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Interview with Dr. Mario Roccuzzo

Rescue of Implants Affected by Severe Peri-implantitis

Dr. Marjan Gilani | Switzerland
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“It is indispensable to treat peri-implantitis as a whole unit”
Dr. Hector Sarmiento | United States

Dr. Hector Sarmiento has broad experience in the treatment of peri-implantitis. He recently published a new classification system and a basic treatment protocol with different surgical alternatives. We asked him to share his findings and opinions.

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Sequential extractions and implantations
Dr. Philippe Khayat | France, Dr. Marin Pomperski | France

Multiple immediate implants and extensive treatment in the maxilla. Stay in control and simplify therapy to prevent peri-implantitis.

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“Explantation is a decisive turning point for the patients”
Verena Vermeulen | Switzerland

Explantation can be a last resort to handle an infected implant. Dr. Mauro Merli, Italy, has gained experience in this unpleasant procedure and the subsequent rebuilding of jaw bone. Here he shares his insights into minimally invasive techniques, suitable materials and the value of listening to the patient’s expectations.  

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Loss of a transplant due to alveolitis
Ass. Prof. Michael Stimmelmayr | Germany

First peri-implantitis occurs, then alveolitis following explantation. How should this case be treated?

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Dealing with peri-implantitis
Prof. Stuart J. Froum | United States

For two decades Prof. Stuart Froum has been treating peri-implantitis patients. He has recently published the results of his experience.

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“Risk assessment helps avoid peri-implantitis!”
Prof. Stefan Renvert | Sweden

Thorough diagnosis, patient selection and treatment planning can help decrease peri-implantitis risk.

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Peri-implantitis therapy with regenerative surgery
Prof. Frank Schwarz | Germany

Regenerative therapy should be combined with implantoplasty if the configuration of a defect is advanced and complex.

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The microbiology of peri-implantitis
Prof. Andrea Mombelli | Switzerland

Which microbes trigger an especially severe course of peri-implant infection? And are microbiological tests worthwhile?

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Treating peri-implantitis
Prof. Lisa J. A. Heitz-Mayfield | Australia

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.

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Timely peri-implantitis diagnosis
Prof. Giovanni E. Salvi | Switzerland

In recalls following implant placement, the peri-implant tissue should undergo careful clinical and radiological monitoring so that changes will be promptly noted.

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Peri-implantitis vs periodontitis
Prof. Tord Berglundh | Sweden

Periodontal and peri-implant diseases have many features in common. Peri-implantitis lesions, however, exhibit various characteristics that make treatment more difficult.

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How prevalent is peri-implant disease?
Prof. Niklaus P. Lang | Switzerland

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.