HOW TO EVALUATE PERI-IMPLANT MUCOSITIS & PERI-IMPLANTITIS

Question 1

What is Peri-Implant mucositis

Answer 1

1. Peri-implant mucositis is a reversible inflammatory lesion of the soft tissues surrounding an endosseous implant in the absence of loss of supporting bone or continuing marginal bone loss
2. The lesion is located lateral to the junctional/ pocket epithelium but does not extend into the supracrestal connective tissue zone “apical” of the junctional/pocket epithelium
3. The prevalence for general patient-level Peri-implant mucositis was 45%

Question 2

What is Peri-Implantitis

Answer 2

1. Peri-implantitis is a site-specific infectious disease that causes an inflammatory process in soft tissues , and bone loss around an osseointegrated implant in function
2. The general patient-level prevalence for Peri-implantitis is 20%

Question 3

Peri-implant health

The diagnostic definition of peri-implant health is based on the following criteria:

Answer 3

1. absence of peri-implant signs of soft tissue inflammation (redness, swelling, profuse bleeding on probing),
2. the absence of further additional bone loss following initial healing.

Question 4

Peri-implant mucositis - clinical & radiographic characteristics

Clinical characteristics

Answer 4

• The main one is bleeding on gentle probing , while other clinical signs of inflammation – such as erythema and swelling – may also occur.
• An increase in probing depth is often observed in the presence of peri-implant mucositis because of swelling or a decrease in probing resistance .

Question 5

Peri-implant mucositis - clinical & radiographic characteristics

Radiographic characteristics

Answer 5

In addition, radiographic images should be evaluated to exclude bone level changes consistent with the definition of peri-implantitis, as described later in the presentation.

Question 6

Peri-implantitis

Clinical findings

Answer 6

1. Vertical destruction of the crestal bone
2. Formation of a peri-implant pocket >4mm
3. Bleeding or suppuration after gently probing
4. Tissue redness and swelling
5. Mobility

Question 7

Peri-implantitis

Radiographic findings

Answer 7

Bone loss

Question 8

Conclusion

Answer 8

1. Peri-implant mucositis is a reversible inflammatory lesion of the soft tissues surrounding an implant
2. Whereas Peri-implantitis is an infectious disease that causes an inflammatory process in soft tissues, and bone loss around an implant
3. Clinical findings of Peri-implant mucositis is bleeding and or suppuration on gentle probing. Erythema and swelling may also occur.
4. Clinical findings of Peri-implantitis is vertical destruction of the crestal bone, formation of a peri-implant pocket >4mm, BOP or suppuration after gently probing, tissue redness swelling and mobility