Peri-implantitis: fact and fiction
Part 1- Although oral implants are becoming a predictable treatment modality, over the years problems as infections around implants can occur which can lead to bone loss (peri-implantitis). In this lecture we will go over several treatment modalities, although the current literature does not favor the one over the other. If the infection, despite our efforts, is still eminent, perhaps removing the implant, guided bone regeneration and re-implantation, should be considered.
Part 2 - Peri-implantitis has been defined as an emerging public health issue. According to recent scientific data and depending on the clinical and radiographic criteria that are adopted, it can affect from 20% to 40% of subjects restored with dental implants. This presentation will focus the main procedures to diagnose, prevent and manage peri-implantitis, and peri-implant mucositis that is widely considered its precursor. Special emphasis will be placed on the assessment of the diagnostic factors, systemic and local risk factors, the non-surgical and surgical management of both peri-implant mucositis and peri-implantitis. Proper planning of implant surgical and restorative factors, will also be discussed. Main topics: Peri-implant tissues in health and disease; Peri-implantitis: the problem and the numbers; General and Local Risk Factors/Indicators; How to prevent peri-implantitis: Treatment plan, surgical and restorative factors; Clinical assessment and supportive therapy of peri-implant tissues; Airflow: the game changer, clinical and research aspects; Treatment of mucositis and prevention of peri-implantitis; Treatment of peri-implantitis.