The short answer

Peri-implantitis treatment is based on an examination of the tissues, bone support and restoration. Professional cleaning, control of contributing factors and sometimes surgery may be needed. The plan should include reassessment and ongoing maintenance rather than a promise of a single guaranteed cure.

The key points

  • Treatment addresses the diagnosed condition and contributing factors.
  • Daily cleaning supports professional care but does not replace it.
  • Antibiotics are not a universal stand-alone solution.
On this page
  1. Establish a diagnosis and baseline
  2. Understand the staged approach
  3. Plan continuing support
  4. Sources & further reading

Establish a diagnosis and baseline

The clinician assesses the implant, surrounding tissues and restoration and reviews relevant records. Ask which findings show peri-implantitis rather than soft-tissue inflammation alone. A clear starting assessment allows the team to explain the aims of treatment and how changes will be monitored.

Sources: [1]

Understand the staged approach

Professional debridement and improvements in plaque control can form part of care. The design or cleanability of the restoration and modifiable risk factors may also need attention. Depending on response and the defect, additional procedures including surgery may be considered; not every patient needs the same sequence.

  • Ask what each proposed step is intended to achieve.
  • Request a demonstration of suitable home cleaning.
  • Clarify when the response will be reassessed.

Sources: [1]

Plan continuing support

After treatment, professional maintenance remains part of controlling risk and monitoring the result. There is no universal guarantee that a treated implant will remain complication-free. If removal is proposed, ask about the reasons, alternatives and restoration plan before assuming that a new implant can simply be inserted immediately.

Sources: [1]

IMPLANTVERIA · FAQ

Common questions

Can I treat peri-implantitis with a shop-bought rinse?

A rinse cannot assess bone support or replace the professional treatment needed. Use products according to the clinician’s plan rather than assuming a retail product is a cure.

Will surgery always save the implant?

No individual outcome can be guaranteed. The clinician should discuss realistic aims, uncertainties and alternatives based on the condition found.

Sources & quality

Sources & further reading

These references inform this article. Individual recommendations require a conversation with a dental professional.

  1. Prevention and treatment of peri-implant diseases: The EFP S3 level clinical practice guidelineJournal of Clinical Periodontology / European Federation of Periodontology · EN