First peri-implantitis occurs, then alveolitis following explantation. How should this case be treated?
For two decades Prof. Stuart Froum has been treating peri-implantitis patients. He has recently published the results of his experience.
Thorough diagnosis, patient selection and treatment planning can help decrease peri-implantitis risk.
Regenerative therapy should be combined with implantoplasty if the configuration of a defect is advanced and complex.
Which microbes trigger an especially severe course of peri-implant infection? And are microbiological tests worthwhile?
There is no single measure for resolving peri-implantitis but rather a sequence of steps: managing causative actors, fighting the infection and regenerating the defect.
In recalls following implant placement, the peri-implant tissue should undergo careful clinical and radiological monitoring so that changes will be promptly noted.
Periodontal and peri-implant diseases have many features in common. Peri-implantitis lesions, however, exhibit various characteristics that make treatment more difficult.
Estimates put the incidence of peri-implantitis at around one percent per year. But there are no clear definition criteria and the frequency of peri-implantitis differs by patient group.