In a recent episode of Just Ask Live, leading expert Dr. Brenda Mertens provided a comprehensive overview of peri-implantitis, a significant concern in implant dentistry. Dr. Mertens, a periodontist with expertise in implantology, delved into the definition, prevalence, and diagnostic techniques for this condition.
Peri-implantitis is an inflammatory disease around dental implants that can lead to bone loss, unlike mucositis, which only affects soft tissues. Dr. Mertens emphasized the importance of early diagnosis, as mucositis can often be reversed, while peri-implantitis requires more complex treatment. The prevalence of peri-implantitis varies, with studies reporting figures between 1% and 47%, largely due to differences in diagnostic criteria and study methodologies.
A key focus of the session was diagnostic techniques. Dr. Mertens discussed the use of gentle probing, noting that it must be performed with care to avoid damaging the tissues. She also highlighted the role of radiographs in assessing bone loss, particularly when pocket depths exceed 6mm. She explained the value of proper maintenance and patient education, stressing that good oral hygiene can prevent peri-implantitis.
Dr. Mertens also touched on risk indicators for peri-implantitis, such as poor plaque control, smoking, and systemic conditions like diabetes. She recommended that clinicians focus on prevention, including thorough pre-surgical planning, patient education on oral hygiene, and regular check-ups.
Throughout the session, Dr. Mertens answered live questions from a global audience, offering practical insights on treatment protocols, implant materials, and the importance of ongoing research in combating peri-implantitis. The session concluded with a reminder of the importance of prevention and proper treatment protocols to ensure the long-term success of dental implants.
This informative session serves as an invaluable resource for implant professionals looking to deepen their understanding of peri-implantitis and enhance patient care.