Peri-implant health Peri-implant hard and soft tissues are formed as a result of a wound-healing process following implant installation. The formation of new bone in contact with the implant is recognised as osseointegration, while the establishment of peri-implant mucosa includes the build-up of a junctional epithelium and a connective-tissue zone in contact with components of the implant. Peri-implant health is characterised by the absence of clinical signs of inflammation, such as swelling, redness, and BoP. It is not possible, however, to define a range of probing depths that are compatible with health. In addition, peri-implant health can exist around implants with reduced bone support. There are different scenarios in which peri-implant health may coincide with reduced bone support, as peri-implant health can be achieved at sites successfully treated for peri-implantitis. In addition, healing following implant placement in sites with ridge deficiencies may result in a bone level located apical of the implant margin and with parts of the peri-implant mucosa facing the intraosseous portion of the implant.
Case definition of peri-implant health in day-to-day clinical practice :
• absence of clinical signs of inflammation; • absence of bleeding/suppuration on gentle probing; • no increase in probing depth compared to previous examinations; • no bone loss.
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Peri-implant health
Peri-implant health, peri-implant mucositis, and peri-implantitis
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Guidance for clinicians
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