Biologic complications are frequent in peri-implant tissues and can involve up to 50% of patients after 10 years. Moreover, it is evident that peri-implantitis is five times more frequent in patients who are susceptible to periodontitis than in those who are not susceptible. Hence, the prevention of these complications is the utmost goal during patient maintenance. A system of preventive measures based on continuous monitoring of the peri-implant tissues will be presented. Based on probing depth and bleeding incidence, supportive therapy is rendered in a cumulative manner. As peri-implantitis is diagnosed, greater therapeutic efforts are made. The use of systemic and/or local antibiotics to control the developing peri-implant infection is emphasized. The continuous maintenance of implant patients will be an ever-increasing necessity in the periodontal practice of the future.
Niklaus P. Lang, DDS, MS, PhD, is professor of implant dentistry at the University of Hong Kong and professor emeritus at the University of Bern, Switzerland, where he served as chairman of the School of Dental Medicine from 1980 to 2008. He is currently an honorary professor at the University of Aarhus, Denmark. In addition, he has served as a guest professor at numerous universities throughout the world. Dr Lang, who has published more than 450 articles in peer-reviewed scientific journals, written several textbooks, and presented more than 2,000 lectures on 5 continents, is editor-in-chief of Clinical Oral Implants Research and editor of Oral Health and Preventive Dentistry. He is an honorary member of the American Academy of Periodontology, the Danish, German, Hellenic, Italian, Lithuanian, Slovenian, South African, and Swiss Societies of Periodontology, the Italian Society of Osseointegration, and the International Team for Implantology.
Approximate Running Time: 45 minutes