No more Peri-Implantitis

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The word «Peri-Implantid» (Peri-Implantitis) became known in the middle of the 1990ies. Until then all dental implants had been polished or machined. In the beginning of the 1990ies  the big manufacturers created a new marketing and they began sto sell and to produce implants with rough surface. There was no scientific evidence for the advantage on these new implants, but the coup was successfull with the support of media. Dentists were told that success rate of the new implants would be higher and they believed it.

In our practice we see more and more patients with problems regarding their old, conventional implants. Around the implants a unstoppable chronic infection has developed and a lot of bone gets lost. Patients ask us for help.

After very precise clinical and radiografic diagnostic we can say that they suffer from «peri-implantid». This developement which is found only around the conventional implants can not be stopped or cured. The implants have to be removed sooner or later.

Furtunateley our implants which fit to any bone dimension (even after severe bone loss as it happens during «peri-implantid») and we can help these patinet by exchanging the implants.   Typically there is no need for a bone augmentation or for healing times. So after 3 days our patients are back on fixed teeth and they dont have to fear that the same will happen again.

Peri-Implantid and Oral Cancer

In the last 10 years a number of studies have been published and they point towards a correlation between traditional dental implants (2-stage implants with rough surface) with peri-implant infections and development of squamous cell carcinoma1, 2(oral cancer). It seems that the permanent infection around the big implant bodies with rough edosseous surfaces (which is called «Peri-Implantid»), like any other permanent irritant in the oral cavity, increases the risk of oral carcinoma already some time after the onset of the problem.

Progressive Peri-Implantid around all conventional dental imlant except in region 38.
Progressive Peri-Implantid around all conventional dental imlant except in region 38.
With in days after the removal of the affected implants a new bridge in ther lower jaw was incorporated (44 – 47), and the upper jaw was restored with 14 corticobasal implants in an immediate functional loading protocol.
With in days after the removal of the affected implants a new bridge in ther lower jaw was incorporated (44 – 47), and the upper jaw was restored with 14 corticobasal implants in an immediate functional loading protocol.
Severe bone loss (Peri-Implantid) around all implants in the upper jaw
Severe bone loss (Peri-Implantid) around all implants in the upper jaw
  1. Granados F, Santos-Ruiz L, Contreras M, Mellado J, Martin G, Bermudo L, Ruiz F, Aguilar Y, Yáñez I: Squamous cell carcinoma related with dental implants. A clinical cases report; J Clin Exp Dent. 2020;12(1):e98-102.
  2. Sudhir Bhandari,  Vidya Rattan, Naresh Panda, MS, Kim Vaiphei, MD,  Bhagwant Rai Mittal: Oral cancer or periimplantitis: A clinical dilemma; The Journal of Prosthetic Dentistry, June 2016, 658 – 661