The word «Peri-Implant disease» (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 big manufacturers created a new marketing concept and they began sto sell and to produce implants with rough surface. The market price for these implants was significantly higher. There was no scientific evidence for any 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 around their old, conventional implants. Around the implants an unstoppable chronic infection has developed and a lot of bone gets lost. Patients ask us for help and we routinely remove such old types of implants (conventional dental implants).
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.
- 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.
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