4.4 Review

Prevention and management of peri-implant disease

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WILEY
DOI: 10.1111/cid.13206

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dental implant; peri-implant mucositis; peri-implantitis; prevention; preventive dentistry

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The review article aims to summarize the current evidence on the potential risk factors and preventive strategies for peri-implant diseases. The associated risk factors can be categorized into patient-specific factors, implant-specific factors, and long-term factors. Early intervention and a comprehensive maintenance program for assessing potential risk factors are the best strategies for preventing peri-implant diseases.
Background: As more patients choose dental implants as their primary treatment option to restore edentulous ridges or to replace compromised dentition, preventive strategies for peri-implant diseases and complications have become an important topic.Purpose: The aim of the review article is to summarize the current available evidence on the potential risk factors/indicators for peri-implant disease development and then focus on the preventive strategies for peri-implant diseases and conditions.Materials and Methods: After reviewing the diagnostic criteria and the etiology of peri-implant diseases and conditions, evidence on the possible associated risk factors/indicators for peri-implant diseases were searched and identified. Recent studies were also surveyed to explore the preventive measures for peri-implant diseases.Results: The possible associated risk factors of peri-implant diseases can be divided into the following categories: patient-specific factors, implant-specific factors, and long-term factors. Patient-specific factors such as history of periodontitis and smoking have been conclusively associated with peri-implant diseases, whereas findings on others, such as diabetes and genetic factors, remain inconclusive. It has been suggested that both implant-specific factors, such as implant position, soft tissue characteristics, and the type of connection used, and long-term factors, such as poor plaque control and a lack of maintenance program, have a strong impact on maintaining the health of a dental implant. Assessment tool for evaluating the risk factors can be a potential preventive measure for peri-implant disease prediction, and it is needed to be properly validated.Conclusion: Proper maintenance program for early intervention to control peri-implant diseases at the initial stage and pretreatment assessment of the potential risk factors is the best strategy to prevent implant diseases.

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