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Consensus Report of the Technical-Scientific Associations of Italian Dental Hygienists and the Academy of Advanced Technologies in Oral Hygiene Sciences on the Non-Surgical Treatment of Peri-Implant Disease

Alessio A. Amodeo, Andrea Butera, Marco Lattari, Giulia Stablum, Antonia Abbinante, Maria Teresa Agneta, Jacopo Lanzetti, Domenico Tomassi, Stefania Piscicelli, Maurizio Luperini, Arcangela Colavito, Lorella Chiavistelli, Rita Politangeli, Matteo Castaldi and Gianna Maria Nardi
Additional contact information
Alessio A. Amodeo: RDH DHA, Department of Biomedical, Surgical and Dental Sciences, University of Milan, 20122 Milan, Italy
Andrea Butera: Unit of Dental Hygiene, Section of Dentistry, Department of Clinical, Surgical, Diagnostic and Paediatric Sciences, University of Pavia, 27100 Pavia, Italy
Marco Lattari: RDH, Free Lancer in Pavia, 27110 Pavia, Italy
Giulia Stablum: Unit of Dental Hygiene, Section of Dentistry, Department of Clinical, Surgical, Diagnostic and Paediatric Sciences, University of Pavia, 27100 Pavia, Italy
Antonia Abbinante: RDH, AIDI (Associazione Igienisti Dentali Italiani), University of Bari, 70121 Bari, Italy
Maria Teresa Agneta: RDH DHA, AIDI, 70121 Bari, Italy
Jacopo Lanzetti: RDH, University of Turin, 10124 Torino
Domenico Tomassi: RDH DHA, Catholic University of the Sacred Hear, 00168 Roma, Italy
Stefania Piscicelli: RDH DHA, Catholic University of the Sacred Hear, 00168 Roma, Italy
Maurizio Luperini: RDH DHA, UNID, University of Modena and Reggio Emilia, 41121 Modena, Italy
Arcangela Colavito: RDH DHA, ATASIO (Accademia Tecnologie Avanzate nelle Scienze di Igiene Orale), 70121 Bari, Italy
Lorella Chiavistelli: RDH DHA, ATASIO (Accademia Tecnologie Avanzate nelle Scienze di Igiene Orale), 70121 Bari, Italy
Rita Politangeli: RDH DHA, ATASIO (Accademia Tecnologie Avanzate nelle Scienze di Igiene Orale), 70121 Bari, Italy
Matteo Castaldi: RDH DHA, ATASIO (Accademia Tecnologie Avanzate nelle Scienze di Igiene Orale), 70121 Bari, Italy
Gianna Maria Nardi: RDH DHA, Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, 00161 Rome, Italy

IJERPH, 2023, vol. 20, issue 3, 1-22

Abstract: Background: The recent publication of the new classification of periodontal and peri-implant disease has given clear indications on the parameters to be taken into consideration to correctly diagnose the different phases of these diseases. To date, however, there are no equally clear indications on the treatments to be implemented to solve these diseases. The objective of this Consensus Report is to provide guidance for the non-surgical management of peri-implant mucositis and peri-implantitis. For the drafting of the consensus, the most recent scientific literature was analysed. Materials and Methods: A group of 15 expert Italian dental hygienists were selected by the Italian technical-scientific societies (AIDI, UNID and ATASIO) and, starting from the literature review, they formulated indications according to the GRADE method (Grading of Recommendations, Assessment, Development, and Evaluation, a tool for rating the quality of evidence, used to draw up systematic reviews and clinical guidelines) on the treatment of peri-implant mucositis, peri-implantitis and on management of the various implanting surfaces. Conclusions: in accordance with the international literature, non-surgical therapy alone can resolve peri-implant mucositis, but not peri-implantitis. Several adjunctive therapies have been considered and some appear to be helpful in managing inflammation.

Keywords: consensus report; peri-implant mucositis; peri-implantitis; non-surgical perimplant therapy; adjunctive therapy; air polishing; laser; photodynamic therapy; ozone (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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