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Group 4 ITI Consensus Report: Risks and biologic complications associated with implant dentistry.

Lisa J Heitz-Mayfield1, Merete Aaboe2, Mauricio Araujo3

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Summary
This summary is machine-generated.

Diagnosing peri-implantitis requires bleeding on probing and bone loss. Implant therapy is safe for older patients, but risks exist for those on high-dose antiresorptive therapy.

Keywords:
augmentationcomplicationgeriatricimplant survivalperi-implantitissupportive caresystemic conditions

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Area of Science:

  • Dental Implantology
  • Periodontology
  • Prosthodontics

Background:

  • Biologic risks and complications in implant dentistry are a significant concern.
  • Understanding these risks is crucial for successful patient outcomes.

Purpose of the Study:

  • To address key questions regarding biologic risks and complications in implant dentistry.
  • To provide evidence-based recommendations for diagnosis and treatment.

Main Methods:

  • The study was based on four systematic reviews.
  • Group consensus was reached on statements and recommendations following review discussions.
  • Findings were presented and accepted by the plenary after modifications.

Main Results:

  • Peri-implantitis diagnosis requires bleeding on probing and progressive bone loss.
  • Implants in augmented sites show low peri-implantitis and loss rates long-term.
  • Peri-implantitis treatment with supportive care yields high implant survival (approx. 75% at 5 years).
  • Advanced age is not a contraindication; however, comorbidities must be considered.
  • Implant placement is contraindicated in cancer patients on high-dose antiresorptive therapy.

Conclusions:

  • Peri-implantitis diagnosis necessitates both bleeding on probing and radiographic bone loss.
  • Implants placed in augmented bone demonstrate favorable long-term prognoses.
  • Individualized supportive care is essential post-peri-implantitis treatment.
  • Geriatric patients can undergo implant therapy, with careful consideration of health status and autonomy.