Similarities between the development and treatment of plaque-induced peri-implantitis and periodontitis

Implants can be maintained in health with conscientious daily oral hygiene and regular professional maintenance. However, when inflammation develops, the peri-implants tissues appear to be more susceptible to destruction. Peri-implant soft tissues seem to be more rapidly destroyed than dental tissues. This may be due to fiber direction, lack of blood supply, and fewer fibroblasts in the connective tissue, which are the microscopic differences as compared to the corresponding dental tissues. Therefore, long-term predictability with implants can only be assured with adequate oral hygiene and maintenance.