features in various medical fields
Medication-related osteonecrosis of the jaws (MRONJ): etiology, pathogenesis, clinical picture and modern treatment principles
Features of the course of jaw osteonecrosis in patients taking antiresorptive agents: pharmacological management and surgical tactics
Prevention of peri-implantitis in at-risk patients: antibacterial prophylaxis, therapy and protocols for safe implant treatment
Follow-up and comprehensive patient management: collaboration with oncologists, endocrinologists and other specialists
Legal aspects of managing patients taking medications that affect bone metabolism.
Lesson 5. Pharmacological management of periodontitis: modern approaches and the M-Chip nanomatrix
Modern approaches to control subgingival biofilm and prevent re-maturation of pathogenic microflora
Criteria for selecting drugs for pharmacological treatment of periodontitis
Limitations of traditional agents (gels, mouthrinses, films) in the treatment of stage III–IV periodontitis
Protocols for reducing periodontal pocket depth and stabilizing tissue condition
Principles of operation and features of application of the periodontal nanomatrix M-Chip
Additional possibilities of pharmacological support for gingivitis, mucositis, inflammation of tissues around implants and after surgical interventions
Recommendations for follow-up of patients with various forms of periodontal disease.
