Nonsurgical Treatment of Periimplantitis

Chin Wei Wang, Stefan Renvert, Hom Lay Wang

Research output: Contribution to journalArticlepeer-review

16 Citations (Scopus)


Purpose: Periimplantitis has become an emerging challenge faced by practicing dentists worldwide. When treating periimplantitis, we should attempt to manage this problem via nonsurgical therapies that include addressing all modifiable systemic risk factors and local contributing factors. Hence, the aim of this narrative review was to examine published studies on nonsurgical treatment of periimplantitis and evaluate their effectiveness and limitations. Materials and Methods: A literature search was performed in MEDLINE via PubMed database up to December 31, 2017. Current published clinical approaches focused on mechanical debridement, adjunctive antiseptic therapy, adjunctive antibiotic therapy, laser-assisted therapy, and combination approaches were included in this analysis. Results: Nonsurgical therapy of periimplantitis may result in complete healing of the disease and the patient is then placed on a supportive maintenance program. If the disease is not resolved and surgical intervention is not an option, active nonsurgical retreatment may be considered. In many cases where disease is not resolved, surgical therapy or implant removal could be considered. Conclusions: Nonsurgical treatment of periimplantitis usually provides clinical improvements in reducing bleeding tendency and in some cases pocket reduction. Early diagnosis, detection, and intervention remain the key for managing periimplantitis.

Original languageEnglish
Pages (from-to)155-160
Number of pages6
JournalImplant Dentistry
Issue number2
Publication statusPublished - Apr 1 2019
Externally publishedYes


  • antibiotics
  • antiseptic
  • debridement
  • dental implant
  • laser
  • periimplant disease

ASJC Scopus subject areas

  • Oral Surgery


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