Implant and Peri-implant Tissue Maintenance: Protocols to Prevent Peri-implantitis

Purpose of Review In the absence of prevention protocols, early diagnosis and predictable treatment options for peri-implant diseases, the long-term survival of dental implants may be compromised. The purpose of the present review is to outline risk factors/indicators for peri-implantitis and propose current protocols (2015–present) for their control and disease prevention. Recent Findings Recent evidence suggests that factors including use of proton-pump and selective serotonin-reuptake inhibitors, titanium-particle release, disruption of the implant-abutment connection, and prosthesis material/dimensions may increase peri-implantitis prevalence. Although the literature is still scarce, identifying these factors and developing appropriate maintenance protocols is imperative to prevent disease development. Summary Peri-implantitis can be influenced by several risk factors/indicators that can be classified as patient related, clinical, and/or implant related. To facilitate the individualized patient risk profile assessment and guide clinical decisions, this review describes the impact of identified risk factors/indicators on peri-implant health and proposes preventive protocols based on the latest evidence.