Periodontal and periimplant maintenance: a critical factor in long-term treatment success.
Periodontal maintenance (PM) is a critical factor in the long-term success of both periodontal and dental implant therapy. Studies have shown both modern periodontal and dental implant therapies are effective in maintaining natural teeth and replacing lost teeth, respectively. However, without a regular program of clinical reevaluation, plaque control, oral hygiene instruction, and reassessment of biomechanical factors, the benefits of treatment often are lost and inflammatory disease in the form of recurrent periodontitis or periimplantitis may result. This article reviews the goals, types, and appropriate frequency of PM in periodontal and dental implant therapy, as well as the incidence and etiology of periimplant disease and strategies for management when recurrent disease develops during the maintenance phase of treatment.
Shumaker
Nicholas D
ND
Naval Health Clinic Quantico, Quantico, Virginia, USA.
Metcalf
Brett T
BT
Toscano
Nicholas T
NT
Holtzclaw
Dan J
DJ
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001696:Biomechanical Phenomena; D015921:Dental Implants; D003773:Dental Plaque / Q000517:prevention & control; D012534:Dental Scaling; D016557:Guided Tissue Regeneration, Periodontal; D006801:Humans; D008137:Longitudinal Studies; D009910:Oral Hygiene; D010510:Periodontal Diseases / Q000517:prevention & control* / Q000628:therapy; D012008:Recurrence; D016745:Root Planing; D016388:Tooth Loss / Q000517:prevention & control / Q000534:rehabilitation; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents; D015921:Dental Implants