WFLD 2023 Presentation – Dr Jason Pang – Minimising peri-implant complications through optimal management of the oral microbiome https://thelarkinprotocol.com/.
Implants can be an excellent alternative to replace lost teeth. However, implants are not without their own problems. Studies show that up to 80% of patients may experience some form of inflammatory peri-implant complications. It is well accepted that inflammation and a dysbiotic polymicrobial community is responsible for periodontal and peri-implant disease. Oral biomarkers provide information of the inflammatory status of a patient and can be valuable to assess periodontal risk prior to implant placement. In peri-implant mucositis or peri-implantitis, it is imperative to have biomarkers to determine the long-term prognosis for implant success. Lasers or surgical therapy will remove invasive pathogenic bacteria and antimicrobials such as ozonated water slow down recolonisation. Live microscopy of the subgingival biofilm gives us real-time feedback on bacterial load and motility, patient engagement and an endpoint for antibacterial interventions. Periodic monitoring then enables maintenance of a non-inflammatory oral microbiome to minimise peri-implant complications.
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