Key result
Modified peri-implantitis classification incorporates 3D implant position to facilitate prognosis and treatment planning.
Why the study?
Diagnosing peri-implantitis based on arbitrary probing depth and bone loss thresholds limits meaningful information on prevalence and treatment.
Proposes an enhanced classification for peri-implantitis that includes implant position to better guide prognosis and management.
May support refined peri-implantitis assessment with implant position; leaves open prospective validation before clinical adoption.
Historically, diagnosing peri-implantitis is done based on whether the disease is present, evaluated using the arbitrary thresholds of probing depths and bone loss. Using this approach as a tool to ascertain meaningful information regarding prevalence and treatment is limited. Efforts have been made to improve upon this, but to date, only one of these classifications has provided a simple method to communicate disease severity based on the amount of bone loss. A modified version of this simplified classification is proposed here, including information regarding the implant position, as emerging information suggests that this is a crucial factor in the etiology and prognosis of peri-implantitis. This enhancement to the classification better serves both researchers and clinicians in their discussion about peri-implantitis and helps to determine and recommend the most effective methods of management.
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Rosen et al. (2022) conducted a review in Peri-implantitis. Revised peri-implantitis classification scheme was evaluated. A modified peri-implantitis classification scheme incorporating three-dimensional implant position is proposed to better facilitate prognosis and treatment planning.
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