OWN - Quintessenz Verlags-GmbH CI - Copyright Quintessenz Verlags-GmbH OCI - Copyright Quintessenz Verlags-GmbH TA - Int J Oral Maxillofac Implants JT - The International Journal of Oral & Maxillofacial Implants IS - 1942-4434 (Electronic) IS - 0882-2786 (Print) IP - 7 VI - 34 PST - ppublish DP - 2019 PG - 25-33 LA - en TI - Peri-implant Mucosal Tissues and Inflammation: Clinical Implications FAU - Fiorellini, Joseph P. AU - Fiorellini J FAU - Luan, Kevin WanXin AU - Luan K FAU - Chang, Yu-Cheng AU - Chang Y FAU - Kim, David Minjoon AU - Kim D FAU - Sarmiento, Hector L. AU - Sarmiento H CN - OT - biofilm OT - cement OT - dental implants OT - inflammation OT - peri-implant disease OT - pocket depth OT - supportive implant therapy AB - Purpose: The purpose of this review was to explore the available literature and compile studies that discuss the relevance of the biofilm, onset and progression of disease, critical peri-implant pocket depth, frequency of supportive implant therapy, excess cement, and keratinized peri-implant tissues as related to peri-implant disease. Materials and Methods: PubMed, Cochrane Oral Health Group Specialized Trial Register, and hand searches of related journals were performed in relationship to the focused question. Reports describing techniques, preclinical studies, and case reports were excluded. Results: Due to the absence of controlled studies, a meta-analysis could not be performed. Summaries of relevant publications were completed for each topic area. Clinical recommendations were developed to provide guidance to the practitioner. Conclusion: The importance of proper diagnosis, planning, and clinical treatment cannot be overstated. Patient factors including systemic disease, periodontal status, and oral hygiene significantly impact peri-implant health. Clinician factors such as implant position, excess cement, and restorative design can contribute to development of peri-implant disease. Surveillance of implant status is essential and can be assisted by the assessment of risk factors, establishment of a proper recall program, and monitoring changes in bone and peri-implant pocket depths. AID - 847417