Peri-Implantitis Matter: Possibilities of Treatment but Without a Strong Predictability for Solution

Abstract

Dental implants are one of the revolutionary tools in the rehabilitation of patients' functions and esthetics, presenting high long-term success rates. In 2015, it was estimated about 3 million people in the US on having dental implants and it is increasing by 500,000 per year, solely in the US. Despite the high survival rate at 10 years (around 96%), 1 there is a risk for complications, such as peri-implantitis. 2 It is an inflammatory disease, commonly a plaque-associated condition, affecting directly the Osseo integrated implant and the local tissues. Thereby, the evolution of peri-implantitis has been considered as one of the most common reasons for implant failure.

Marginal Bone Level and Clinical Parameter Analysis Comparing External Hexagon and Morse Taper Implants: A Systematic Review and Meta-Analysis

“…Even though the implant survival rate may have achieved more than 90% in the long-term [2,32,33], the presence of MBL may permit implant thread exposition, leading to an easy bacterial accumulation and consequent peri-implant diseases, with possible implant loss [8,34,35]. The objective of this systematic review was to answer a specific clinical question, comparing the results between EH and MT implants when assessed within the same study (reducing bias).…”

Bone tissue regeneration in peri-implantitis: A systematic review of randomized clinical trials

“…It is characterized by the loss of supporting bone and soft tissue inflammation ( Berglundh et al, 2019 ), reaching a pocket depth (PD) of ≥ 6 mm, bleeding upon probing (BoP), or suppuration and radiographic bone loss (RBL) ≥ 3 mm ( Berglundh et al, 2018 ). Then, the main goal of peri -implantitis treatment is to eliminate inflammation, preserve the structure around the implant, and bring a healthy status to the tissues ( de Waal et al, 2013 , Fernandes, 2021b ). Moreover, some authors reported that PI is between 2.7% and 47.1%, and the success rate in high-risk groups (patients with a family or personal history of periodontitis and smokers) can be around 70% ( Zitzmann et al, 2008 ).…”