title: Lights and shadows of dental implants: focus on mucositis and perimplantitis and their biological markers.
abstract: The increase in oral rehabilitation by means of dental implants has required an evolution of the related managing protocols and correct updating of the skills of dental professionals. Postsurgical management of the clinical case is aimed to stabilize the obtained results and preserve them from adverse conditions: a healthy implant prosthesis is maintained thanks to the huge number of consolidated protocols of oral hygiene. This practice plays a decisive role in the prevention of perimplant pathologies, forming a strong basis to ensure long implant life and avoid unnecessary and painful new surgical procedures. Furthermore, dental companies, in order to satisfy the new needs of professionals in oral hygiene, have produced new instrumentations and targeted drugs, in agreement to the cutting-edge scientific literature, thus creating a new market attracting huge interests in healthcare. The purpose of this topical review is to briefly comment on the state of the art of post-surgical dental implant management. This research is aimed to report the current protocols available to reduce the risk of oral diseases and prevent the progression of perimplant complications. Special focus has been dedicated to the most effective surgical and non-surgical protocols for treating mucositis and perimplantitis.
authors.affiliation: Jonian Department (DISGEM), University of Bari Aldo Moro, Taranto, Italy.
authors.forename: L
authors.initials: L
authors.lastname: Bottalico
authors.affiliation: Tecnologica Research Institute, Biomedical Section, Crotone, Italy.
authors.forename: M
authors.initials: M
authors.lastname: Tatullo
authors.affiliation: Unit of Maxillofacial Surgery, Calabrodental, Crotone, Italy; Marrelli Hospital, Experimental and Clinical Section, Crotone, Italy.
authors.forename: M
authors.initials: M
authors.lastname: Marrelli
authors.affiliation: Jonian Department (DISGEM), University of Bari Aldo Moro, Taranto, Italy.
authors.forename: L
authors.initials: L
authors.lastname: Santacroce
mesh_terms: D016301:Alveolar Bone Loss / Q000209:etiology / Q000517:prevention & control; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002710:Chlorhexidine / Q000031:analogs & derivatives / Q000627:therapeutic use; D003757:Dental Implantation / Q000009:adverse effects; D015921:Dental Implants / Q000009:adverse effects; D006801:Humans; D009055:Mouth / Q000382:microbiology; D009067:Mouthwashes / Q000627:therapeutic use; D009910:Oral Hygiene / Q000379:methods; D016348:Osseointegration; D057873:Peri-Implantitis / Q000097:blood / Q000209:etiology* / Q000517:prevention & control / Q000628:therapy; D011183:Postoperative Complications / Q000097:blood / Q000209:etiology* / Q000517:prevention & control / Q000628:therapy; D013280:Stomatitis / Q000097:blood / Q000209:etiology* / Q000517:prevention & control / Q000628:therapy
chemical_list: D000900:Anti-Bacterial Agents; D015921:Dental Implants; D009067:Mouthwashes; C010882:chlorhexidine gluconate; D002710:Chlorhexidine