Implants in Periodontally Compromised Patients: Unveiling the misconception

Implant reconstruction in periodontal patients has been shown to be a successful and predictable treatment option for the replacement of missing teeth due to tooth loss resulting from destructive periodontal disease. Some long-term studies have demonstrated a higher risk of peri-implantitis in this group of patients.  Therefore, stabilizing the periodontal condition before implant installation is mandatory, and providing long-term supportive periodontal therapy is of utmost importance. This review briefs such options with emphasis on how the face of Periodontology has changed in the last 20 years of its practice.