In order to control reinfection and limit biologic complications, it is of paramount importance to treat periodontitis before implant placement. Early interception is a crucial factor that can improve treatment prognosis. The correct diagnosis will facilitate preoperative selection of appropriate techniques for the maintenance of peri-implant tissue health. The primary objective of surgical treatment in peri-implantitis lesions is to access the exposed implant surface in order to optimize the removal of bacterial contaminants and thereby achieve resolution of the inflammatory lesion. Additionally, it is often necessary to reconstruct the lost periodontal tissues even if the process of reosseointegration is not currently considered predictable. Several peri-implantitis cases will be presented with survival follow-up, and the strategies, clinical protocols, and techniques implemented will be described.
Carlo Tinti, MD, DDS, maintains a full-time private practice devoted to periodontology and implant dentistry in Flero, Brescia, Italy. He is an active member of the Italian Society of Periodontology and the Italian Academy of Restorative Dentistry.
Stefano Parma-Benfenati, MD, DDS, MSCD, received his MD at Ferrara University in Italy, his DDS at Genova University, and his master of science in periodontology at Boston University. He is an active member of the Italian Society of Periodontology and is currently a teaching professor both at Padova University for the Master Program in Implantology, focusing on guided bone regeneration topics, and at Torino University for the Master Program in Periodontology, focusing on mucogingival surgery. Dr Parma-Benfenati has lectured widely and co-authored many articles and books. He maintains a private practice in periodontology and implantology in Ferrara, Italy.
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