What is Peri-implantitis?
Peri-implantitis is a troubling condition that can compromise the stability and health of dental implants. This blog post explores in depth the causes, symptoms and treatment options for this condition, with a special focus on the options available in Zaragoza, where our specialists are prepared to offer the latest solutions in dental care.
Peri-implantitis is a serious inflammatory complication associated with dental implants. This condition affects the soft tissues and bone around implants that have already been integrated. By thoroughly understanding what peri-implantitis is, how it develops and its implications, dental health professionals can better prevent, diagnose and treat this disease, preserving the oral health and integrity of patients’ dental implants.
Peri-implantitis is characterized by inflammation of the gums and progressive loss of the alveolar bone surrounding a dental implant. This inflammatory process usually begins as peri-implant mucositis, a reversible condition that affects only the soft tissues. Without proper treatment, mucositis can progress to peri-implantitis, where the inflammation extends to the bone, leading to its progressive destruction.

Inadequate Dental Hygiene
Bacterial plaque build-up is a major cause of peri-implantitis. Dental implants, like natural teeth, require meticulous maintenance. Without proper hygiene, plaque can accumulate and harden, forming tartar that irritates gingival tissues and promotes inflammation and infection.
Associated Risk Factors
In addition to poor dental hygiene, factors such as smoking, diabetes, and genetic predisposition can significantly increase the risk of peri-implantitis. Tobacco use, for example, affects the body’s ability to fight infection and repair tissues, which can accelerate disease progression.

Redness and Inflammation
Initial symptoms include redness, swelling and tenderness of the gums around the implant. These signs may be accompanied by pain when chewing or touching the area, indicating active inflammation and possibly infection.
Symptoms to Watch for in Peri-implantitis
Peri-implantitis, like any periodontal disease, presents specific symptoms that can alert both patients and dental health professionals to its development. Detecting these symptoms early is crucial to intervene effectively and prevent progression of the disease, which can lead to dental implant loss.
Loss of Bone Support
A more serious and advanced sign of peri-implantitis is bone loss around the implant. This is often detected by radiographs and may manifest clinically as increased implant mobility.
Diagnosis of Peri-implantitis
Accurate diagnosis of peri-implantitis is a critical component in the effective management of this dental complication, as it allows for early and targeted intervention to prevent disease progression and possible implant loss.
The detection of peri-implantitis involves a set of clinical evaluations and imaging techniques that help differentiate this condition from other periodontal diseases and determine the extent of damage caused to the surrounding tissue.
Clinical Examinations
Diagnosis begins with a detailed examination of the gums and implant. The dentist will measure the depth of the peri-implant pockets and evaluate any signs of inflammation or infection.
Imaging Techniques
X-rays are crucial to assess the extent of bone loss around the implant. In some cases, a CT scan may be used to obtain a more accurate and detailed image of the bone structure.
Peri-implantitis Treatment Options
Treatment options for peri-implantitis are crucial to control this inflammatory condition and preserve the integrity of the affected dental implant.
Given the complexity of the disease, which involves both soft tissue destruction and bone loss around the implant, it is essential to implement a multifaceted therapeutic approach tailored to the severity of each case.
Non-Surgical Treatments
These may include mechanical cleaning of the implant surface and surrounding affected areas, use of antibiotics and antiseptics to control infection, and laser therapies to reduce bacterial load and promote tissue regeneration.

Surgical Treatments
In more advanced cases, surgical procedures may be necessaryto thoroughly clean the infected area, remove the damaged tissue, and in some cases, attempt regeneration of the lost bone through guided bone regeneration techniques.
Recent Advances and Applied Technology
In terms of treatment, technological advances have introduced less invasive and more effective methods to control infection and promote tissue regeneration. One of the most promising developments is the use of lasers, such as the diode laser and the Erbium:YAG laser, which can be used to decontaminate the implant surface without damaging the surrounding bone tissue.
These lasers help eliminate bacteria and stimulate tissue regeneration, improving clinical outcomes.
Conclusions and Recommendations
To further support our patients on their path to recovery and maintenance of oral health, Implantarex is pleased to offer a free initial consultation for any patient experiencing symptoms of peri-implantitis.
This is an ideal opportunity to evaluate your specific situation and discuss how our advanced treatments can help keep your smile healthy and functional. Visit us for state-of-the-art care in a professional and welcoming environment.