Jason Pang, BDS, BSci (Hons, University Medal), MSc (Master in Laser Dentistry) Biomedical Science with the University Medal with Honours (University of Technology, Sydney), Bachelor of Dental Surgery (University of Sydney), Master in Laser Dentistry (Laser Aesthetic & Health Academy, Slovenia), Master in Laser Dentistry (Università Cattolica del Sacro Cuore, Rome), lecturer for various laser Masters programs, International speaker and educator and author, Australian Master trainer for Fotona & Pioon lasers, Chairman of the Australian and New Zealand study chapter of the Academy of Laser Dentistry (ALD). Founding member of the International Academy of Innovative Dentistry (IAID). Practises dentistry in Sydney, Australia.
Lecture: Minimising peri-implant complications through optimal management of the oral microbiome
Implants can be an excellent alternative to replace lost teeth. However, implants are not without their own problems. Studies show that up to 80% of patients may experience some form of inflammatory peri-implant complications. It is well accepted that a dysbiotic polymicrobial community is responsible for periodontal and peri-implant disease. Oral biomarkers provide information of the inflammatory status of a patient and can be valuable to assess periodontal risk prior to implant placement. In peri-implant mucositis or peri-implantitis, it is imperative to have biomarkers to determine the long-term prognosis for implant success. Lasers or surgical therapy will remove invasive pathogenic bacteria and antimicrobials such as ozonated water slow down recolonisation. Live microscopy of the subgingival biofilm gives us real-time feedback on bacterial load and motility, patient engagement and an endpoint for antibacterial interventions. Periodic monitoring then enables maintenance of a non-inflammatory oral microbiome to minimise peri-implant complications.