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A radiograph two years after implant placement, then seven years later in a heavy smoker, demonstrating progression of bone loss due to peri-implantitis. Peri-implantitis is a destructive inflammatory process affecting the soft and hard tissues surrounding dental implants. [1]
Peri-implant mucositis is defined as an inflammatory lesion of the peri-implant mucosa in the absence of continuing marginal bone loss. [1]The American Academy of Periodontology defines peri‐implant mucositis as a disease in which inflammation of the soft tissues surrounding a dental implant is present without additional bone loss after the initial bone remodeling that may occur during ...
Failure of a dental implant is often related to the failure of the implant to osseointegrate correctly with the bone, or vice versa. [4] A dental implant is considered to be a failure if it is lost, mobile or shows peri-implant (around the implant) bone loss of greater than 1.0 mm in the first year and greater than 0.2 mm a year after. [5]
After an implant is placed the internal components are covered with either a healing abutment, or a cover screw. A healing abutment passes through the mucosa, and the surrounding mucosa is adapted around it. A cover screw is flush with the surface of the dental implant, and is designed to be completely covered by mucosa.
Fibrous hyperplasia around a dental implant, caused by a broken denture clasp. [7] The cause is usually pressure from the flange of a denture which causes chronic irritation and a hyperplastic response in the soft tissues. [6] Women during pregnancy can also present with an epulis, which will resolve after birth.
In general, complications may be related to the patient's systemic compromise, increased functional demand, surgical technique, post-operative care, design and type of prosthesis, etc. The overall success rate for dental implants is between 90 and 100% according to the study. [12]