The effective diagnosis of peri-implant diseases

Kim,  Yong-Gun; Lee,  Jae-Mok

J Korean Dent Assoc > Volume 52(7); 2014 > Article

The Journal of The Korean Dental Association 2014;52(7):408-415.
Published online July 31, 2014.

임상가를 위한 특집 3 - 임플란트 주위질환의 효과적 진단

김용건¹, 이재목²

^¹경북대학교 치의학전문대학원 치주과학교실
^²경북대학교 치의학전문대학원 치주과학교실

The effective diagnosis of peri-implant diseases

Yong-Gun Kim¹, Jae-Mok Lee²

¹Department of Periodontology, School of Dentistry, Kyungpook National University
²Department of Periodontology, School of Dentistry, Kyungpook National University

Abstract

Peri-implant diseases are inflammatory lesions, which include peri-implant mucositis and peri-implantitis. Peri-implant mucositis is described as the presence of inflammation in the mucosa around implants without any bone loss. By contrast, in peri-implantitis, besides the inflammation in the peri-implant mucosa, loss of supporting bone is also seen. Diagnosis of peri-implant diseases require the use of gentle probing(0.2 ~ 0.3N) to identify the presence of bleeding on probing, probing depth and suppuration, both signs of clinical inflammation. Radiographs are required to detect loss of supporting bone. Baseline probing measurements and high quality, long cone periapical radiographs should be obtained once the restoration of the implant is completed to make possible longitudinal monitoring of peri-implant tissue.

Key Words: peri-implant mucositis;peri-implantitis;diagnosis;probing;radiographs;