Peri-implantitis (Inflammation in the peri-implant mucosa together with progressive loss of supporting bone)

Peri-implantitis is a hot topic in implant dentistry nowadays. Some estimates report as many as 1 in 10 implants experiencing peri-implantitis. Dental implants have clearly transformed how we go about treatment planning our patients. Modern planning is more open to extractions as a treatment option now that we have a simple, predictable and reliable tooth replacement alternative. Long-term success rates for dental implants have been shown to be excellent in many studies. If peri-implantitis substantially reduces those success rates, we will need to rethink our treatment strategies with important consequences for both completed and future patients.

So what causes Peri-implantitis? We can divide the causes into patient associated and implant-associated. Under patient causes, we include all the factors for Periodontitis including Genetics; Diabetes; Smoking and of course Dental Plaque. A good history and control where possible of these factors will improve implant success rates and...

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