Peri-implant diseases are a plaque-associated pathological conditions affecting dental implants in function. Peri-implant mucositis is considered an initial stage of the pathology, which is characterized by the inflammation in the soft-tissue compartment, whereas peri-implantitis is the advanced stage of the pathology mainly defined by progressive loss of supporting bone.
Substantial evidence suggests that peri-implant mucositis is a reversible condition and can be successfully managed by employing non-surgical therapeutic approaches. In contrary, non-surgical therapy is of limited efficacy in arresting peri-implantitis progression, thus indicating the necessity of surgical intervention in the majority of patients diagnosed with peri-implantitis.
Achieving optimal treatment results in diverse clinical situations requires proper knowledge of indications and performance of different treatment modalities. This lecture will cover different non-surgical and surgical treatment concepts of peri-implant diseases. Important preventive aspects, including local and patient related potential risk indicators, and as well as the prognostic factors associated with treatment outcomes will be further discussed.
