Therapy
The aim of the therapy is to reduce the bacterial load in order to bring about healing of the bone/gum inflammation. Various treatment methods are available for this purpose. At the beginning of the disease, rinsing solutions and professional tooth cleaning with tooth/implant pocket cleaning often help to get the gingivitis under control.
In addition, ointments are available to accelerate this process. In the case of deeper-seated inflammation, laser treatment can be used to disinfect the gum pockets even more effectively. The locally applied laser kills bacteria and stops further tissue degradation.
In case of advanced disease, additional surgical intervention is inevitable to prevent the loss of the implant. During this procedure, the gum around the implant is cut open and the implant coils are exposed. This allows the dentist to clean the implant of all concrements and plaque and then insert a bone replacement material into the wound to stabilize the bone.
The wound is then sutured and the implant can grow firmly back into the bone. As a prophylaxis for long-term therapy, regular implant control by the dentist is recommended, as well as regular professional cleaning of the dental implants and teeth. In the treatment of periimplantitis, various antibiotics are used depending on the number and severity of the affected implants.
In the case of serious illness, the dentist administers the antibiotic in tablet form, in this case amoxicillin has become the most widely used antibiotic in dentistry. In case of a penicillin allergy, however, the substitute antibiotic clindamycin can also help. If the inflammation is less severe, local antibiotics are often sufficient. In this case, an antibiotic ointment (Ligosan) is injected into the inflamed gum pocket on several consecutive days and can spread its effect there.
Duration
The duration of periimplatitis treatment is lifelong, just as in periodontitis, because the disease is caused by the proliferation of harmful bacteria, which are part of the standard flora of the oral cavity. In the therapy and through hygiene we try to avoid the extreme multiplication of these bacteria. The acute treatment consists of several short sessions in which the affected areas are first cleaned and rinsed and then checked several times and treated with medication and an ointment. In the long-term course of the disease, perfect oral hygiene with several tooth cleaning sessions a year is necessary to keep the risk of the disease flaring up again as low as possible.
