CUREENT TREATMENT MODALITIES FOR PERI-IMPLANT DISEASES.

Peri-implant diseases are of major concern in dentistry now a days. Despite the severity of this disease, that not only affect patient health but also financial burden for them. Still acceptable standard treatment protocols are missing to address this issue. Hence, the present literature reviews the various treatment aspect of peri-implantitis and reconnoitre their benefits and limitations. Peri-implantitis can be treated by surgical and nonsurgical approaches or combined. Nonsurgical therapy aimed to conservatively debride local irritants from the implants surface with or without surface decontamination and possibly may include adjunctive therapies agents or devices. Systemic antibiotics has also been incorporated. Surgical therapy is aimed at removing subgingival deposits,dead and necrotic tissues and it also reduce the inflammaotry peri-implant pockets. This can be done alone or in conjunction with either osseous resective approach or regenerative approach. Finally, if nothing works, explantation might be the last resort in order to arrest the further destruction of the osseous structure around the implant, thus preserving whatever is left in this site if future reconstruction has to be attempted. The available literature is still not conclusivedue to large heterogeneity in the treatment dilemma.Therefore, at present treatment of peri-implantitis should be considered possible but not necessarily predictable.