Abstract
The prevalence of implant biological complications has grown enormously over the last decade, in concordance with the impact of biofilm and its byproducts upon disease development. Deleterious habits and systemic conditions have been regarded as risk factors for peri-implantitis. However, little is known about the influence of local confounders upon the onset and progression of the disease. The present narrative review therefore describes the emerging local predisposing factors that place dental implants/patients at risk of developing peri-implantitis. A review is also made of the triggering factors capable of inducing peri-implantitis and of the accelerating factors capable of interfering with the progression of the disease.
Highlights
Implant dentistry, as a scientific discipline, has grown rapidly over the last four decades with the aim of facilitating early and effective osseointegration affording successful long-term outcomes
In patients diagnosed with peri-implantitis, the mean SUP values amounted to 269 implants (77 healthy/77 mucositis/115 peri-implantitis)
On comparing a KM band of
Summary
As a scientific discipline, has grown rapidly over the last four decades with the aim of facilitating early and effective osseointegration affording successful long-term outcomes. In 2012, the VIII European Workshop of Periodontology underscored that the diagnosis of peri-implantitis should be given on a longitudinal basis of overt progressive bone loss with clinical signs of inflammation [11]. In this regard, a threshold of ≥2 mm of peri-implant bone loss could be accepted for the diagnosis of peri-implantitis. The 2017 World Workshop identified evidence linking peri-implantitis to factors that complicate access to adequate oral hygiene, that is, those local conditions that predispose certain implants to develop disease [12]
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