Peri-implant diseases: Current understanding and management

Area of Science:

• Dental Implantology
• Periodontology
• Oral Health

Background:

• Peri-implant diseases are increasingly prevalent, impacting dental implant success.
• Understanding peri-implant health, mucositis, and peri-implantitis is crucial for clinicians.
• The 2017 World Workshop classification provides a framework for diagnosis.

Purpose of the Study:

• To present an evidence-based review of peri-implant diseases and conditions.
• To discuss current therapeutic approaches for managing these conditions.
• To offer a contemporary overview for dental professionals.

Main Methods:

• Literature review focused on peri-implant health, mucositis, and peri-implantitis.
• Utilized the 2017 World Workshop on the Classification of Periodontal and Peri-implant Diseases and Conditions.
• Synthesized current evidence on diagnosis and treatment.

Main Results:

• Peri-implant health lacks inflammation and bone loss beyond physiological remodeling.
• Peri-implant mucositis is a reversible soft tissue inflammation without bone loss.
• Peri-implantitis involves irreversible hard and soft tissue destruction around implants.

Conclusions:

• Diagnosis of peri-implant disease shares similarities with periodontitis but has variable prevalence.
• Various treatment modalities exist, but no single protocol is definitively superior or fully effective.
• Further well-designed studies are needed to evaluate treatment responses and improve outcomes.