Palavras-chave
Implantes dentários
Mucosite
Como Citar
Resumo
A peri-implantite é uma doença inflamatória que acomete os tecidos peri-implantares, caracterizando-se por perda óssea progressiva associada à inflamação da mucosa ao redor do implante. Este trabalho tem como objetivo revisar a literatura acerca da etiologia, fatores de risco, diagnóstico e tratamento da peri-implantite, destacando as principais condutas clínicas baseadas em evidências científicas. Trata-se de uma revisão narrativa com seleção de artigos publicados entre 2015 e 2025 nas bases Scielo, PubMed, BVS e Google Acadêmico. Os resultados apontam que o controle mecânico de biofilme, o acompanhamento profissional regular e a escolha adequada entre terapias cirúrgicas e não cirúrgicas são fundamentais no manejo da condição. Conclui-se que a prevenção e o diagnóstico precoce são as principais estratégias para o sucesso a longo prazo dos implantes dentários.
Referências
SILVA, C. A. et al. Analysis of the effectiveness of ozone therapy in the treatment of peri-implantitis: a scoping review. Research, Society and Development, v. 10, n. 1, e30210111465, 2021.
MARCARI, J. et al. Avanços da osseodensificação na implantodontia: benefícios clínicos, eficácia na osseointegração e perspectivas futuras. Brazilian Journal of Implantology and Health Sciences, v. 6, n. 7, p. 1729–1738, 2024.
DEVISE, D. Surgical treatment of peri-implantitis: a literature review. Journal of Multidisciplinary Dentistry, v. 11, n. 1, p. 89–97, jan./abr. 2021.
BOTELHO, B. A. et al. Tratamento não cirúrgico da peri-implantite: uma revisão de literatura. Brazilian Journal of Implantology and Health Sciences, v. 5, n. 4, p. 896–909, 2023.
LINDHE, J.; LANG, N. P.; KARRING, T. Periodontologia clínica e implantodontia. 6. ed. Rio de Janeiro: Guanabara Koogan, 2023.
BORNES, R. et al. Diagnóstico, prognóstico e monitoramento de doenças peri-implantares em implantes dentários: uma revisão narrativa de novas estratégias e impacto clínico. BMC Oral Health, v. 23, n. 183, 2023.
STEFFENS, M.; MARCANTONIO, E. Classificação das doenças e condições periodontais e peri-implantares 2018: guia prático e pontos-chaves. Revista Odontológica UNESP, v. 47, n. 4, p. 189–197, jul./ago. 2018.
JALALUDDIN, M. et al. Radiographic assessment of the marginal bone loss around the implant before and after the prosthesis placement – A comparative study. Journal of Pharmacy and Bioallied Sciences, v. 16, supl. 5, p. S4693–S4696, dez. 2024.
KÜHL, S. et al. Detection of peri-implant bone defects with different radiographic techniques: a human cadaver study. Clinical Oral Implants Research, v. 27, n. 5, p. 529–534, maio 2016.
COSTA, J. A. et al. Analysis of peri-implant bone defects by using cone beam computed tomography (CBCT): an integrative review. Oral Radiology, v. 39, n. 3, p. 455–466, jul. 2023.
SONG, D. et al. Diagnostic accuracy of CBCT versus intraoral imaging for assessment of peri-implant bone defects. BMC Medical Imaging, v. 21, n. 1, p. 23, 2021.
OLIVEIRA, C. A. B. et al. Influence of keratinized mucosa on peri-implant diseases: a retrospective cohort study in humans. Oral and Maxillofacial Surgery, v. 28, n. 1, p. 331–336, 2024.
ALGAHTANI, F. N. et al. Prevalence of bone loss surrounding dental implants as detected in cone beam computed tomography: a cross-sectional study. PeerJ, v. 11, e15770, 2023.
SUN, F. et al. Shift in the submucosal microbiome of diseased peri-implant sites after non-surgical mechanical debridement treatment. Frontiers in Cellular and Infection Microbiology, v. 12, 1091938, 2023.
JAKUBOWSKA, S.; GÓRSKI, B. Periodontal endoscopy for mechanical debridement in the non-surgical management of peri-implantitis: a narrative review. Journal of Clinical Medicine, v. 14, n. 2, p. 346, 2025.
DUMITRIU, A. S. et al. The effectiveness of the association of chlorhexidine with mechanical treatment of peri-implant mucositis. Healthcare (Basel), v. 11, n. 13, p. 1918, 2023.
YE, M. et al. Efficacy of adjunctive chlorhexidine in non-surgical treatment of peri-implantitis/peri-implant mucositis: an updated systematic review and meta-analysis. Pakistan Journal of Medical Sciences, v. 39, n. 2, p. 595–604, 2023.
KRISHNAMOORTHY, G.; NARAYANA, A.; BALKRISHANAN, D. Chlorhexidine for the treatment of peri-implantitis: is it a benison? Journal of Long Term Effects of Medical Implants, v. 32, n. 1, p. 19–23, 2022.
SRINIVASAN, M. et al. Non-surgical management of peri-implantitis with photodynamic therapy: a systematic review and meta-analysis of clinical parameters and biomarkers. Journal of Dentistry, v. 157, 105680, 2025.
GUO, J. et al. Efficacy of adjunctive photodynamic therapy to conventional mechanical debridement for peri-implant mucositis. BMC Oral Health, v. 24, n. 1, p. 464, 2024. DOI: ELSADEK, M. F. Effectiveness of two photosensitizer-mediated photodynamic therapy for treating moderate peri-implant infections in type-II diabetes mellitus patients: a randomized clinical trial. Photodiagnosis and Photodynamic Therapy, v. 43, 103643, set. 2023.
GRUSOVIN, M. G. et al. Antibiotics as adjunctive therapy in the non-surgical treatment of peri-implantitis: a systematic review and meta-analysis. Antibiotics (Basel), v. 11, n. 12, 1766, dez. 2022.
TOLEDANO-OSORIO, M. et al. A systematic review and meta-analysis of systemic antibiotic therapy in the treatment of peri-implantitis. International Journal of Environmental Research and Public Health, v. 19, n. 11, 6502, maio 2022.
CÉSAR NETO, J. B. et al. Ten-year follow-up after peri-implantitis treatment using resective surgery: a case report. Clinical Advances in Periodontics, ago. 2024.
CASTRO, F. et al. Bone tissue regeneration in peri-implantitis: a systematic review of randomized clinical trials. Saudi Dental Journal, v. 35, n. 6, p. 589–601, set. 2023.
CHIANG, T. C. F. et al. Surgical regenerative therapy for peri-implantitis—a comprehensive review and what is the current histological evidence? Frontiers in Oral and Maxillofacial Medicine, 2025.
DASGUPTA, D. et al. Efficacy of implantoplasty in management of peri-implantitis: a systematic review. The Journal of Indian Prosthodontic Society, 2023.
MONJE, A. et al. Resolution of peri-implantitis by means of implantoplasty as adjunct to surgical therapy: a retrospective study. Journal of Periodontology, v. 93, n. 1, p. 110–122, 2022.
GIAMMARINARO, E. et al. Does platelet-rich fibrin enhance the outcomes of peri-implant soft tissues? A systematic review. BMC Oral Health, v. 25, 615, 2025.
ZIMMER, J. M. et al. Threshold for implant removal in peri-implantitis defects: is there any? Journal of Oral Implantology, v. 51, n. 2, p. 210–217, abr. 2025.
MONJE, A. et al. Alveolar bone reconstruction simultaneous to implant removal due to advanced peri-implantitis defects: a proof of concept. Journal of Esthetic and Restorative Dentistry, v. 37, n. 1, p. 85–93, jan. 2025.
ANITUA, E. et al. Clinical outcomes of dental implants placed in the same region where previous implants failed due to peri-implantitis: a retrospective study. International Journal of Implant Dentistry, v. 7, n. 1, 109, nov. 2021.
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
Copyright (c) 2025 Alleson Jamesson da Silva