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Peri-implantitis.

Björn Klinge1, Margareta Hultin, Tord Berglundh

  • 1Karolinska Institutet, Institute of Odontology, Department of Periodontology, P.O. Box 4064, SE-141 04 Huddinge, Sweden. bjorn.klinge@ofa.ki.se

Dental Clinics of North America
|June 28, 2005
PubMed
Summary
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Peri-Implant Diseases: The Past, the Present, the Future.

Journal of periodontal research·2025

Patients with a history of periodontitis face a higher risk of peri-implantitis. Eliminating oral pathogens before dental implant placement and managing smoking are crucial for reducing this risk.

Area of Science:

  • Dental Implantology
  • Periodontology

Background:

  • Peri-implantitis risk is elevated in patients with prior periodontitis.
  • Smoking negatively impacts dental implant treatment success.
  • Understanding periodontitis and peri-implantitis biology aids clinical interpretation.

Purpose of the Study:

  • To highlight the importance of pretreatment for reducing peri-implantitis risk.
  • To discuss risk factors such as a history of periodontitis and smoking.
  • To review current treatment concepts for peri-implantitis.

Main Methods:

  • Review of existing literature on periodontitis and peri-implantitis.
  • Discussion of biological mechanisms underlying tissue destruction.
  • Analysis of clinical manifestations and risk factors.

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Main Results:

  • Pretreatment to eliminate periodontal pathogens is important before dental implant placement.
  • Mechanical infection control combined with antimicrobial therapy shows success in peri-implantitis treatment.
  • No definitive evidence exists for the most effective peri-implantitis intervention.

Conclusions:

  • Proactive management of periodontal health is essential for dental implant success.
  • Further research is needed to establish the most effective peri-implantitis treatment protocols.
  • Clinicians should consider patient history and biological factors when assessing peri-implantitis risk.