Management of Peri-Implant Diseases: A Survey of Australian Periodontists
Background/Aim: This survey-based study aims to explore the clinical management protocols of followed by Australian periodontists in relation to peri-implant diseases. Materials and Methods: A five-part online questionnaire was developed and administered through email. Descriptive statistics were us...
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| Format: | Article |
| Language: | English |
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MDPI AG
2020-09-01
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| Series: | Dentistry Journal |
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| Online Access: | https://www.mdpi.com/2304-6767/8/3/100 |
| _version_ | 1827707124330790912 |
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| author | Ahsen Khan Dileep Sharma |
| author_facet | Ahsen Khan Dileep Sharma |
| author_sort | Ahsen Khan |
| collection | DOAJ |
| description | Background/Aim: This survey-based study aims to explore the clinical management protocols of followed by Australian periodontists in relation to peri-implant diseases. Materials and Methods: A five-part online questionnaire was developed and administered through email. Descriptive statistics were used for analysis, with the univariate associations between a categorical outcome and the variables evaluated using Pearson’s Chi-squared test. Results: The survey yielded 99 responses, resulting in a response rate of 41.8%. Most participants were male and aged 35–44 years. More than a quarter of practitioners had been placing implants for 6–10 years and almost two-fifths of practitioners placed 1–10 implants per month. The estimated prevalence of peri-implant mucositis and peri-implantitis in the general Australian population was 47% and 21%, respectively. Practitioners reported using systemic antibiotics to manage peri-implant mucositis (7%) and (72%) peri-implantitis lesions, with a combination of amoxicillin and metronidazole. Most common treatment modalities were oral hygiene instructions, nonsurgical debridement and antimicrobial gel/rinse. Surgical debridement and systemic antibiotics were also often used for peri-implantitis treatment. Practitioners preferred a 3-month clinical follow-up and 6-month radiographic evaluation. Furthermore, three-quarters of practitioners rated their management as moderately effective, although upwards of nine-tenths expressed the need for further training and awareness. Conclusion: This study confirms a significant use of empirical treatment modalities due to lack of standard therapeutic protocol. However, some approaches followed by the specialists may provide a basis to formulate a therapeutic protocol for peri-implant disease management. |
| first_indexed | 2024-03-10T16:39:09Z |
| format | Article |
| id | doaj.art-ca59368dda2a4b61aa82c70bd5bf9b2f |
| institution | Directory Open Access Journal |
| issn | 2304-6767 |
| language | English |
| last_indexed | 2024-03-10T16:39:09Z |
| publishDate | 2020-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Dentistry Journal |
| spelling | doaj.art-ca59368dda2a4b61aa82c70bd5bf9b2f2023-11-20T12:09:54ZengMDPI AGDentistry Journal2304-67672020-09-018310010.3390/dj8030100Management of Peri-Implant Diseases: A Survey of Australian PeriodontistsAhsen Khan0Dileep Sharma1College of Medicine and Dentistry, James Cook University, 14-88 McGregor Road, Smithfield 4878, QLD, AustraliaDepartment of Periodontics, James Cook University, 14-88 McGregor Road, Smithfield 4878, QLD, AustraliaBackground/Aim: This survey-based study aims to explore the clinical management protocols of followed by Australian periodontists in relation to peri-implant diseases. Materials and Methods: A five-part online questionnaire was developed and administered through email. Descriptive statistics were used for analysis, with the univariate associations between a categorical outcome and the variables evaluated using Pearson’s Chi-squared test. Results: The survey yielded 99 responses, resulting in a response rate of 41.8%. Most participants were male and aged 35–44 years. More than a quarter of practitioners had been placing implants for 6–10 years and almost two-fifths of practitioners placed 1–10 implants per month. The estimated prevalence of peri-implant mucositis and peri-implantitis in the general Australian population was 47% and 21%, respectively. Practitioners reported using systemic antibiotics to manage peri-implant mucositis (7%) and (72%) peri-implantitis lesions, with a combination of amoxicillin and metronidazole. Most common treatment modalities were oral hygiene instructions, nonsurgical debridement and antimicrobial gel/rinse. Surgical debridement and systemic antibiotics were also often used for peri-implantitis treatment. Practitioners preferred a 3-month clinical follow-up and 6-month radiographic evaluation. Furthermore, three-quarters of practitioners rated their management as moderately effective, although upwards of nine-tenths expressed the need for further training and awareness. Conclusion: This study confirms a significant use of empirical treatment modalities due to lack of standard therapeutic protocol. However, some approaches followed by the specialists may provide a basis to formulate a therapeutic protocol for peri-implant disease management.https://www.mdpi.com/2304-6767/8/3/100peri-implant mucositisperi-implantitisdental implantstherapeuticsaetiology |
| spellingShingle | Ahsen Khan Dileep Sharma Management of Peri-Implant Diseases: A Survey of Australian Periodontists Dentistry Journal peri-implant mucositis peri-implantitis dental implants therapeutics aetiology |
| title | Management of Peri-Implant Diseases: A Survey of Australian Periodontists |
| title_full | Management of Peri-Implant Diseases: A Survey of Australian Periodontists |
| title_fullStr | Management of Peri-Implant Diseases: A Survey of Australian Periodontists |
| title_full_unstemmed | Management of Peri-Implant Diseases: A Survey of Australian Periodontists |
| title_short | Management of Peri-Implant Diseases: A Survey of Australian Periodontists |
| title_sort | management of peri implant diseases a survey of australian periodontists |
| topic | peri-implant mucositis peri-implantitis dental implants therapeutics aetiology |
| url | https://www.mdpi.com/2304-6767/8/3/100 |
| work_keys_str_mv | AT ahsenkhan managementofperiimplantdiseasesasurveyofaustralianperiodontists AT dileepsharma managementofperiimplantdiseasesasurveyofaustralianperiodontists |