Topic:
Periodiabetes

The European Federation of Periodontology (EFP) has developed a step-by-step treatment plan for managing peri-implantitis.

Once peri-implantitis is diagnosed, your dentist will assess whether your implant or its restoration can be saved. The goal of treatment is to stop the disease and stabilise the implant, ensuring it functions well, looks good, and causes no further problems.

Key treatment goals:

  • Reduced pocket depth around the implant (≤5mm)
  • No bleeding or pus from the gums
  • No ongoing bone loss

Treatment steps involve:

  • Improving oral hygiene:
    • Your dentist will provide personalised cleaning advice and check your motivation to keep the implant area clean.
  • Managing risk factors:
    • Controlling blood glucose (sugar) levels
    • Stopping smoking
    • Ensuring healthy gum tissue around the implant
  • Non-surgical treatment:
    • Deep cleaning of the implant ± restoration (crown, bridge, or denture) using specialised tools to remove bacteria under the gumline
  • Surgical Treatment (if needed)
    • Surgery may be required to thoroughly clean the implant, reshape the gum and bone, or rebuild lost bone in specific circumstances. The latter usually involves the addition of bone grafts.
    • This type of treatment should be carried out by a dentist with specific additional training or a specialist periodontist.
  • Using antibiotics is generally not recommended unless there are specific indications

References

Herrera D, et al., EFP workshop participants and methodological consultant. Prevention and treatment of peri-implant diseases-The EFP S3 level clinical practice guideline. J Clin Periodontol. 2023 Jun 4.
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Written By : Dr Varkha Rattu

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Chronic inflammation links both diseases

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Periodontitis can significantly increase blood glucose levels

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Inflammation from periodontitis exacerbates insulin resistance

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Regular periodontal reviews can aid diabetes management

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icon1 services

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Team - The Periodontitis-Diabetes Hub

Dr Varkha Rattu

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Team - The Periodontitis-Diabetes Hub

Dr Amar Puttanna

Diabetes Co-Lead

Team - The Periodontitis-Diabetes Hub

Dr Rajeev Raghavan

Diabetes Co-Lead

Team - The Periodontitis-Diabetes Hub

Professor Mark Ide

Periodontology Co-Lead

Team - The Periodontitis-Diabetes Hub

Professor Luigi Nibali

Periodontology Co-Lead

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Dr Dominika Antoniszczak

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Team - The Periodontitis-Diabetes Hub

Dr Jasmine Loke

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Dr Mira Shah

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Team - The Periodontitis-Diabetes Hub

Dr Varkha Rattu

Periodontitis-Diabetes Hub Position: Founder & Periodontology Co-Lead

Team - The Periodontitis-Diabetes Hub

Dr Amar Puttanna

Periodontitis-Diabetes Hub Position: Diabetes Co-Lead

Team - The Periodontitis-Diabetes Hub

Dr Rajeev Raghavan

Periodontitis-Diabetes Hub Position: Diabetes Co-Lead

Team - The Periodontitis-Diabetes Hub

Professor Mark Ide

Periodontitis-Diabetes Hub Position: Periodontology Co-Lead

Team - The Periodontitis-Diabetes Hub

Professor Luigi Nibali

Periodontitis-Diabetes Hub Position: Periodontology Co-Lead

Team - The Periodontitis-Diabetes Hub

Dr Dominika Antoniszczak

Periodontitis-Diabetes Hub Position: Education and Support Advisor

Team - The Periodontitis-Diabetes Hub

Dr Jasmine Loke

Periodontitis-Diabetes Hub Position: Clinical Content Advisor

Team - The Periodontitis-Diabetes Hub

Dr Mira Shah

Periodontitis-Diabetes Hub Position: Patient Resource Advisor

Team - The Periodontitis-Diabetes Hub

Elaine Tilling

Periodontitis-Diabetes Hub Position: Outreach and Communications Lead

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