Treatment of Peri-implantitis: Surgical Therapeutic Approaches Based on Peri-implantitis Defects

Stefano Parma-Benfenati, MD, DDS, MSCD/Marisa Roncati, DDS/Carlo Tinti, MD, DDS: Peri-implantitis is a frequently occurring inflammatory disease mediated by bacterial infection that results in the loss of supporting bone. Peri-implantitis should be treated immediately, but there is a lack of evidence regarding the most effective therapeutic interventions. Nonsurgical periodontics may be the treatment of choice in cases of peri-implant mucositis or if the patient has medical contraindications or refuses to consent to more appropriate treatment. Peri-implantitis defects will dictate the therapeutic approach and present a guideline for relative clinical management. The suggested therapeutic solutions are derived from clinical experience and are meant to be a useful guide. (Int J Periodontics Restorative Dent 2013;33:627–633. doi: 10.11607/prd.1549)