What is peri-implantitis
Peri-implantitis is defined as an inflammatory process that affects the tissues around implants. This results in the loss of bone support around them.
Peri-implantitis an infection. In prevention, we can detect it using the microscope. Unfortunately, when the infection has been present for some time, there may be redness, bleeding, pus, or even bone loss.
The consequences
An implant when affected by peri-implantitis loses bone faster than a natural tooth because the natural tooth has several gingival and periodontal fibers that attach to it perpendicularly while an implant does not have these periodontal fibers. The gingival and periodontal fibers around an implant are less strong to protect the bone from bacterial and parasitic attack.
Dental hygiene
This is why very rigorous dental hygiene is required with implants. When you see redness or tenderness around the implants, it’s important to keep brushing, harder, and floss deeply. We strongly suggest that if you have any doubts or if the redness persists for more than two weeks to consult a dentist with a microscope for a better diagnosis.
Les classes de péri-implantite sont :
Class 1 : There is moderate bone loss present horizontally (3 threads or no screws, exposed)
Class 2 : It has moderate to advanced bone loss present, but horizontally (3 to 5 threads or no screws, exposed)
Class 3 : There is moderate bone loss horizontally and advanced bone loss circumferentially around the implant (5 threads or threads, exposed and circumferentially)
Class 4 : There is moderate to horizontally advanced bone defect and bone loss
advancement in circumference accompanied by significant bone loss.
Is it possible to treat
Treatment is possible for you when you are at the level of classes 1 and 2. Disinfection will be necessary using specific products and then debridement of your implants. Then, there will be close follow-ups to ensure that the implants are kept for as long as possible.
Unfortunately, in stage 3 and 4 cases, when the implants no longer have enough bone to support the implants, we have to extract them.
