PERI-IMPLANTITIS IN DENTAL IMPLANTOLOGY: CLINICAL ALGORITHM FOR PREVENTION AND MANAGEMENT

Аннотация

Peri-implantitis is a destructive inflammatory condition affecting the soft and hard tissues around osseointegrated dental implants, often leading to implant failure. With the increasing popularity of dental implants, peri-implant diseases have become a major clinical challenge. This paper provides an updated overview of peri-implantitis, including its etiology, risk factors, and clinical presentation. A stepwise clinical algorithm for both prevention and treatment is proposed, based oncurrent evidence and international consensus guidelines. Keywords: peri-implantitis, dental implant, mucositis, bone loss, oral microbiome, risk management, surgical decontamination, maintenance protocol Dental implants have revolutionized modern dentistry, providing predictable long-term solutions for tooth loss. However, like natural teeth, implants are susceptible to inflammatory complications, primarily peri-implant mucositis and peri-implantitis. While mucositis is reversible inflammation of the peri-implant mucosa, peri-implantitis involves progressive bone loss,often accompanied bypus, bleeding onprobing, and pocket formation. Peri-implantitisisa multifactorial disease,with key contributing factors including:  Poororal hygiene and plaqueaccumulation  History ofperiodontitis  Improperprosthetic design and implant positioning  Smoking and uncontrolled diabetes  Occlusal overload  Inadequatemaintenance care The absence of a standardized treatment protocol and variability in patient responses has led to inconsistent outcomes. This paper outlines a structured clinical decision-making algorithm for managing peri-implantitis and emphasizes theimportance ofpreventivestrategies. page2363 INTERNATIONAL JOURNAL OF ARTIFICIAL INTELLIGENCE ISSN:2692-5206,ImpactFactor:12,23 AmericanAcademicpublishers,volume05,issue06,2025 Journal: https://www.academicpublishers.org/journals/index.php/ijai Thisreview article is based on:  Analysis of45peer-reviewed articles published between 2016and 2024  Guidelines from the European Federation of Periodontology (EFP) and American Academy ofPeriodontology (AAP)  Clinical trials and systematic reviews onperi-implantitis prevention andtreatment  Caseseries documenting outcomes ofvarious surgical and non-surgical approaches Data were synthesized into a decision-making framework that can be applied in daily clinical practice.