The causes of peri-implantitis remain a hotly debated topic in the world of implant dentistry. A UK-based study took a closer look at the prosthodontic stages of treatment to see if they could identify ways to limit the incidence of peri-implantitis.
The extent to which procedures carried out during the prosthodontic stage can contribute to peri-implantitis has not been fully explored. The authors of this study posited that the role of prosthodontic treatment may be underestimated with regards to peri-implantitis causation. For instance, procedures such as impression-taking and cementation may have serious long-term consequences if the implant surface has been contaminated.
The authors carried out a systematic review of the prosthodontic phases of treatment to identify best practices for minimising peri-implant complications. This involved an examination of the clinical, biological and mechanical complications which can be encountered during restoration.
As its causes are not fully understood, the authors could not provide a definitive course of action for prosthodontists looking to reduce the chances of peri-implantitis. They recommend taking care to select an implant with a proven track record as well as paying meticulous care and attention to the execution and delivery of the prosthesis, to further mitigate the chances of peri-implantitis.
This study was presented as an e-poster at the 2017 EAO Congress.