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Peri-Implantitis

Inflammatory disease around dental implants leading to progressive bone loss.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Ağız ve Diş Sağlığı department. Book Appointment →

What is Peri-Implantitis?

Peri-implantitis is an inflammatory disease of soft and hard peri-implant tissues characterized by bleeding on probing, suppuration, increased probing depth and progressive marginal bone loss beyond expected remodeling.

Diagnosis requires bleeding/suppuration on probing, increased probing depth compared with previous examination and radiographic evidence of bone loss. Risk factors include history of periodontitis, smoking, poor plaque control, diabetes and prosthetic factors.

Differentiate from peri-implant mucositis, which lacks bone loss. Untreated peri-implantitis often progresses non-linearly and can result in implant loss.

Symptoms

Bleeding on probing around the implant
Suppuration or pus discharge
Increasing probing depth
Mobility (late stage)
Gingival redness and swelling
Halitosis or bad taste

Risk Factors

History of periodontitis
Smoking
Poor oral hygiene and plaque control
Uncontrolled diabetes
Cement remnants under the prosthesis
Inadequate keratinized mucosa around implants
Implant overload from occlusal forces

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Bleeding or pus around an implant
  • Increasing pocket depth on examination
  • Implant mobility or pain on chewing
  • Radiographic bone loss between recalls
  • Recurrent halitosis localized to the implant

Treatment Methods

01
Mechanical debridement (curettes, ultrasonics)
02
Antiseptic irrigation (chlorhexidine, iodine)
03
Local or systemic antibiotics in selected cases
04
Surgical access flap with implant surface decontamination
05
Regenerative procedures (bone graft, membranes) for contained defects
06
Implantoplasty or explantation in advanced cases
07
Strict home care, smoking cessation and supportive periodontal therapy

Which Department to Visit?

You can visit our Ağız ve Diş Sağlığı department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Ağız ve Diş Sağlığı Department

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Diş Çürüğü

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Diş çürüğü, ağız bakterilerinin şekeri fermente ederek ürettiği asitlerin diş minesi, dentin ve pulpayı tahrip etmesiyle oluşan kronik bir hastalıktır.

Diş Eti Hastalıkları (Periodontal Hastalıklar)

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Periodontal hastalıklar, diş eti (gingivit) ve diş çevresindeki kemik ile bağ dokusunun (periodontit) bakteri kaynaklı iltihabıdır; tedavi edilmezse diş kaybına neden olur.

Impacted Tooth

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An impacted tooth — most often a wisdom tooth — has not erupted fully and remains in the jaw bone or gum. It can lead to pericoronitis, caries and cysts.

Dental Implants

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A dental implant is a titanium screw placed in the jawbone that supports a crown, bridge or denture, providing the closest possible function and aesthetics to a natural tooth.

Teeth Whitening

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Teeth whitening lightens tooth color using hydrogen peroxide or carbamide peroxide gels. In-office (professional) bleaching uses higher concentrations with light activation for faster results; home bleaching uses custom trays with lower concentrations over 1–4 weeks. Safety depends on healthy teeth, correct concentration, isolation of gums and transient sensitivity management.

Orthodontics

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Orthodontics is the dental specialty that corrects the alignment of the teeth and jaws, providing both aesthetic and functional benefits at any age, from childhood through adulthood.

Gingival Recession (Gum Recession)

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Gingival recession is the apical displacement of the gingival margin with exposure of the root surface. It may be localized or generalized and results from mechanical trauma, periodontal disease, thin biotype or anatomic factors. Recession can cause root sensitivity, caries and aesthetic concerns; management includes cause elimination and surgical root coverage when indicated.

Bad Breath (Halitosis)

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Halitosis is a chronic problem that affects a substantial part of the population. It is most often of oral origin and can interfere with social interactions.

Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.