Abstract
Through an extensive review of the literature, our objective will be to clarify the current concept that exists about the pathogenesis of peri-implantitis, as well as the implications that bacteria may have on it. To date, different longitudinal and cross-sectional studies have identified some of the risk factors or risk indicators of peri-implantitis. Previous history of periodontal disease, diabetes, genetic load, poor oral hygiene, tobacco, alcohol consumption, absence of keratinized gingiva and the surface of the implants are some of the factors that have been analyzed in detail in the literature. The colonization of new surgically implanted surfaces represents a risk situation in partially edentulous patients, where periodontopathogenic bacteria from the residual bag play an important role.
Highlights
Through an extensive review of the literature, our objective will be to clarify the current concept that exists about the pathogenesis of peri-implantitis, as well as the implications that bacteria may have on it
Previous history of periodontal disease, diabetes, genetic load, poor oral hygiene, tobacco, alcohol consumption, absence of keratinized gingiva and the surface of the implants are some of the factors that have been analyzed in detail in the literature and on which we will deal with decipher the existence or not of the risk they pose for periimplant disease
Starting from a strong association established between periodontal disease and diabetes, and the possible relationship between the history of periodontal disease and peri-implantitis, it seems logical to ask whether there is an association between peri-implantitis and diabetes
Summary
Through an extensive review of the literature, our objective will be to clarify the current concept that exists about the pathogenesis of peri-implantitis, as well as the implications that bacteria may have on it. The concept of peri-implantitis was introduced at the end of the 1980s to describe those situations of inflammatory process and destruction that take place in osseointegrated tissues, giving rise to the formation of the peri-implant pocket and marginal bone loss This disease can affect only the peri-implant mucosa (mucositis) or include the involvement of the supporting bone (peri-implantitis). Previous history of periodontal disease, diabetes, genetic load, poor oral hygiene, tobacco, alcohol consumption, absence of keratinized gingiva and the surface of the implants are some of the factors that have been analyzed in detail in the literature and on which we will deal with decipher the existence or not of the risk they pose for periimplant disease
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