Peri-implantitis has become a significant focus in our practices which was never even contemplated when implants had been first introduced. In fact, systematic reviews and meta-anaylses have demonstrated that after 10 years in function, over half the implants that have been placed are affected with a biologic disease, i.e. peri-implant mucositis or peri-implantitis. The reasons for this are multi factorial and our approach needs to first identify and minimize risks through preventive strategies but to also embrace emerging methods of treatment once biologic disease has been diagnosed. What can we do early on once implants are placed to prevent the emergence and progression of peri implant diseases?

This presentation will focus on some of the critical risk indicators and factors to which we must pay attention. Studies continue to point out emerging issues never thought about in the past that predispose our patients to diseases. Where are beginning to better understand how inflammatory issues such as diabetes, periodontitis, and obesity play into this scenario. Other concerns center on how much keratinized masticatory mucosa that may be needed for stability? What is the best surface texture at the top of our implants? Does cementing restorations increase peri-implant problems? Does crown contour have an effect on peri-implant problems? Does the use of bone level versus tissue level versus platform switched implants make a difference?

These are some of the topics that will be addressed along with how effective our treatment is of these problems.