|This is the first of a five-part newsletter series that discusses etiology, risk factors, diagnosis, prevention, and treatment of peri-implant disease.
Peri-implant diseases are defined as disease processes that affect the surrounding tissue of a dental implant. The two types are:
• Peri-implant mucositis – soft tissue inflammatory condition affecting implant sites with no evidence of bone loss
• Peri-implantitis – an inflammatory condition affecting implant sites that also show loss of bone
The prevalence of peri-implantitis is increasing at an alarming rate. The rates vary depending on the study:
• A systemic literature review looking at implants 5-10 years following placement concluded that 10% of implants develop peri-implantitis among 20% of patients
• One study of implant placement 9-14 years post-operatively showed the prevalence of peri-implant mucositis at 48% of the implants, and peri-implantitis at 6.6% of the implants
• Another study showed peri-implant mucositis at approximately 80% of implants and peri-implantitis ranged in 28%-56% of the patients.
To reverse this trend, one must understand the etiology, risk factors, diagnosis, and how to properly treat these conditions.