Outcomes from longitudinal studies and systematic reviews have reported specific risk indicators such as history of periodontitis, insufficient width of keratinized and attached mucosa, lack of regular supportive periodontal/peri-implant therapy, and tobacco use history for the development of peri-implant diseases.
The etiological factors of peri-implant diseases are similar to those involved in periodontal diseases. Consequently, the treatment goals must be the resolution of peri-implant soft tissue inflammation and stabilization of the level of osseointegration. Conventional non-surgical treatment procedures of peri-implant lesions showed limited predictability. On the other hand, surgical interventions, whether resective or reconstructive, yielded more promising clinical and radiographic long-term outcomes.
This lecture aims to provide an evidence-based summary of risks, preventive aspects, diagnostic parameters, and treatment guidelines of the European Federation of Periodontology (EFP) in the management of peri-implant diseases.