Peri-implantitis prevalence and treatment in implant-oriented private practices: a cross-sectional postal and Internet survey.

Abstract

This survey aimed to estimate the subjective prevalence of peri-implantitis and its management in the private with and without board certified specialization. For this purpose, a cross-sectional postal and internet survey of 521 dentists, representing all members of the Swiss Society of Oral Implantology (SGI) was conducted (year 2010). The questionnaire consisted of four sections assessing 1) general information regarding the practice setting and education, 2) general questions regarding implantation profile and 3) specific questions regarding the prevalence and experience with the management of peri-implantitis. In the fourth section, therapy options of three exemplary cases were assessed. The data were separately evaluated and compared for specialists (S) and n₋specialists (N-S). A total of 253 questionnaires could be included in the present study. The results revealed that specialists placed significantly more implants than non-specialists. The subjective prevalence of cases with peri₋implantitis was 5-6 and 7-9% after 5 and 10 years, respectively. The polled dentists perceived periodontitis (N-S: 72%; S: 80%), smoking (N-S: 71; S: 77%) and bad compliance (S: 53; N-S: 61%) as the most important risk factors for peri-implantitis. Chlorhexidine was the most frequently used antiseptic agent for disinfection. A surgical approach to treat peri-implantitis was reported by more than 80% of all dentists. Specialists used significantly more resective or regenerative approaches than non-specialists.