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The Peri-Implantitis: Implant Surfaces, Microstructure, and Physicochemical Aspects.

Journal article
Authors Jaafar Mouhyi
David Dohan Ehrenfest
Tomas Albrektsson
Published in Clinical implant dentistry and related research
Volume 14
Issue 2
Pages 170–183
ISSN 1708-8208
Publication year 2012
Published at Institute of Clinical Sciences, Department of Biomaterials
Pages 170–183
Language en
Subject categories Biomaterials


ABSTRACT There are two ways of looking at secondary failures of osseointegration; one is to reflect on possible causes for the failure, the other focuses on the pathology per se. In the first case, background factors such as mechanical trauma (adverse loading) or inflammations/infections are being discussed as the cause of failure. Then peri-implantitis is a term reserved for implant disturbance due to inflammation/infections only. However, irrespective of the original reason for the failure being adverse loading or inflammation/infection, the end result with bone resorption and inflammation may be very similar. Hence, in the present article, an alternative outlook has been chosen. Trigerring factors for peri-implantitis are generally gathered under four categories: lesions of peri-implant attachment, presence of aggressive bacteria, excessive mechanical stress, and corrosion. If only one of these factors would start a chain reaction leading to lesions, then the other factors may combine to worsen the condition. With other words, peri-implantitis is a general term dependent on a synergy of several factors, irrespective of the precise reason for first triggering off symptoms.

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