Peri-Implantitis: The Silent Enemy of Dental Implants

What is peri-implantitis?

Peri-implantitis is a chronic inflammation of the soft and hard tissues surrounding a dental implant. It affects both the gums and the jawbone in which the implant is anchored. This inflammation causes gradual bone loss around the implant — similar to periodontitis around natural teeth.

The most common causes include:

• Inadequate oral hygiene
• Smoking
• A poorly fitted restoration or crown
• Long-term overloading of the implant
• Susceptibility to inflammation (e.g. in diabetic patients)

How do you know something is wrong?

Peri-implantitis progresses painlessly for a long time, which makes it insidious. Warning signs include:

• Bleeding gums around the implant
• Swelling or redness of the gums
• Bad breath
• Sensitivity or pressure when biting
• Gum recession or an exposed implant thread
• Implant mobility (in advanced stages)

How is it treated?

Treatment depends on the stage of the disease. The earlier it is detected, the greater the chance of saving the implant.

1. Professional cleaning and decontamination of the implant — Using ultrasound, specialised instruments, and antibacterial gels, inflammatory deposits are removed.
2. Antibiotic therapy — Locally or systemically, depending on the extent of the inflammation.
3. Surgical treatment — In advanced cases, surgical debridement of the inflammatory site, bone grafting, or gum surgery may be necessary.
4. Adjustment of the prosthetic work — If the inflammation is caused by a poorly fitted crown, it needs to be adjusted or replaced.

Prevention is key

• Thorough daily hygiene (including interdental!)
• Regular check-ups with your dentist
• Dental hygiene every 3–6 months
• Do not smoke
• Follow post-implant placement instructions

Conclusion

An implant can serve for decades — if it is given proper care. Peri-implantitis is not a reason for panic, but for swift action. At our clinic, we have experience with modern treatment and prevention of this condition.

Come for a check-up or dental hygiene appointment — early diagnosis is the key to maintaining your healthy and strong smile.