Preventing peri-implant disease: What the latest evidence demands of every clinician
Summary & scoring by The Bell Brief (Dr. Jennifer Bell) using the Drill-Down Protocol (Drill-Down Score) — not the original publisher.
Why it matters for dental
Implant patients face peri-implant disease risk that can threaten long-term survival. Practice owners and restorative dentists must implement pre-placement risk assessment, risk-specific maintenance intervals, and prosthetic designs that allow hygiene access to protect implant success rates and revenue.
Key points
- EFP S3 guideline directs clinicians to treat existing periodontitis to stability, confirm smoking cessation, and optimize glycemic control before implant placement.
- Study reports peri-implantitis incidence of 18 percent in maintenance-enrolled patients versus 43.9 percent in patients without maintenance programs.
- Multicenter study of more than 3,500 implants recommends two to three supportive-therapy visits per year for patients with a history of periodontitis.
- 2025 AAP/AO systematic review finds glycine air-powder devices achieve highest biofilm removal with minimal implant-surface alteration among tested methods.
Who should care
Read the original on Dental Economics
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