Patient-centred Contemporary Peri-implantitis Treatment

Course Information

Peri-implantitis occurs in around 1 in 5 patients restored with implant-supported prostheses. Peri-implantitis is a plaque associated pathologic condition characterised by clinical inflammation of the peri-implant soft tissues (bleeding/suppuration) and progressive bone loss. Peri-implantitis may progress rapidly and is challenging to treat. In this presentation the key aspects of an accurate diagnosis, control of risk factors and effective treatment will be outlined following a step-wise anti-infective approach. Indications for the choice of surgical approach (resective or reconstructive) when required will be discussed based on implant-, site- and patient-related factors. Protocols to reconstruct peri-implantitis bony defects while minimising soft tissue recession will be outlined providing the evidence for treatment outcomes in the medium to long-term. Patient-reported outcomes following treatment will be discussed, providing an insight into management of patient expectations. The importance of prosthetic, hard and soft tissue management will be highlighted in order to achieve healthy peri-implant tissues, stability and a satisfied patient.