Peri-implantitis : Summary and consensus statements of group 3. The 6th EAO Consensus Conference 2021
(2021) In Clinical Oral Implants Research 32(S21). p.245-253- Abstract
Objective: To evaluate the influence of implant and prosthetic components on peri-implant tissue health. A further aim was to evaluate peri-implant soft-tissue changes following surgical peri-implantitis treatment. Materials and methods: Group discussions based on two systematic reviews (SR) and one critical review (CR) addressed (i) the influence of implant material and surface characteristics on the incidence and progression of peri-implantitis, (ii) implant and restorative design elements and the associated risk for peri-implant diseases, and (iii) peri-implant soft-tissue level changes and patient-reported outcomes following peri-implantitis treatment. Consensus statements, clinical recommendations, and implications for future... (More)
Objective: To evaluate the influence of implant and prosthetic components on peri-implant tissue health. A further aim was to evaluate peri-implant soft-tissue changes following surgical peri-implantitis treatment. Materials and methods: Group discussions based on two systematic reviews (SR) and one critical review (CR) addressed (i) the influence of implant material and surface characteristics on the incidence and progression of peri-implantitis, (ii) implant and restorative design elements and the associated risk for peri-implant diseases, and (iii) peri-implant soft-tissue level changes and patient-reported outcomes following peri-implantitis treatment. Consensus statements, clinical recommendations, and implications for future research were discussed within the group and approved during plenary sessions. Results: Data from preclinical in vivo studies demonstrated significantly greater radiographic bone loss and increased area of inflammatory infiltrate at modified compared to non-modified surface implants. Limited clinical data did not show differences between modified and non-modified implant surfaces in incidence or progression of peri-implantitis (SR). There is some evidence that restricted accessibility for oral hygiene and an emergence angle of >30 combined with a convex emergence profile of the abutment/prosthesis are associated with an increased risk for peri-implantitis (CR). Reconstructive therapy for peri-implantitis resulted in significantly less soft-tissue recession, when compared with access flap. Implantoplasty or the adjunctive use of a barrier membrane had no influence on the extent of peri-implant mucosal recession following peri-implantitis treatment (SR). Conclusions: Prosthesis overcontouring and impaired access to oral hygiene procedures increases risk for peri-implantitis. When indicated, reconstructive peri-implantitis treatment may facilitate the maintenance of post-operative peri-implant soft-tissue levels.
(Less)
- author
- organization
- publishing date
- 2021-10
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- consensus, peri-implantitis, risk factors
- in
- Clinical Oral Implants Research
- volume
- 32
- issue
- S21
- pages
- 9 pages
- publisher
- Wiley-Blackwell
- external identifiers
-
- scopus:85117096571
- pmid:34642987
- ISSN
- 0905-7161
- DOI
- 10.1111/clr.13827
- language
- English
- LU publication?
- yes
- additional info
- Publisher Copyright: © 2021 The Authors. Clinical Oral Implants Research published by John Wiley & Sons Ltd.
- id
- a4ec9eb2-78a2-4c95-a45d-fd6309e97db1
- date added to LUP
- 2022-02-24 11:32:37
- date last changed
- 2025-03-23 22:51:15
@article{a4ec9eb2-78a2-4c95-a45d-fd6309e97db1,
abstract = {{<p>Objective: To evaluate the influence of implant and prosthetic components on peri-implant tissue health. A further aim was to evaluate peri-implant soft-tissue changes following surgical peri-implantitis treatment. Materials and methods: Group discussions based on two systematic reviews (SR) and one critical review (CR) addressed (i) the influence of implant material and surface characteristics on the incidence and progression of peri-implantitis, (ii) implant and restorative design elements and the associated risk for peri-implant diseases, and (iii) peri-implant soft-tissue level changes and patient-reported outcomes following peri-implantitis treatment. Consensus statements, clinical recommendations, and implications for future research were discussed within the group and approved during plenary sessions. Results: Data from preclinical in vivo studies demonstrated significantly greater radiographic bone loss and increased area of inflammatory infiltrate at modified compared to non-modified surface implants. Limited clinical data did not show differences between modified and non-modified implant surfaces in incidence or progression of peri-implantitis (SR). There is some evidence that restricted accessibility for oral hygiene and an emergence angle of >30 combined with a convex emergence profile of the abutment/prosthesis are associated with an increased risk for peri-implantitis (CR). Reconstructive therapy for peri-implantitis resulted in significantly less soft-tissue recession, when compared with access flap. Implantoplasty or the adjunctive use of a barrier membrane had no influence on the extent of peri-implant mucosal recession following peri-implantitis treatment (SR). Conclusions: Prosthesis overcontouring and impaired access to oral hygiene procedures increases risk for peri-implantitis. When indicated, reconstructive peri-implantitis treatment may facilitate the maintenance of post-operative peri-implant soft-tissue levels.</p>}},
author = {{Schwarz, Frank and Alcoforado, Gil and Guerrero, Adrian and Jönsson, Daniel and Klinge, Björn and Lang, Niklaus and Mattheos, Nikos and Mertens, Brenda and Pitta, João and Ramanauskaite, Ausra and Sayardoust, Shariel and Sanz-Martin, Ignacio and Stavropoulos, Andreas and Heitz-Mayfield, Lisa}},
issn = {{0905-7161}},
keywords = {{consensus; peri-implantitis; risk factors}},
language = {{eng}},
number = {{S21}},
pages = {{245--253}},
publisher = {{Wiley-Blackwell}},
series = {{Clinical Oral Implants Research}},
title = {{Peri-implantitis : Summary and consensus statements of group 3. The 6th EAO Consensus Conference 2021}},
url = {{http://dx.doi.org/10.1111/clr.13827}},
doi = {{10.1111/clr.13827}},
volume = {{32}},
year = {{2021}},
}