Tissue Management Around Dental Implants

Michal Štefanatný

The primary etiological factor in the onset and progression of peri-implant tissue disease is the accumulation of biofilm. However, in addition to plaque, other risk factors also play a role in the development of the disease, including a history of periodontitis, lack of or irregular peri-implant care, or non-cleanable prosthetic reconstructions. What steps can we take before placing a dental implant to achieve long-term predictable and stable outcomes? And what measures should we follow after completing implant treatment in order to maintain implant function for as long as possible? What impact does the absence or insufficient width of keratinized tissue have on the long-term maintenance of implant health? What factors negatively affect oral hygiene and increase implant susceptibility to inflammatory complications? Are we able to reduce the risk of peri-implantitis and further bone loss through any intervention? What should be the frequency of dental hygiene visits, what actions should the hygienist or dentist take during recall appointments and how should the patient be instructed in home care?