Dental Asia March/April 2022

IN DEPTH WITH
Achieve gentle and effective treatment
of periodontitis and periimplantitis
with the Vector system
General ailments of the parodontium
and in particular therapeutic
indications of periimplantitis present
modern dentistry with challenging
tasks. The number of patients with
implant-supported dentures is on
the increase. Prolonged times in
situ and older patients also make for
more problems, which are often not
discovered until the clinical five-year
mark has been passed. According to
experts, almost one in two implants
is at risk of periimplantitis in the long
term.
The Vector system from DÜRR
DENTAL is an effective and very
low-aerosol treatment method,
making it suited for systematic
periodontitis and periimplantitis
treatments that are customised to
meet the needs of individual patients.
The primary objective of systematic
periodontitis and periimplantitis
treatments is to prevent infections
caused by bacteria and their
associated attachment loss.
First-line treatment thus includes
a thorough removal of subgingival
and supragingival plaque. The gentle
piezo-electric Vector ultrasound
system has proven its worth in this
context in practice.
In particular, the metal surfaces of the
implants must not be damaged during
plaque removal. Rough surfaces could
facilitate renewed accretion of plaque
and lead to further periimplantitis
infection. A minimally invasive
procedure is essential.
By redirecting vibration, the Vector
Paro handpiece delivers an oscillating,
vertical motion along the tooth
centre line and thus does not strike
the implant. Non-metal instrument
attachments made of fibre composites
are also gentle on the implant surface.
The probe-shaped, delicate and semiflexible
instrument attachments are
suitable for administering thorough
treatments without irritating the
mucosa. The Vector Fluid Polish
hydroxylapatite suspension aids
effective and gentle plaque removal
from all subgingival and supragingival
implant surfaces. Compared to
conventional treatment methods, the
Vector system delivers almost painless
treatment so that local anaesthetics
usually need not be applied.
Another diagnostic assessment after
the initial non-surgical treatment period
provides the basis for planning further
treatment. Once the infection has
subsided, a supporting periimplantitis
treatment is indicated for the removal
of potentially pathogenic plaques.
Depending on clinical requirements,
recall intervals will be harmonised
with the risk profile and the individual
requirements of the patient.
According to many dentists, timely
and needs-based application of
periimplantitis treatment with the
Vector system has contributed to the
long-term success rate of
implant-borne restorations. DA
DENTAL ASIA MARCH / APRIL 2022 61