Title : Dental implant treatment in periodontitis patients: Risk factors and clinical indications
Abstract:
Implant therapy has undergone an exponential increase in the last decades, being now considered the main rehabilitative option for edentulism. In periodontal patients implant treatment deserves particular attention, both in terms of execution, and in terms of prognosis over time. On one side, in fact, periodontitis represents the main cause of tooth loss in the adult population, so that many of the implants inserted today are in substitution of teeth lost for periodontal causes. On the other side, however, periodontitis causes, in addition to tooth loss, also tissue deficits that make implant planning and execution in such sites considerably more complex, from both a functional and aesthetic point of view. Furthermore, untreated periodontitis is an absolute contraindication for implant therapy and, also after periodontal therapy, history of periodontitis has been associated with an increased risk of complications and implant loss in the medium-long term. The aim of this presentation is to review the most recent literature concerning the influence of the history of periodontitis on implant outcomes over time, with a particular attention on the role played by factors such as poor oral hygiene, smoke habit, compliance to periodontal supportive therapy, implant surface and stage/grade of periodontitis.
Audience takeaway notes:
- Principles of direct clinical applicability will be discussed and provided to the audience, supported by sound scientific evidence.
- The knowledge and the understanding of the most recent scientific evidence on peri-implantitis risk factors will help clinicians to correctly manage implant cases and improve their success and prognosis over time.
- Several food for thought are present that could induce further research and teaching activity, e.g the role of the history of periodontitis and implant surfaces on the maintaining of implant success over time.
