Peri-implantitis: A Comprehensive Overview of Systematic Reviews

J Oral Implantol. 2018 Jun;44(3):225-247. doi: 10.1563/aaid-joi-D-16-00122. Epub 2017 Nov 28.

Abstract

The objective of this systematic review was to perform a comprehensive overview of systematic reviews and meta-analyses pertaining to peri-implantitis in humans, including the prevalence and incidence, the diagnostic findings, microbial findings, effects of systemic diseases, and treatment of peri-implantitis. Electronic databases were searched for systematic reviews and meta-analyses of peri-implantitis. In view of the limitations of the included systematic reviews, the outcome of this overview suggested that (1) occurrence of peri-implantitis was higher in patients with periodontitis, in patients who smoke, and after 5 years of implant function; (2) the microbial profile of peri-implantitis was different from periodontitis; (3) risk for peri-implantitis was higher in patients with uncontrolled diabetes and cardiovascular disease; (4) there was no strong evidence to suggest the most effective treatment intervention for peri-implantitis, although most peri-implantitis treatments can produce successful outcomes; and (5) postimplant maintenance may be crucial in patients with a high risk of peri-implantitis.

Keywords: bone loss; dental implant; peri-implant; peri-implantitis; systematic review.

Publication types

  • Review

MeSH terms

  • Dental Implants* / adverse effects
  • Humans
  • Incidence
  • Meta-Analysis as Topic
  • Peri-Implantitis*
  • Periodontitis*
  • Risk Factors
  • Systematic Reviews as Topic

Substances

  • Dental Implants