LECTURE: Peri-implantitis: Defect Reconstruction to Soft Tissue Management

HANDS-ON: Reconstructive Hard and Soft Tissue Management of bone Defects Using Next-Generation Biomaterials

Introduction
Peri-implantitis is a biofilm-mediated inflammatory condition characterized by peri-implant mucosal inflammation and progressive bone loss, which may lead to implant failure if left untreated. Multiple risk factors contribute to its onset and progression. Keratinized mucosa plays an essential protective role against bacterial colonization and mechanical irritation; its absence, together with inadequate mucosal thickness, increases susceptibility to plaque accumulation, peri-implant inflammation, and mucosal recession, making it a key determinant in disease onset.

Summary of main points
Effective prevention and treatment of peri-implantitis rely on the combined management of soft and hard peri-implant tissues. A reconstructive approach is proposed for cases presenting with peri-implant bone defects, aiming to achieve bone regeneration, possible re-osseointegration, and minimized mucosal recession. Selecting an appropriate bone graft material according to defect morphology is central to successful reconstruction. In parallel, soft tissue augmentation procedures, using a range of graft materials and substitutes, address insufficient keratinized mucosa and support long-term peri-implant health, reducing the risk of disease recurrence.Conclusion
A combined, tissue-specific approach, integrating hard tissue reconstruction with soft tissue augmentation, offers a feasible and effective strategy for the prevention, treatment, and long-term management of peri-implantitis.

Conclusion
A combined, tissue-specific approach, integrating hard tissue reconstruction with soft tissue augmentation, offers a feasible and effective strategy for the prevention, treatment, and long-term management of peri-implantitis.

Learning objectives:
1. Identify the risk factors contributing to peri-implant diseases and strategies for their prevention.
2. Discuss the role of peri-implant mucosa and the therapeutic procedures used to preserve tissue health.

Present regenerative approaches for the prevention and treatment of peri-implantitis.