Peri-implantitis as the consequence of errors in implant therapy

Andrea Roccuzzo, Jean-Claude Imber, Giovanni Edoardo Salvi, Mario Roccuzzo*

*Corresponding author af dette arbejde
38 Citationer (Scopus)

Abstract

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.

OriginalsprogEngelsk
TidsskriftPeriodontology 2000
Vol/bind92
Udgave nummer1
Sider (fra-til)350-361
Antal sider12
ISSN0906-6713
DOI
StatusUdgivet - jun. 2023

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