Management of peri-implantitis

Management of peri-implantitis includes:

• nonsurgical debridement of the implant
• providing advice on improving oral hygiene and smoking cessation
• encouraging regular dental review, including maintenance of the implant.

In addition to the above strategies, the following interventions are often required:

• surgical intervention
• surface decontamination, with or without hard tissue augmentation
• soft tissue grafting
• antibiotic therapy (as below)
• specialist referral.

Despite appropriate treatment, some implants will show continued bone loss and require removal.

For antibiotic therapy of peri-implantitis, in conjunction with other interventions, consider using:

For patients with hypersensitivity to penicillins (see Definitions of commonly used antimicrobial hypersensitivity terms) use metronidazole as a single drug (see above).