A two-piece dental implant comprising a replaceable thin titanium sleeve may be a new approach to re-osseointegration following peri-implant disease. (December 2018)

• Record Type: Journal Article
• Authors: Liat, Chaushu; Roni, Shabat; Adir, Gadyukov; Gavriel, Chaushu
• Is Part Of: Medical hypotheses. Volume 121(2018)
• Page Start: 103
• Page End: 105
• Publication Date: 2018-12
• Subjects: Medicine -- Periodicals; Medicine -- Periodicals; Médecine -- Périodiques; Medicine; Periodicals; 610
• DOI: 10.1016/j.mehy.2018.09.029
• Languages: English
• ISSNs: 0306-9877

Abstract

Abstract: Bacteria initiated peri-implantitis can lead to bone destruction around a dental implant, modifying its surface and preventing re-osseointegration. Consequently, all available methods for treating periimplantitis have disappointing long-term results. Implant failure will lead to loss of the prosthetic reconstruction as well. A fresh new implant surface enables re-osseointegration. Our hypothesis is that a fresh new surface replacing a contaminated implant surface may be a new treatment approach for peri-implantitis and may allow re-osseointegration. A new two-piece dental implant, having a replaceable thin titanium sleeve may be designed. The replacement of a contaminated sleeve by a fresh new sleeve will solve the peri-implant disease by removing the contaminated surface, enabling re-osseointegration and ensuring long-term stability of the implant without endangering the prosthetic reconstruction. This minimally-invasive therapy is expected to be conducted in a simple manner, by every practicing dentist, during supportive periodontal treatment, thereby facilitating the treatment of peri-implantitis.