Peri-implantitis: Summary and consensus statements of group 3. The 6th EAO Consensus Conference 2021

Frank Schwarz, Gil Alcoforado, Adrian Guerrero, Daniel Jönsson, Björn Klinge, Niklaus Lang, Nikos Mattheos, Brenda Mertens, João Pitta, Ausra Ramanauskaite, Shariel Sayardoust, Ignacio Sanz-Martin, Andreas Stavropoulos, Lisa Heitz-Mayfield

Research output: Contribution to journalArticlepeer-review

39 Citations (Scopus)


Objective: To evaluate the influence of implant and prosthetic components on peri-implant tissue health. A further aim was to evaluate peri-implant soft-tissue changes following surgical peri-implantitis treatment. Materials and methods: Group discussions based on two systematic reviews (SR) and one critical review (CR) addressed (i) the influence of implant material and surface characteristics on the incidence and progression of peri-implantitis, (ii) implant and restorative design elements and the associated risk for peri-implant diseases, and (iii) peri-implant soft-tissue level changes and patient-reported outcomes following peri-implantitis treatment. Consensus statements, clinical recommendations, and implications for future research were discussed within the group and approved during plenary sessions. Results: Data from preclinical in vivo studies demonstrated significantly greater radiographic bone loss and increased area of inflammatory infiltrate at modified compared to non-modified surface implants. Limited clinical data did not show differences between modified and non-modified implant surfaces in incidence or progression of peri-implantitis (SR). There is some evidence that restricted accessibility for oral hygiene and an emergence angle of >30 combined with a convex emergence profile of the abutment/prosthesis are associated with an increased risk for peri-implantitis (CR). Reconstructive therapy for peri-implantitis resulted in significantly less soft-tissue recession, when compared with access flap. Implantoplasty or the adjunctive use of a barrier membrane had no influence on the extent of peri-implant mucosal recession following peri-implantitis treatment (SR). Conclusions: Prosthesis overcontouring and impaired access to oral hygiene procedures increases risk for peri-implantitis. When indicated, reconstructive peri-implantitis treatment may facilitate the maintenance of post-operative peri-implant soft-tissue levels.

Original languageEnglish
Pages (from-to)245-253
Number of pages9
JournalClinical Oral Implants Research
Issue numberS21
Publication statusPublished - Oct 2021


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