Peri-implantitis as the consequence of errors in implant therapy.

Autor: Roccuzzo A; Department of Periodontology, School of Dental Medicine, University of Bern, Bern, Switzerland.; Department of Oral and Maxillo-Facial Surgery, Copenhagen University Hospital (Rigshospitalet), Copenhagen, Denmark., Imber JC; Department of Periodontology, School of Dental Medicine, University of Bern, Bern, Switzerland., Salvi GE; Department of Periodontology, School of Dental Medicine, University of Bern, Bern, Switzerland., Roccuzzo M; Specialist Periodontal Private Practice, Torino, Italy.; Division of Maxillo-facial Surgery, University of Torino, Torino, Italy.; Department of Periodontics and Oral Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Jazyk: angličtina
Zdroj: Periodontology 2000 [Periodontol 2000] 2023 Jun; Vol. 92 (1), pp. 350-361. Date of Electronic Publication: 2023 Feb 06.
DOI: 10.1111/prd.12482
Abstrakt: Peri-implantitis is a plaque-associated pathologic condition occurring in tissues around dental implants, characterized by inflammation in the peri-implant mucosa and subsequent progressive loss of supporting bone. It is a highly prevalent disease, as extensively estimated by large-population, cross-sectional studies. As peri-implant diseases represent opportunistic infections, it is reasonable to assume that nonideal conditions, local and/or general, may favor the progression of peri-implant inflammation. Some of these conditions could be a result of poor planning and/or inadequate execution of any step of the entire process treatment. This article describes the major possible factors in implant therapy that may lead to peri-implantitis. For some of these (ie, inappropriate patient selection, insufficient periodontal therapy, lack of diagnosis and management of peri-implant mucositis, erratic supportive peri-implant/periodontal therapy) there is a good level of evidence, whereas for others (ie, wrong implant placement, poor postoperative care, inadequate prosthetic reconstruction, lack of assessment and management of peri-implant soft-tissue deficiencies) there is little scientific evidence. More research is therefore needed to clearly identify the errors and/or complications possibly leading to peri-implantitis, particularly over the long term.
(© 2023 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
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