Patient-centred Contemporary Peri-Implantitis Treatment

Peri-implantitis occurs in around 1 in 5 patients restored with implant-supported prostheses. Peri-implantitis is a plaque associated pathologic condition characterised by clinical inflammation of the peri-implant soft tissues (bleeding/suppuration) and progressive bone loss. Peri-implantitis may progress rapidly and is challenging to treat.

In this presentation the key aspects of an accurate diagnosis, control of risk factors and effective treatment will be outlined following a step-wise anti-infective approach. Indications for the choice of surgical approach (resective or reconstructive) when required will be discussed based on implant-, site- and patient-related factors. Protocols to reconstruct peri-implantitis bony defects while minimising soft tissue recession will be outlined providing the evidence for treatment outcomes in the medium to long-term. Patient-reported outcomes following treatment will be discussed, providing an insight into management of patient expectations. The importance of prosthetic, hard and soft tissue management will be highlighted in order to achieve healthy peri-implant tissues, stability and a satisfied patient

Learning objectives

1. Understand the aetiology and diagnosis of peri-implant diseases

2. Understand when to choose which treatment approach

3. Understand how best to prevent peri-implantitis and its recurrence

Includes 3 course meal

Professor Heitz-Mayfield received a Masters in Periodontology in 1996 and Odont Dr (PhD) in 1998 from Lund University, Sweden. From 1999 – 2003 she was the Head of the Oral Microbiology Research Laboratory at the Uni of Bernie, Switzerland.   She was Chair of the International Team for Implantology (ITI) Research Committee, and member of the ITI Board of Directors from 2013 – 2021. In 2022 was awarded an Honorary ITI Fellowship. Current positions include Adjunct Professor at the International Research Collaborative, UWA,  Professor at The University of Sydney, and Guest Professor at the University of Berne and the University of Shanghai. She is the Editor-in-Chief of Clinical Oral Implants Research. Lisa  maintains a private practice limited to periodontology and implant surgery with an emphasis on regeneration, prevention and comprehensive treatment planning.

Learning objectives

1. Understand the aetiology and diagnosis of peri-implant diseases

2. Understand when to choose which treatment approach

3. Understand how best to prevent peri-implantitis and its recurrence