Newer proposed classification of periimplant defects: A critical update.
The term peri-implantitis is used to describe a destructive inflammatory process affecting the soft and hard tissues around osseo integrated implants, leads to the formation of a peri-implant pocket and loss of supporting bone. Predisposing factors are Poor Plaque Control, inflammation, infection, Smoking, Diabetes and Occlusal Overload. It is diagnosed on the basis of clinical and radiographic interpretation and still no definite criteria have been proposed for the diagnosis and treatment of peri-implantitis. However treatment can be both conservative and surgical. The cumulative interceptive supportive therapy protocol serves as good guide for the treatment of the peri-implantitis. There is lack of a standard classification system to differentiate the various degrees of peri-implantitis, which produces dilemma in evaluating the stages clinical and radiological status, treatment and its outcome. Many classification has been proposed in medical literature with their pros and cons but still there is lack of standard classification system of implant defects and definite treatment protocol according to the same. The classification should be easy to use, clearly understandable and help in communication by clinicians of different speciality. This review aimed to introduce a classification system based on added clinical, and detailed radiological parameters with prognosis and staged treatment algorithms.
Department of Oral and Maxillofacial Surgery, ESIC Dental College and Hospital, Rohini, Delhi, India.
Deepak
D
Passi
Department of Oral and Maxillofacial Surgery, Uttaranchal Dental and Medical Research Institute, Dehradun, Uttarakhand, India.
Mahinder
M
Singh
Department of Oral and Maxillofacial Surgery, M. B. Kedia Dental College, Chhapkaiya, Birgunj-2, Nepal.
Shubha Ranjan
SR
Dutta
Department of Conservative Dentistry and Endodontics, E.S.I.C. Dental College and Hospital, Rohini, Delhi, India.
Sarang
S
Sharma
Department of Public Health Dentistry, E.S.I.C. Dental College and Hospital, Rohini, Delhi, India.
Mansi
M
Atri
Department of Conservative Dentistry and Endodontics, Maulana Azad Institutes of Dental Sciences, New Delhi, India.
Jyoti
J
Ahlawat
Department of Oral and Maxillofacial Surgery, Uttaranchal Dental & Medical Research Institute, Dehradun, India.
Abhinav
A
Jain
ABWG- Autogenous bone wedge grafting; APF (Apically positioned flap); GBR Guided bone regeneration; Peri-implantitis; Pocket depth