Non-surgical therapy of periimplantitis is the topic of the fifth part of the lecture series by Professor Dr. Stefan Renvert, University of Kristianstad/Sweden, held on the EDA Early Dental Workshop. He depicts its possibilities and limits. Actually you can't treat a periimplantitis, which involves by definition a bone loss, completely non-surgical. By minimal-invasive oral-hygienic measures you can only treat a periimplant mucositis sufficiently respectively prevent do a prophylaxis to avoid a periimplantitis.
Usually the same means are used as in periodontitis therapy. Besides scaling of the implant surfaces by plastic curettes air polishing jets are used. Beyond that a local application of antibiotic gel (e.g. chlorhexidine gel) can be indicated. The usage of systemic chemotherapeutics can be considered also dependent of the severity of the disease. In general the aim of non-surgical therapy is avoiding the spread of the inflammation from the periimplant mucosa on the marginal bone. This detains the development of periimplantitis.