Peri-implantitis: Basic Disease Information

Peri-Implantitis (Infected Dental Implant Treatment Options)

What is Peri-implantitis?

Peri-implantitis is a destructive inflammatory process affecting the soft and hard tissues surrounding dental implants. It results in the loss of supporting bone and, if left untreated, can lead to implant failure.

What Causes Peri-implantitis?

The primary cause of peri-implantitis is bacterial infection, similar to the bacteria that cause periodontal disease. Other contributing factors include poor oral hygiene, smoking, previous history of periodontal disease, and systemic conditions like diabetes.

What are the Symptoms of Peri-implantitis?

Symptoms include redness, swelling, and bleeding of the gums around the implant, pus discharge, increased probing depth around the implant, and progressive bone loss as seen in radiographs. Pain is not always present.

How is Peri-implantitis Diagnosed?

Diagnosis is made through clinical examination, assessing signs of inflammation, and radiographic evaluation to detect bone loss around the implant. Probing around the implant is also an essential diagnostic tool.

How is Peri-implantitis Treated?

Treatment aims to control the infection and may include mechanical debridement, antimicrobial therapy, and, in some cases, surgical intervention to regenerate lost bone. Good oral hygiene and regular follow-ups are crucial for successful management.

Can Peri-implantitis be Prevented?

Prevention includes maintaining good oral hygiene, regular dental check-ups, avoiding smoking, and managing systemic health conditions. Immediate treatment of peri-implant mucositis, the precursor of peri-implantitis, is also vital.

What is the Prognosis for Dental Implants Affected by Peri-implantitis?

The prognosis depends on the severity of the condition and the response to treatment. Early detection and intervention can stabilize the implant. However, in advanced cases, implant removal may be necessary.

Peri-implantitis is similar to periodontitis, a condition that affects natural teeth, as it involves bacterial infection and inflammation. The cause of this disease is often related to poor oral hygiene, which allows harmful bacteria to grow and accumulate around the implant.

The symptoms of peri-implantitis may include swelling, redness, bleeding gums, bad breath, and gum recession around the dental implant. Additionally, patients may experience pain or discomfort while chewing or touching the affected area.

It is important to diagnose and treat peri-implantitis early to prevent further damage and potential implant loss. Treatment options may include professional dental cleaning, antibiotic therapy, surgical intervention to clean the infected area, or implant removal in severe cases.

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To prevent peri-implantitis, maintaining proper oral hygiene is crucial. Regular brushing and flossing, along with routine dental check-ups and cleanings, can help reduce the risk of developing this disease. It is also important to avoid habits such as smoking, as it can increase the likelihood of implant complications.

Peri-implantitis Symptoms

Swelling around the implant site
Bleeding or discharge
Pain or tenderness
Redness or inflammation
Loosening or mobility of the implant
Persistent bad breath
Gum recession exposing implant threads
Bone loss around the implant
Pus formation
Implant site infection