Treatment of Peri-implantitis: Fiction or Reality? Part 1: Non-surgical and Surgical Management

Abstract

Peri-implantitis is a biological complication characterized by an inflammatory process affecting the soft and hard tissues around an osseo-integrated load-bearing implant. Clinically, it results in progressive bone loss, pocket formation, bleeding and/or suppuration and leads to implant loss. Although the main aetiological factor is bacterial biofilms, the clinical presentation and progression of peri-implantitis is exacerbated by several local, systemic and iatrogenic factors. Treatment protocols of peri-implantitis include various decontamination procedures of the exposed implant surface. In this two-part series, we will review the available evidence for the non-surgical and surgical management of peri-implantitis (Part 1), and then we will discuss various modalities for implant surface decontamination (Part 2). CPD/Clinical Relevance: The pre-operative risk identification and management at both patient and site level, early diagnosis and regular supportive peri-implant care are fundamental for long term implant success and survival.