ISSN (print) 1861-6585

Forum Implantologicum

Issue cycle: biannual
Language: English

Category: Implantology

Editor-in-chief: Prof. em. Dr. Daniel Buser
Coordinating editor: Matthias Joesch
QP Deutschland

Official organ of:
ITI International Team for Implantology

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From 2021, the Forum Implantologicum will only be published in digital form. All ITI members will be able to read the contents free of charge as part of their membership.

The Forum Implantologicum offers scientifically based educational papers, in particular illustrated narrative review articles. The Forum Implantologicum aims to provide its readership with pertinent scientific information on topics of current relevance translated into the context of daily clinical practice. It also provides a regular overview of ITI activities, developments and events.

Editor-in-chief

Prof. em. Dr. Daniel Buser

Switzerland, Bern

Dr. Daniel Buser is one of the most experienced international implant surgeons with 35 years of surgical experience. He widely lectures at national and international conferences, and CE courses to share his knowledge. He has been Professor of Oral Surgery at the University of Bern/Switzerland (2000-19). He also served as President of various academic associations including the EAO (1996/97), and the ITI (2009-13). He received several scientific awards, among others the André Schroeder Research Prize by the ITI (1995), the Honorary Membership Award by the AAP (1997), the Brånemark Osseointegration Award by the AO (2013), and the ITI Honorary Fellowship (2017). With his team, he has authored and co-authored more than 400 publications and book chapters on translational research in the field of implant dentistry. He is also Editor and main author the famous GBR Book by Quintessence, which will be published as 3rd edition in Oct/Nov 2021. Today, he works part time in a private Centre for Implantology to surgically treat implant patients. His main activity is now Continuing Education. With his friend Toni Sculean, he has established the Buser & Sculean Academy for Periodontology and Implant Dentistry. The mission is knowledge sharing to the young generation of implant specialists around the globe using hybrid Master Course, using live and on-demand streaming of lectures and live surgeries via an attractive streaming platform.

Coordinating editor

Matthias Joesch

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Forum Implantologicum, 01/2020

Pages 3, Language: English

Editorial: From the Editor's Desk

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Pages 4-5, Language: English

From the President

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Pages 6-13, Language: EnglishHeitz-Mayfield, Lisa

Peri-Implantitis and Risk

This article outlines the definition of peri-implantitis, the clinical features and the prevalence of the disease. The evidence for patient-related and local risk factors for peri-implantitis is presented. A novel risk assessment tool designed for preventing peri-implantitis, the Implant Disease Risk Assessment (IDRA) (Heitz-Mayfield et al. 2020) is explained. The importance of continuous assessment, patient communication and intervention for the minimization and management of risk is highlighted. Keywords: Peri-implantitis, risk factors, risk assessment

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Pages 14-21, Language: EnglishRoccuzzo, Mario / Salvi, Giovanni Edoardo / Imber, Jean-Claude / Sculean, Anton / Roccuzzo, Andrea

The Importance of Keratinized Peri-Implant Mucosa for Effective Long-Term Maintenance Care

For several years, the need for keratinized mucosa (KM) to reduce the risk of peri-implant biological complications has been a controversial topic. Recently, several studies and systematic reviews have confirmed that adequate KM may favorably impact peri-implant health and stability in the long-term. This article will review the recent literature on this topic and suggest clinical guidelines for when to increase peri-implant KM to facilitate surgical handling and enhance long-term maintenance. In conclusion, clinicians should keep in mind that a free gingival graft to increase the width of KM before implant placement may be indicated in situations where the soft tissue is so thin that its manipulation could be particularly difficult, as well as when an implant is already present, but patient reports soreness during oral hygiene procedures. Keywords: Free gingival graft, dental implant, keratinized mucosa, supportive care

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Pages 22-31, Language: EnglishMonje, Alberto / Buser, Daniel

Surgical Predisposing Factors Associated with Peri-Implantitis

Peri-implantitis is a biofilm-mediated inflammatory process that leads to soft- and hard-tissue breakdown. Periimplant diseases are the most frequent biologic implant complication in daily practice. Certain systemic conditions as well as detrimental habits have been demonstrated to negatively impact peri-implant tissue health and stability. In addition, several local predisposing factors were also identified to be associated with the development of periimplantitis, such as the lack of keratinized mucosa, residual cement or a micro-rough implant surface exposed to the oral cavity or the peri-implant sulcus. This clinical review paper will focus on the latter risk factor, which is often caused by poor surgical performance by the clinician during implant surgery. Keywords: Peri-implantitis, peri-implant disease, dental implant, implant infection, risk factor, surgical risk factors

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Pages 32-43, Language: EnglishCooper, Lyndon F.

Prosthetic Impact on Peri-Implantitis and How to Prevent it

Peri-implantitis is a treatment-related complication with a biofilm-mediated pathogenesis. Several studies have demonstrated that the progression from peri-implant mucositis to peri-implantitis can be effectively managed by supportive implant therapy. However, the impact of implant prostheses on the evaluation of peri-implant tissues, the control of biofilm by oral hygiene and professional prophylaxis as well as the impact of cement or other prosthetic materials on peri-implant inflammation receive little attention. This report will consider prosthesis factors, abutment factors, and cement factors in the evaluation, management and prevention of peri-implantitis. The existing literature clearly indicates that mechanical disruption of dysbiotic biofilm is central to the prevention and management of peri-implantitis. Thus, prosthetic factors that enable or enhance biofilm formation or preclude its mechanical disruption may contribute to the progression of peri-implant mucositis to peri-implantitis. Unfortunately, many of the prosthetic factors that negatively impact peri-implant tissue health are the result of improper implant placement decisions. Both the surgical planning and prosthetic execution of therapy must be addressed in efforts to reduce the risk of peri-implantitis. Keywords: Peri-implantitis, oral hygiene, prosthesis, restorative space, cement

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Pages 44-45, Language: English