Dental News - A systematic review on the definition of periimplantitis: Limits related to the various diagnoses proposed

by Dr. Marco Tallarico et al.

Sun. 15. January 2017

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The aim of this comprehensive systematic review was to present the different definitions of periimplantitis proposed in the literature.

Materials and methods
Electronic and manual literature searches were conducted by three independent reviewers to identify manuscripts reporting data on the definition of periimplantitis with clinical diagnosis, written in English and published up to October 2015. Several databases were referenced, including PubMed, Embase, the Cochrane Library and the Grey Literature Database.

Results
Forty-nine articles were considered suitable for the review. Current evidence suggests the use of unequivocal case definitions for periimplantitis, defined by changes in the level of crestal bone, presence of bleeding on probing and/or suppuration, with or without concomitant deepening of periimplant pockets. However, several reference points were used to measure these changes, including different levels of severity and years of follow-up.

Conclusion
The available scientific literature suggested an absence of a unanimous definition of periimplantitis. Future studies that apply consistent case definitions should be considered.

Editorial note: The full article was published in the 4/2016 issue of the Journal of Oral Science and Rehabilitation. It can be access free of charge at www.dtscience.com.

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