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Description
This presentation will discuss implant success and failure from the holistic approach and biologic balance that always exists between local and systemic factors. Loss of this balance and deterioration of key local factors and systemic condition will inevitably lead to a peri-implant bone loss and peri-implantitis. Surgical and some prosthetic considerations in implant failures will be discussed and clinical indices of implant success will be reviewed. Case presentations will help to review apical and marginal peri-implantitis. Inflammatory nature of peri-implantitis will be compared with non-inflammatory condition that can be classified as “peri-implantosis”. Treatment of peri-implantitis will be presented. Implant success will be defined as a dynamic process related to host’s health, as well as local factors, including bone and soft tissue quality around implant, implant design, and maintenance protocols. Finally, biologic principles of implant success at the time of implant placement and with age will be suggested.
Upon completion of this presentation, participants should be able to: 1) identify causes of early and late implant failures; 2) discuss the dynamic nature of implant failure and role of systemic health; 3) define the nature of non-inflammatory implant disease and understand the difference between peri-implantitis and peri-implantosis; and 4) identify biologic principles of implant success.