Every peri-implant pathology must be treated as soon as possible to prevent the failure of the osseointegration.

1. Gingival hypertrophy

 Gingival hypertrophy or hyperplasia, is an abnormal overgrowth of gingival tissues.


  • Not using a healing abutment
  • Using an abutment that is too short


  • Gingivectomy/gingivoplasty
  • Displaced flap
  • Replacement of the abutment with a longer one

2. Peri-implant abscess 


  • The screw is not tightened. As a result, a gap is created leading to the formation of a granulation tissue.

The superinfection of this tissue results in an abscess.


  • Clean and tighten the screw.
  • Eliminate the granulation tissue.

3.Peri-implant gingivitis or mucositis

It is a reversible inflammation of the soft tissues around the implant. 


  • Bacterial biofilm


  • Better oral hygiene

4. Peri-implantitis

Peri-implantitis is a destructive inflammatory process affecting the soft and hard tissues surrounding dental implants.

Bone damage around the implant due to peri-implantitis


  • Bacterial biofilm


*Non-surgical treatment

  • Plaque and tartar removal
  • Decontamination of the implant surface with an antiseptic such as betadine, chlorhexidine…
  • Antibiotic

*Surgical treatment

  • If the bone loss is small: The implant can be placed again deeper into the bone.
  • If the bone loss is more or less significant:

Depending on the severity of the bone loss, the implant can be placed again deeper in addition to using bone void fillers.Bone regeneration techniques are also possible.


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