How Can Clinicians Limit the Risk of Peri-implantitis?

Compend Contin Educ Dent

Affiliate Assistant Professor, Restorative Department, University of Washington School of Dentistry, Seattle, Washington; Adjunct Assistant Professor, Advanced Education Program in Prosthodontics, Loma Linda University School of Dentistry, Loma Linda, California; Affiliate Associate Professor, Graduate Periodontics, Oregon Health and Science University School of Dentistry, Portland, Oregon; Private Practice, Bellevue, Washington.

Published: July 2020

When using dental implants as a treatment modality for tooth replacement, the integration of peri-implant soft tissue is an extremely important consideration. Numerous systemic risk factors for peri-implant disease are known to be associated with peri-implant soft tissues. The soft-tissue connection provides a barrier seal directly to the implant or implant abutment and plays a critical role in limiting peri-implant disease. Therefore, clinicicans must take great care in managing the soft tissue. This article discusses three key stages of soft-tissue connection that should be considered when providing dental implant therapy: the healing stage, where cellular adhesion and proliferation are attained; the restorative phase, during which protection is provided to the mature soft-tissue site; and maintenance, a phase where the soft tissue offers revealing information about the health of the implant.

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