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Peri-implantitis

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Evidence-Based Implant Dentistry

Abstract

Peri-implant inflammatory conditions are not unfrequent in the implant population. Clinicians should be aware of the definition and diagnostic criteria of mucositis and peri-implantitis in order to adopt prompt interventions in order to save the implant.

The etiology of peri-implant diseases has many aspects in common with periodontitis, although some etiologic aspects are peculiar to the first one. Microbiological factors, inflammation, smoking, diabetes, and genetic factors are all considered risk factors for the development of mucositis and peri-implantitis.

The term cement-related peri-implant disease has been coined by some authors, referring to the peri-implant pathology arising around cement-retained implant restorations. It is possible that cement remnants have a role in the incidence of many cases of peri-implantitis.

Diagnosis of mucositis and peri-implantitis relies on clinical and radiological signs.

The management of mucositis is always nonsurgical. The treatment of peri-implantitis can involve nonsurgical or surgical options. Comparison of various treatment modalities is not easy mainly due to the lack of direct treatment comparisons. The use of network meta-analysis as a statistical tool for indirect treatment comparison may help to understand which are the best treatments available.

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Authors and Affiliations

  1. International Medical School, Sapienza University of Rome, Viale Regina Elena 324, 00161, Rome, Italy

    Oreste Iocca DDS

  2. Private Practice Limited to Oral Surgery, Periodontology and Implant Dentistry, Rome, Italy

    Oreste Iocca DDS

  3. Centro Polispecialistico Fisioeuropa, Viale dell’Umanesimo 308, Rome, 00144, Italy

    Giuseppe Bianco DDS, PhD

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  1. Oreste Iocca DDS
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  2. Giuseppe Bianco DDS, PhD
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Correspondence to Oreste Iocca DDS .

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  1. International Medical School, Sapienza University of Rome, Rome, Italy

    Oreste Iocca

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Iocca, O., Bianco, G. (2016). Peri-implantitis. In: Iocca, O. (eds) Evidence-Based Implant Dentistry. Springer, Cham. https://doi.org/10.1007/978-3-319-26872-9_11

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  • DOI: https://doi.org/10.1007/978-3-319-26872-9_11

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