Journal
JOURNAL OF ORAL IMPLANTOLOGY
Volume 43, Issue 6, Pages 491-496Publisher
ALLEN PRESS INC
DOI: 10.1563/aaid-joi-D-17-00035
Keywords
dental implants; peri-implantitis; periodontal pocket; implant-supported dental prosthesis; risk factors
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Peri-implant diseases have received much attention since dental implants are generally used in contemporary dentistry. Several contributing factors associated with the development of peri-implant diseases have also been investigated. The prevalence of peri-implantitis has been reported but with great heterogeneity because of a lack of a universally accepted classification system that could define the extent and severity of peri-implantitis. Several parameters-including radiographic bone loss, probing depth, bleeding on probing, and suppuration-have been introduced in these reports to assist with clinical diagnosis. This article provides an objective evaluation of these parameters based on currently available evidence, offers further recommendations, and proposes a multidomain scale for diagnosis of peri-implantitis. Future investigations and modifications may be needed to develop a comprehensive, evidence-based classification system that addresses the multifactorial etiology of peri-implant diseases.
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