How do we respond to peri-implant disease

Abstract

Peri-implant diseases are caused by plaque. Peri-implant diseases are classified into different forms of peri-implant mucositis and peri-implantitis. Non-surgical therapy could be effective in the treatment of peri-implant mucositis, but in peri-implantitis non-surgical therapy was not found to be effective. Thus, a surgical intervention is often needed. As of yet, the most effective intervention for treatment of peri-implantitis has not been identified, and there is no validated treatment protocol available. As surgical treatment may not always resolve a lesion, prevention of peri-implantitis is the best form of treatment. Because poor oral hygiene, cigarette smoking and a history of periodontitis are risk indicators for peri-implantitis, we should modify these factors before the start of implant treatment. Moreover, for long-term implant success, maintenance at regular intervals and patientʼs self-care are essential.