Monitoring for and managing peri-implant diseases

Peri-implant mucositis is an inflammatory condition which affects the soft tissues surrounding an implant. It is reversable, and treatable with non-surgical methods. Peri-implantitis, on the other hand, is irreversible and leads to the loss of bone which supports the implant. More invasive intervention is often needed for successful outcomes. Peri-implant diseases are common, with peri-implantitis having a prevalence of around 10 per cent at implant level.

There are a number of risk factors associated with peri-implant diseases, including poor oral health, periodontal disease, smoking, infrequent recalls, diabetes, alcohol, and improper restoration design. Clinicians should work with patients to minimise their effects and protect the long-term health of the peri-implant tissue. It is important to understand the differences between these conditions and how best to treat them, to prevent progression and dental implant loss.

Diagnosing peri-implant diseases

Making an accurate diagnosis is essential when deciding on a treatment pathway. When it comes to peri-implant diseases, speed can also be crucial. Peri-implant disease diagnosis often comes after identifying inflammation in the soft tissues which surround the implant, any mobility caused by loss of soft tissue support and bone loss, and bleeding on probing in the pockets surrounding the restoration – sometimes, this is the only indication of disease.