Dental implants are used routinely throughout the world to replace missing teeth. With the broadening of treatment options and an increasing number of clinicians that provide implant therapy, it is important to ensure that the treatment methods used meet the highest clinical standards. The ITI Treatment Guide series is a compendium of evidence-based implant-therapy techniques in daily practice. Written by renowned clinicians and supported by contributions from expert practitioners, the ITI Treatment Guides provide a comprehensive overview of the various indicated treatment options. The management of different clinical situations is discussed with an emphasis on sound diagnostics, evidence-based treatment concepts, and predictable treatment outcomes with minimal risk to the patient. Volume 13 of the ITI Treatment Guide series provides clinicians with the latest evidence-based information on the prevention and management of peri-implant diseases. This information is based in part on the proceedings of the 6th ITI Consensus Conference held in Amsterdam in 2018, as well as on a review of the current literature. Seventeen clinical cases presented by experienced clinicians from all over the world illustrate the diagnosis and treatment of peri-implant diseases. The forthcoming Volume 14 of the ITI Treatment Guide series will address immediate implant placement and restoration in partially edentulous patients.
Chapter 1. Introduction
Chapter 2. Classification and Definitions of Peri-Implant Health and Diseases
Chapter 3. Examination for Diagnosis and Case Definitions of Peri-Implant Diseases
Chapter 4. Etiology of Peri-Implant Diseases
Chapter 5. Prevalence of Peri-Implant Diseases
Chapter 6. Risks for Peri-Implant Diseases
Chapter 7. Peri-Implant Mucositis
Chapter 8. Peri-Implantitis
Chapter 9. Prevention of Peri-Implant Diseases
Chapter 10. What Will the Future Hold? New Techniques and Materials
Chapter 11. Conclusions
Chapter 12. Clinical Case Presentations
Chapter 13. References
Professor Nikos Donos is the Chair of Periodontology & Implant Dentistry, the Director of Clinical Research, the Head of the Centre for Oral Clinical Research and the Lead for the Centre of Oral Immunobiology & Regenerative Medicine at the Institute of Dentistry, Barts & The London School of Medicine and Dentistry, Queen Mary University of London (QMUL). Prof. Donos is also the Director of the ITI scholarship Centre and the Director of the Osteology Research Scholarship Centre, both at QMUL. In 2009, Professor Donos has been awarded the title of Honorary Professor at the Faculty of Dentistry in Hong Kong, in 2012 the title of Adjunct Professor at the Dental School, Griffith University in Australia, in 2015 the title of Honorary Professor at UCL-Eastman Dental Institute and in 2019 the title of Honorary Professor, School of Dentistry, University of Queensland, Australia. In 2011, Professor Donos was awarded the prestigious International Association for Dental Research (IADR)-Periodontology Group Award in Periodontal Regenerative Medicine and in 2019 the American Academy of Periodontology (AAP) Clinical Research Award for his contribution as co-author for “outstanding published scientific manuscript with direct clinical relevance and application to the practice of periodontics”. In 2004, Professor Donos received the European Association of Osseointegration (EAO)-Basic Science Research Award. Professor Donos was the President of the British Society of Periodontology & Implant Dentistry (BSP) (2020) and is a board member at the Osteology Foundation (Switzerland) as well as the Academic Representative at the Committee of the Association of Dental Implantology (ADI)(UK). Professor Donos is involved as editorial board member in international peer-reviewed journals in the field of Periodontology and Implant Dentistry where he has published more than 240 scientific publications. Professor Donos is/has been involved in a number of consensus conferences for the European Federation of Periodontology (EFP), the European Association of Osseointegration (EAO), The International Team for Implantology (ITI) and the Osteology Foundation all of which provide the most up-to-date evidence based information for different clinical situations in the fields of Periodontology and Implant Dentistry. Prof Donos has significant clinical experience in providing advanced treatment modalities to patients suffering from severe periodontal disease. Those modalities include all steps (non-surgical and surgical) for the treatment of periodontal disease including periodontal and bone tissue regeneration and replacement of missing teeth with dental implants. Furthermore, Professor Donos has significant experience in non-surgical and surgical treatment of peri-implant diseases (peri-implant mucositis and peri-implantitis). All the above clinical problems and their treatments are topics that Professor Donos regularly covers in his lectures on a national and international level.
Qualified in dentistry from Guy’s Hospital in 1985 and as a Specialist in Oral Surgery, Royal College of Surgeons of England, in 2000. Dr Barter has 37 years’ experience in oral surgery with 30 years involvement in clinical and academic implant dentistry in both private hospital practice and as part of a multidisciplinary team in a private clinic. Dr Barter has previously assisted in the running of the MClinDent in Periodontology at the Eastman Dental Institute London, for over ten years, and the DClinDent Programme at Queen Mary’s University, London for over five years. He is a Fellow of the ITI, a past Chairman of the UK and Ireland Section and has served on ITI international committees and consensus conferences. Dr Barter has published in refereed scientific journals and the dental press and has written several book chapters, is the co-author of ITI Treatment Guide 9 – Implant Therapy in the Geriatric Patient (Quintessence Publishing) and has been an editor of the ITI Treatment Guide series since TG11. He has lectured extensively both nationally and internationally.
Prof Wismeijer studied dentistry at the College of Dental Science, Radboud University of Nijmegen, Netherlands from 1979 to 1984. After graduating, he joined the Department of Oral Function and Prosthetic Dentistry and worked in the section of Special Dental Care and Maxillofacial Prosthodontics. He received his PhD in 1996 on the subject of overdentures on dental implants: The Breda Implant Overdenture Study. From 1985 to 2006, he worked at the Amphia Teaching Hospital in Breda, Netherlands in the Department of Oral Surgery and Maxillofacial Prosthodontics. In 1985, he started a general dental practice, which since 1990 has been a referral practice for Oral Implantology. He is a past-president of the Dutch Prosthodontic Association and the Dutch Association for Gnathology. Prof Wismeijer has been an ITI fellow since 1993 and has served as a member of the Dutch ITI Education Core Group for 8 years. From 2011 to 2015 he was a member of the ITI Research Committee. In 2013, he was elected to the ITI Board of Directors as Member at Large, and in 2015 he was elected Chairman of the ITI Education Committee. In 2006, Prof Wismeijer accepted the position of Professor and Chair of the Department of Oral Implantology and Prosthetic Dentistry at ACTA Amsterdam, which he combined with his referral practice. The research areas in his department were focused on CAD/CAM treatment optimization, digital dentistry, treatment evaluation and workflow, implant surface and bone substitute optimization, peri-implantitis, 3D printing in dentistry, and the evaluation of different implant-based treatment modalities. As a principal promotor, he has successfully supervised 25 PhD students. In January 2020, he stopped working at ACTA.
Professor Lisa Heitz-Mayfield, an Adelaide graduate, obtained a Master's in periodontology (1996) and PhD (1998) from Lund University, Sweden. Her doctorate focused on periodontal and peri-implant regeneration. She received a scholarship to the Brånemark Osseointegration Centre, Sweden, and an ITI Scholarship to the University of Bern, Switzerland where she was Head of the Oral Microbiology Research Laboratory from 1999 to 2003. She was awarded the André Schroeder Research Prize in Implant Dentistry in 2002. Her positions include Adjunct Professor at the International Research Collaborative, University of Western Australia, Associate Professor at the University of Sydney, and Honorary Professor at the University of Hong Kong. She is the Chair of the ITI Research committee and Editor-in-Chief of the journal Clinical Oral Implants Research. She maintains a specialist periodontal practice in Perth.
Giovanni E. Salvi received his license in dental medicine in 1988 from the medical faculty of the University of Bern, Switzerland. In 1990 he received his „Dr. med. dent“ degree. Between 1992 and 1994 he was a graduate student in the Department of Periodontology and Fixed Prosthodontics at the University of Bern. From 1994 to 1997 he was a postdoctoral research associate at the University of North Carolina at Chapel Hill, NC, USA. In 1998 he became a board certified periodontist. Since 1999 he is a fellow of the International Team of Implantology (ITI). In 2005 he was appointed teacher of the year in the School of Dental Medicine. Since 2003 he is a member of the editorial board of Journal of Clinical Periodontology and Clinical Oral Implants Research. In 2006 he was appointed associate editor of Clinical Oral Implants Research. Currently he is an associate professor in the Department of Periodontology and director of the graduate program in periodontology at the University of Bern.