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Duration: 1 hour, 4 minutes, 8 seconds

Author: Dr. Bradley McAllister

The Diagnosis and Surgical Management of PeriImplantitis

The Diagnosis and Surgical Management of PeriImplantitis


Periimplantitis is a condition that affects dental implants, leading to inflammation and bone loss around the implant. In this article, we will discuss the diagnosis and surgical management of periimplantitis, based on recent literature and guidelines from the American Academy of Periodontology.

Understanding Periimplantitis


Recent studies have shed light on the etiology of periimplantitis, indicating that it is mainly caused by microbial factors and host-related factors. Microbial factors include the colonization of pathogenic bacteria on the implant surface, while host-related factors involve the patient’s immune response and systemic conditions.


The prevalence of periimplantitis can vary depending on the threshold used for bone loss. Studies have shown that it ranges from 2mm to 5-6mm. It is estimated that 10-15% of dental implants are affected by periimplantitis.

Diagnosis of Periimplantitis

Clinical Examination

A thorough clinical examination is crucial for diagnosing periimplantitis. This includes assessing the presence of bleeding on probing, suppuration, and probing depth around the implant. Radiographic evaluation is also necessary to assess the level of bone loss.

Biological Markers

Biological markers, such as periimplant crevicular fluid analysis and genetic testing, can provide valuable information for confirming the diagnosis of periimplantitis.

Treatment Approaches

Non-Surgical Treatment

Non-surgical treatment options for periimplantitis include mechanical debridement, local antimicrobial therapy, and adjunctive systemic antibiotics. These approaches aim to eliminate microbial biofilm and promote healing of the periimplant tissues.

Surgical Intervention

In cases where non-surgical treatment is ineffective, surgical intervention may be necessary. This can involve implantoplasty, regenerative procedures, or implant removal in severe cases. The choice of surgical procedure depends on the extent of bone loss and the presence of other complications.

Maintenance and Prevention

Regular Follow-Up

Long-term success of dental implants relies on regular follow-up and maintenance. This includes professional cleaning, evaluation of periimplant parameters, and patient education on oral hygiene practices.

Preventing Periimplantitis

Prevention of periimplantitis is crucial in reducing its incidence. This can be achieved through proper implant selection, meticulous surgical technique, and patient education on oral hygiene. Additionally, avoiding risk factors such as smoking and uncontrolled diabetes can also contribute to preventing periimplantitis.


In conclusion, the diagnosis and surgical management of periimplantitis are crucial for ensuring the long-term success of dental implants. By understanding the etiology, diagnosing the condition accurately, and implementing appropriate treatment approaches, dental professionals can effectively address periimplantitis and improve patient outcomes.

Frequently Asked Questions

1. Can periimplantitis be completely cured?

No, periimplantitis cannot be completely cured, but its progression can be controlled and managed with appropriate treatment.

2. How often should dental implants be professionally cleaned?

Dental implants should be professionally cleaned at least twice a year to ensure their long-term success.

3. Are there any alternative treatments to surgical intervention for periimplantitis?

Yes, non-surgical treatments can be attempted initially, but if they fail to resolve the condition, surgical intervention may be needed.

4. How can I prevent periimplantitis?

You can prevent periimplantitis by practicing good oral hygiene, attending regular dental check-ups, and avoiding risk factors such as smoking.

5. Is periimplantitis more common in certain patient populations?

While periimplantitis can affect anyone with dental implants, certain risk factors such as smoking, diabetes, and poor oral hygiene can increase the likelihood of developing the condition.

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