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Risk indicators for peri-implantitis. A narrative review
Stefan Renvert1,2,3, Marc Quirynen4
1Department of Oral Health Sciences, Kristianstad University, Kristianstad, Sweden.
Clinical Oral Implants Research
|September 20, 2015
Summary
Plaque accumulation on dental implants can lead to peri-implantitis. Key risk factors include prior periodontal disease, smoking, excess cement, and inadequate supportive therapy.
Area of Science:
- Dental Implantology
- Periodontology
- Biomaterials Science
Background:
- Peri-implantitis is a significant complication following dental implant placement.
- Understanding its etiological factors is crucial for prevention and management.
Purpose of the Study:
- To systematically review and identify risk indicators associated with the development of peri-implantitis.
- To synthesize current evidence on factors contributing to peri-implantitis etiology.
Main Methods:
- A comprehensive literature search was conducted in the MEDLINE database via PubMed.
- Articles published up to October 2014 were included.
- A combination of Medical Subject Headings and free text terms was utilized.
Main Results:
- Peri-implantitis microbiota shares similarities and differences with periodontitis microbiota.
- Plaque accumulation is a primary trigger for peri-implant inflammation.
- Increased risk is associated with a history of periodontal disease, smoking, genetic polymorphism, diabetes, and excess cement.
- Regular maintenance and prior successful periodontitis treatment reduce risk.
Conclusions:
- Plaque accumulation initiates peri-implant inflammation.
- Identified risk indicators for peri-implantitis include periodontal disease history, smoking, excess cement, and insufficient supportive therapy.

