Pain

If an inflammation occurs in the area of the implant, resulting in peri-implant mucositis, the patient may feel a slight pain in touch. It is also possible that the prosthesis itself, for example the crown on the implant, hurts. Often the gums are reddened and in the case of pre-existing peri-implantitis, pus is secreted in the area of the implant. If massive bone resorption has already occurred, pain may also occur in the area of the jawbone.

Pus

If peri-implant mucositis has already developed into peri-implantitis, the inflammatory process can lead to bleeding on probing (called BOP at the dentist) and pus secretion. This is visible and often perceived by the patient as an unpleasant taste.

Therapy

Therapy for inflammation of the dental implant can be surgical or non-surgical, depending on its severity. Furthermore, the therapy for peri-implant mucositis differs from that for peri-implantitis. Non-surgical therapy:

First, the inflammation should be eliminated.
This is done by reducing implant surface contamination. The surface of the implant is cleaned by the dentist or oral surgeon with special equipment to remove the bacterial film.
In addition, antibiotic therapy is also discussed in the literature. The application of chlorhexidine (CHX) solutions can reduce the deep measured probing pockets around the implant.
In addition, the dentist often orders local antibiotic therapy for 10 days, which can also reduce the inflammation.

Non-surgical therapy: Surgical therapy: In addition to eliminating the infection and reducing the probing depths, surgical therapy should also stabilize the bone level, since bone loss has already occurred in periimplantitis.

In this case, the surgeon will decide individually which therapeutic measure is most suitable. The following options are used here: What exactly is meant by the various methods and what risks a surgical procedure entails should always be discussed in detail with the dentist.

Here, too, the aim is to clean the implant surface with special instruments. The clinical signs of infection should thus be eliminated. Ultrasound or laser therapies can be used here.
As with peri-implant mucositis, antibiotic therapy with CHX solutions and local antibiotic administration is often recommended.
Flap operation,
Flap operation + resective measures,
Flap surgery + bone augmentation materials,
Flap surgery + resective measures + bone augmentation materials.