All the following is needed to prolong the longevity of the implant and reduce the risk of peri-implantitis.

Peri-implantitis is the destructive inflammatory process affecting the soft and hard tissues surrounding dental implants.

Long-term failures are due to either loss of bone around the tooth and/or gingiva due to peri-implantitis or a mechanical failure of the implant.

This has created the potential for cement, that escapes from under the crown during cementation to get caught in the gingiva and create a peri-implantitis (see picture below).

Periodontology also involves the placement and maintenance of dental implants, including the treatment of peri-implantitis which is inflammatory bone loss around dental implants.

The array of periodontal pathogens found around failing implants (those affected by peri-implantitis) are very similar to those found in association with various forms of periodontal disease.

Those with poor oral hygiene, heavy smokers and diabetics are all at greater risk for a variant of gum disease that affects implants called peri-implantitis, increasing the chance of long-term failures.

There is limited evidence showing that implants with relatively smooth surfaces are less prone to peri-implantitis than implants with rougher surfaces and no evidence showing that any particular type of dental implant has superior long-term success.

See Image & See Image Maintenance of implants by the patient: Plaque control is essential to prevent peri-implantitis and intra-oral infections See Image & See Image Removable structures regularly removed and cleaned by conventional methods.