TY - JOUR
T1 - Peri-implantitis as the consequence of errors in implant therapy
AU - Roccuzzo, Andrea
AU - Imber, Jean-Claude
AU - Salvi, Giovanni Edoardo
AU - Roccuzzo, Mario
N1 - © 2023 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
PY - 2023/6
Y1 - 2023/6
N2 - Peri-implantitis is a plaque-associated pathologic condition occurring in tissues around dental implants, characterized by inflammation in the peri-implant mucosa and subsequent progressive loss of supporting bone. It is a highly prevalent disease, as extensively estimated by large-population, cross-sectional studies. As peri-implant diseases represent opportunistic infections, it is reasonable to assume that nonideal conditions, local and/or general, may favor the progression of peri-implant inflammation. Some of these conditions could be a result of poor planning and/or inadequate execution of any step of the entire process treatment. This article describes the major possible factors in implant therapy that may lead to peri-implantitis. For some of these (ie, inappropriate patient selection, insufficient periodontal therapy, lack of diagnosis and management of peri-implant mucositis, erratic supportive peri-implant/periodontal therapy) there is a good level of evidence, whereas for others (ie, wrong implant placement, poor postoperative care, inadequate prosthetic reconstruction, lack of assessment and management of peri-implant soft-tissue deficiencies) there is little scientific evidence. More research is therefore needed to clearly identify the errors and/or complications possibly leading to peri-implantitis, particularly over the long term.
AB - Peri-implantitis is a plaque-associated pathologic condition occurring in tissues around dental implants, characterized by inflammation in the peri-implant mucosa and subsequent progressive loss of supporting bone. It is a highly prevalent disease, as extensively estimated by large-population, cross-sectional studies. As peri-implant diseases represent opportunistic infections, it is reasonable to assume that nonideal conditions, local and/or general, may favor the progression of peri-implant inflammation. Some of these conditions could be a result of poor planning and/or inadequate execution of any step of the entire process treatment. This article describes the major possible factors in implant therapy that may lead to peri-implantitis. For some of these (ie, inappropriate patient selection, insufficient periodontal therapy, lack of diagnosis and management of peri-implant mucositis, erratic supportive peri-implant/periodontal therapy) there is a good level of evidence, whereas for others (ie, wrong implant placement, poor postoperative care, inadequate prosthetic reconstruction, lack of assessment and management of peri-implant soft-tissue deficiencies) there is little scientific evidence. More research is therefore needed to clearly identify the errors and/or complications possibly leading to peri-implantitis, particularly over the long term.
KW - Cross-Sectional Studies
KW - Dental Implants/adverse effects
KW - Humans
KW - Inflammation/complications
KW - Peri-Implantitis/etiology
KW - Stomatitis/etiology
UR - http://www.scopus.com/inward/record.url?scp=85147532393&partnerID=8YFLogxK
U2 - 10.1111/prd.12482
DO - 10.1111/prd.12482
M3 - Review
C2 - 36744582
SN - 0906-6713
VL - 92
SP - 350
EP - 361
JO - Periodontology 2000
JF - Periodontology 2000
IS - 1
ER -