Mechanical disinfection remains the cornerstone of the management of Peri-implantitis. But do we best achieve our goals? From simply rinsing with saline and rubbing with a gauze to a whole Er:Yag Lazer, there is a whole spectrum of techniques and devices that seem to achieve comparable results. How do we choose and where do we strike the best balance? Read below for some clinical “tips and tricks” to help you make the most of each approach! In this article, we discuss plastic, carbon fibre and titanium curettes, ultrasonic and piezoelectric tips, titanium brushes and Labrida brush.

The use of soft tissue augmentation techniques to increase the keratinised with around dental implants has been debated since long. This article disusses the need of soft tissue augmentations, the main determinants for decision making and presents a minimally invasive grafting technique, the Hybrid CT-Epithelial graft.