2021 Volume 34 Issue 3 Pages 179-188
The osseointegrated implant ad modum Brånemark was initially used in edentulous patients. Later, it was applied to partially edentulous patients and is now widely accepted as a means of prosthetic treatment.
In recent years, peri-implant disease has attracted much interest; a history of periodontal disease has been pointed out as a risk factor. Implants can be applied to patients with periodontal disease if the infection is thoroughly controlled by appropriate periodontal therapy.
Once diagnosed as peri-implantitis, currently there is no definitive established treatment. Rigorous supportive therapy programs are needed for patients with periodontal disease in order to prevent peri-implant disease. It is essential to detect and treat lesions at an early stage based on an appropriate diagnosis.
Implant placement itself is difficult due to loss of alveolar bone in the dentition that led to tooth extraction because of periodontal disease. Considering the anatomical morphology, cases can be handled by applying short implants, tilted implants, cantilever, etc.
By applying a perio-implant prosthesis, it is possible to improve the function and esthetics to protect the supporting tissue and remaining teeth after periodontal disease treatment.
