RT Journal Article
T1 Peri‐implant diseases and conditions: Consensus report of workgroup 4 of the 2017 World Workshop on the Classification of Periodontal and Peri‐Implant Diseases and Conditions
A1 Berglundh, Tord
A1 Armitage, Gary
A1 Araujo, Maurizio G
A1 Avila‐Ortiz, Gustavo
A1 Blanco, Juan
A1 Camargo, Paulo
A1 Chen, Stephen
A1 Cochran, David
A1 Derks, Jan
A1 Figuero Ruiz, Elena
A1 Hämmerle, Christoph H.F.
A1 Heitz‐Mayfield, Lisa J.A.
A1 Huynh‐ Ba, Guy
A1 Iacono, Vincent
A1 Koo, Ki-Tae
A1 Lambert, France
A1 McCauley, Laurie
A1 Quirynen, Marc
A1 Renvert, Stefan
A1 Salvi, Giovanni E.
A1 Schwarz, Frank
A1 Tarnow, Dennis
A1 Tomasi, Cristiano
A1 Wang, Hom-Lay
A1 Zitzmann, Nicola
AB A classification for peri-implant diseases and conditions was presented. Focused questions on the characteristics of peri-implant health, peri-implant mucositis, peri-implantitis, and soft- and hard-tissue deficiencies were addressed. Peri-implant health is characterized by the absence of erythema, bleeding on probing, swelling, and suppuration. It is not possible to define a range of probing depths compatible with health; Peri-implant health can exist around implants with reduced bone support. The main clinical characteristic of peri-implant mucositis is bleeding on gentle probing. Erythema, swelling, and/or suppuration may also be present. An increase in probing depth is often observed in the presence of peri-implant mucositis due to swelling or decrease in probing resistance. There is strong evidence from animal and human experimental studies that plaque is the etiological factor for peri-implant mucositis. Peri-implantitis is a plaque-associated pathological condition occurring in tissues around dental implants, characterized by inflammation in the peri-implant mucosa and subsequent progressive loss of supporting bone. Peri-implantitis sites exhibit clinical signs of inflammation, bleeding on probing, and/or suppuration, increased probing depths and/or recession of the mucosal margin in addition to radiographic bone loss. The evidence is equivocal regarding the effect of keratinized mucosa on the long-term health of the peri-implant tissue. It appears, however, that keratinized mucosa may have advantages regarding patient comfort and ease of plaque removal. Case definitions in day-to-day clinical practice and in epidemiological or disease-surveillance studies for peri-implant health, peri-implant mucositis, and peri-implantitis were introduced. The proposed case definitions should be viewed within the context that there is no generic implant and that there are numerous implant designs with different surface characteristics, surgical and loading protocols. It is recommended that the clinician obtain baseline radiographic and probing measurements following the completion of the implant-supported prosthesis.
PB Wiley
SN 0303-6979
YR 2018
FD 2018
LK https://hdl.handle.net/20.500.14352/110303
UL https://hdl.handle.net/20.500.14352/110303
LA eng
NO Berglundh T, Armitage G, Araujo MG, Avila-Ortiz G, Blanco J, Camargo PM, Chen S, Cochran D, Derks J, Figuero E, Hämmerle CHF, Heitz-Mayfield LJA, Huynh-Ba G, Iacono V, Koo KT, Lambert F, McCauley L, Quirynen M, Renvert S, Salvi GE, Schwarz F, Tarnow D, Tomasi C, Wang HL, Zitzmann N. Peri-implant diseases and conditions: Consensus report of workgroup 4 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J Clin Periodontol. 2018 Jun;45 Suppl 20:S286-S291. doi: 10.1111/jcpe.12957
DS Docta Complutense
RD 24 dic 2025