The available information regarding the incidence of biologic complications is still insufficient to select an appropriate treatment plan for peri-implantitis. It is apparent, however, that neglected or inadequately treated peri-implantitis increases the threat of inflammatory disease and can eventually lead to implant failure. It is important to institute effective supportive therapy to maintain or recover soft tissue health surrounding dental implants. Preclinical research has demonstrated the possibility of obtaining renewed osseointegration after surgical cleansing of the infected implant surfaces. Some successful human case-report studies have shown new bone formation after a surgical approach. The clinician therefore has the obligation to perform treatment of periodontal supportive therapy to limit the incidence of inflammatory complications. The correct diagnosis will facilitate preoperative selection of appropriate techniques for the maintenance of peri-implant tissue health. Early interception is a crucial factor that can improve treatment prognosis. Several treated peri-implantitis cases and their postsurgical results will be presented. The discussion will include treatment planning strategies, clinical protocols, and implementation of techniques.
Stefano Parma-Benfenati, MD, DDS, MScD, received his medical degree from Ferrara University, Italy, specialized in dentistry at the University of Genoa, and obtained his masterís degree in periodontology from Boston University. He maintains a private practice specializing in periodontology and implant dentistry in Ferrara. Dr Parma-Benfenati has lectured widely, co-authored many articles, and was formerly a professor of periodontology at the Dental School of Ferrara University.
Approximate Running Time: 30 minutes