Mombelli developed the Cumulative Interceptive Supportive Therapy (CIST) protocol for dental implants. This covers maintenance of the implant and management of peri-implantitis. The recommended therapy is determined by the severity of peri-implantitis.
Parameters:
(1) infection (erythema, etc.)
(2) bleeding
(3) suppuration (pus)
(4) pocket depth on probing
(5) radiolucency on X-ray
|
Infection |
Bleeding |
Pus |
Probe |
X-ray |
Class |
|
+/- |
no |
no |
< 4 mm |
no |
0 |
|
present |
present |
no |
< 4 mm |
no |
I |
|
present |
present |
+/- |
4 - 5 mm |
minimal |
II |
|
present |
present |
present |
> 5 mm |
mild |
III |
|
present |
present |
present |
> 5 mm |
moderate |
IV |
|
present |
present |
present |
> 5 mm |
marked |
V |
|
Class |
Therapy |
|
0 |
mechanical cleansing |
|
I |
mechanical cleansing |
|
II |
mechanical cleansing, antiseptic therapy |
|
III |
mechanical cleansing, antiseptic therapy, antibiotics |
|
IV |
mechanical cleansing, antiseptic therapy, antibiotics, surgical therapy |
|
V |
explantation |
Specialty: Otolaryngology
ICD-10: ,
