Definition
What is peri-implantitis (PI)? The prefix “peri” indicates the condition of being all around; “implant” relates, in this context, to a dental implant constructed of a porcelain crown with a titanium root; and the suffix “itis” indicates disease or inflammation. So, peri-implantitis is a state of disease or inflammation around a dental implant. The disease causes progressive bone loss, which is the determining factor for peri-implant disease.

Cause
What causes peri-implant disease (PID)? At the onset of this disease, there exists an imbalance between bacterial load (density of bacteria) and the host (the tissues surrounding the implant) defense.

Did you know that microbial species colonize an implant’s surface within the first 30 minutes after the implant? Then between the 1st and the 12th weeks bacterial load grows and then continues growing, especially in some species of bacteria. Bleeding on probing (BOP) and increase of probing depth (PD) over time are good predictors of loss of tissue support around the implant. If bone loss, due to BOP and PD results, seems to be indicated, radiographs should be regularly administered as a diagnostic and monitoring strategy.

Risks
What are the risk indicators for peri-implant disease?
• Placement in patients with a history of periodontitis – A 10-year longitudinal study showed PI incidence was 28.6% in those with a history of periodontitis; whereas, those without had 5.8%.
• Crowded teeth associated with accumulation of plaque or pre-existing inflammation
• Males more susceptible
• Cement remnants for mechanical or biological complications
Smoking, long thought to be a risk factor, has not yet been clearly established as such because current study results are mixed, so further studies are needed to conclude one way or the other.

Prevention
What can you do to prevent peri-implant disease?

Bone loss with dental implants results in the loss of implants. Key to survival of implants is daily oral hygiene and supportive periodontal therapy. A longitudinal 10-year study found patients with inconsistent attendance to a supportive maintenance program fared negatively regarding number of teeth lost and results for peri-implantitis (PI), bleeding on probing (BOP), and probing depth (PD).

Thus, the best preventative is to do everything possible to keep dental implants and the tissue surrounding them clean and healthy. And, if peri-implant disease if present, then excellent oral hygiene is a must, especially using products with safe ingredients that promote healing and prevent eventual loss of implants.

Clean Kiss theraputic mouthwash and toothpaste is money back guaranteed to reduce pocket depth when used twice daily as directed.  Get both at cleankiss.com/shop and if this is your first order with us, use firstkiss coupon for free shipping.  Already love us? Get Free shipping when you subscribe for 3 month autoship.

Bone rarely grows back, so bone loss may cause dental implant failure. Pharmaceutical grade Osteo Therapy+ may protect further bone loss.  It also supports bone health throughout the entire body. 

Ask your doctor about PerioTherapy for reduced inflammation the first 3 months post surgery.  Perio Therapy’s  dramatic results are achieved by synergistically balancing the correct ratio of only the highest quality ingredients. A formula’s ultimate bio-availability (the body’s ability to absorb nutrients) is determined by the proper combination and the quality of the nutrients selected. PerioTherapy, a diligent homecare program, and the personalized treatment from your dentist and hygienist are the key components to good oral health.

PerioCare Maintenance & Prevention is specifically designed as the perfect complement following PerioTherapy, to help maintain the results of the Dentist’s Treatment. Pharmaden’s PerioCare special proprietary formulation developed to help maintain and enhance the body’s host resistance.

Get both at cleankiss.com/shop.

Our oral probiotic is the only probiotic for oral health.  Before bedtime, after using our Swish mouthwash and toothpaste, let the probiotic tablet dissolve in your mouth.  As you sleep, your mouth will be flooded with beneficial bacteria that crowd out destructive bacteria.  Whiter teeth is a nice side affect as well.  Get it also at http://cleankiss.com/shop 

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