Implant Abutment and Restoration Design and Risk Factors for Peri-Implant Disease

With dental implants continuing to gain in popularity and their usage steadily rising, clinicians must be wary of peri-implant disease in patients with implants. Poorly constructed and inadequately delivered implant restorations can lead to peri-implant bone loss and disease. Implant abutment design plays an important role in minimizing the risk of the development of peri-implant disease. Abutment design elements that may affect the risk for developing peri-implantitis include topography, materials, height, implant-abutment connection, and emergence profile. This article discusses these implant abutment design elements for bone-level implants and the risks they may present for the development of peri-implant disease.