Peri-implantitis is an infectious disease that causes inflammation of the bone and connective tissue around a dental implant. The occurrence of chronic inflammation can lead to bone loss, which may cause the implant wobble and eventually fall out.
What causes peri-implantitis?
Given that an implant cannot adhere to the gums as easily as natural teeth, there is a considerable risk of inflammation and ultimately peri-implantitis. The cavity remains moist around the implant, which facilitates the growth of harmful microorganisms. This can lead to bone loss in addition to inflammation.
More than 40% of patients with implants experience inflammation around the implant, often known as peri-implantitis.
Risk factors include:
- Smoking
- Periodontitis (inflammation of the periodontium, an acute gingivitis).
- Genetics
- Diseases such as diabetes
Signs and symptoms of peri-implantitis
- Bleeding
- Redness and swelling of the mucosa
- Pus formation around the implant
- Pain around the implant
- Bone loss
- Implant mobility
- Recession in the gingiva and the implant is beginning to be seen
Although peri-implantitis is a complex disorder and bacteria play an important role, they are most likely not the main factor contributing to the development of this disease. The same germs that are present in peri-implant pockets can also be found on implants. implants implants.
Treatment for peri-implantitis
Surgical procedures that can be performed to treat peri-implantitis include the following:
Access surgery. It consists of opening the flap, removing the granules and cleaning the surface of the implant.
The first treatment consists of using curettes and ultrasound to eliminate bacterial accumulation on the surface of the dental implant. If this is not sufficient, resective, regenerative or combined techniques have been proposed, to be chosen according to the degree of skin defect.
In more complex cases, the solution is to remove the dental implant. compromised dental implant, restore the damaged tooth and insert another dental implant. restore the damaged tooth and insert another dental implant.
