Do modern implant surfaces affect the microbiology associated with peri-implant mucositis?
The type of surface does not seem to affect the microbiology around implants since pellicle from saliva attaches to all types of surfaces and then the bacterial biofilm develops on the surface of this pellicle. What treatment concepts for peri-implant mucositis are available at the moment and what’s their success rate? The main concepts to treat gingivitis are applicable to the treatment of peri-implant mucositis-plaque biofilm control with mechanical aids and chemotherapeutic agents, and periodic removal of deposits around implants. It is known that certain medications may contribute to peri-implant mucositis. Which groups have been identified so far and are there alternatives? Calcium channel blockers can cause gingival enlargement around implants with resulting pseudopocket formation and alternative medications are available to control blood pressure and cardiac function. Bisphosphonates may increase the failure rate of implants particularly when administered IV to patients. There m
