Peri-Implantitis: A New Definition Proposal Based on Unnatural Spatial Arrangement and Late Mechanical Coupling between Two Cortical Bone Layers during Osseointegration Phase Part II

To date, the term peri-implantitis has been mostly associated with bacterial or foreign body reaction as primary factors of its development. Because of this, researchers’ and clinicians’ attention regarding treatment possibilities were directed into the solutions on the basis of surface modification...

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Main Authors: Stefan Ihde, Antonina Ihde, Olga Sipic, Łukasz Pałka
Format: Article
Language:English
Published: MDPI AG 2022-05-01
Series:Applied Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3417/12/11/5589
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author Stefan Ihde
Antonina Ihde
Olga Sipic
Łukasz Pałka
author_facet Stefan Ihde
Antonina Ihde
Olga Sipic
Łukasz Pałka
author_sort Stefan Ihde
collection DOAJ
description To date, the term peri-implantitis has been mostly associated with bacterial or foreign body reaction as primary factors of its development. Because of this, researchers’ and clinicians’ attention regarding treatment possibilities were directed into the solutions on the basis of surface modifications, debridement, and antibiotics. After years of clinical observations and poor results in treatment of peri-implantitis, a new proposal of this condition is presented, shifting our way of thinking regarding bone and implant interactions. In the second part of the paper presenting a new definition of peri-implantitis, we focused on a biological explanation of the bone behavior at the bone–implant interface. The main conclusion is that PI is not an “infectious disease”, but rather the result of natural changes of the bone’s morphology in response to implant such as a decrease in convexity of the outer surface of the bone and subsequently a decrease in concavity of the inner bone.
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spelling doaj.art-1b51d9bd1ded4e30a20b1dd6cf8927d62023-11-23T13:44:27ZengMDPI AGApplied Sciences2076-34172022-05-011211558910.3390/app12115589Peri-Implantitis: A New Definition Proposal Based on Unnatural Spatial Arrangement and Late Mechanical Coupling between Two Cortical Bone Layers during Osseointegration Phase Part IIStefan Ihde0Antonina Ihde1Olga Sipic2Łukasz Pałka3Department for Prosthetics, Jaipur Dental College, Maharaj Vinayak Global University, Jaipur 302021, IndiaDepartment for Prosthetics, Jaipur Dental College, Maharaj Vinayak Global University, Jaipur 302021, IndiaDepartment for Prosthetics, Jaipur Dental College, Maharaj Vinayak Global University, Jaipur 302021, IndiaPrivate Dental Practice, 68-200 Zary, PolandTo date, the term peri-implantitis has been mostly associated with bacterial or foreign body reaction as primary factors of its development. Because of this, researchers’ and clinicians’ attention regarding treatment possibilities were directed into the solutions on the basis of surface modifications, debridement, and antibiotics. After years of clinical observations and poor results in treatment of peri-implantitis, a new proposal of this condition is presented, shifting our way of thinking regarding bone and implant interactions. In the second part of the paper presenting a new definition of peri-implantitis, we focused on a biological explanation of the bone behavior at the bone–implant interface. The main conclusion is that PI is not an “infectious disease”, but rather the result of natural changes of the bone’s morphology in response to implant such as a decrease in convexity of the outer surface of the bone and subsequently a decrease in concavity of the inner bone.https://www.mdpi.com/2076-3417/12/11/5589bonecorticaldental implantperi-implantitis
spellingShingle Stefan Ihde
Antonina Ihde
Olga Sipic
Łukasz Pałka
Peri-Implantitis: A New Definition Proposal Based on Unnatural Spatial Arrangement and Late Mechanical Coupling between Two Cortical Bone Layers during Osseointegration Phase Part II
Applied Sciences
bone
cortical
dental implant
peri-implantitis
title Peri-Implantitis: A New Definition Proposal Based on Unnatural Spatial Arrangement and Late Mechanical Coupling between Two Cortical Bone Layers during Osseointegration Phase Part II
title_full Peri-Implantitis: A New Definition Proposal Based on Unnatural Spatial Arrangement and Late Mechanical Coupling between Two Cortical Bone Layers during Osseointegration Phase Part II
title_fullStr Peri-Implantitis: A New Definition Proposal Based on Unnatural Spatial Arrangement and Late Mechanical Coupling between Two Cortical Bone Layers during Osseointegration Phase Part II
title_full_unstemmed Peri-Implantitis: A New Definition Proposal Based on Unnatural Spatial Arrangement and Late Mechanical Coupling between Two Cortical Bone Layers during Osseointegration Phase Part II
title_short Peri-Implantitis: A New Definition Proposal Based on Unnatural Spatial Arrangement and Late Mechanical Coupling between Two Cortical Bone Layers during Osseointegration Phase Part II
title_sort peri implantitis a new definition proposal based on unnatural spatial arrangement and late mechanical coupling between two cortical bone layers during osseointegration phase part ii
topic bone
cortical
dental implant
peri-implantitis
url https://www.mdpi.com/2076-3417/12/11/5589
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