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Current Oral Health Reports
Published in: Current Oral Health Reports 3/2020

01-09-2020 | Bleeding on Probing | Peri-implantitis (I Darby, Section Editor)

Insights into the Clinical Diagnosis of Peri-implantitis: to Probe or Not to Probe

Authors: Alberto Monje, David French, José Nart, Mia Rakic

Published in: Current Oral Health Reports | Issue 3/2020

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Abstract

Purpose of Review

The present review aimed at assessing the primary and secondary diagnostic tools currently used to monitor peri-implant conditions.

Recent Findings

There has been much debate on the diagnostic accuracy of clinical parameters in monitoring peri-implant conditions. Given the association between pocket depth measured around teeth and implants and the extent of microbial plaque biofilm deposits, it seems plausible for probing pocket depth to be indicative of disease progression or stability. Moreover, understanding the inflammatory nature of peri-implantitis, it seems reasonable to advocate that bleeding, erythema, tumour and suppuration are indicators of pathology. However, cautiousness must be exercised when interpreting clinical findings, since the morphology of peri-implant tissues differ significantly from the periodontal structures.

Summary

The routine clinical assessment of dental implants, including probing and visual examination, may lead to the accurate diagnosis of peri-implant disorders. Nevertheless, the definitive diagnosis should be based on agreement with progressive radiographic bone loss. In fact, primary diagnostic tools seem to be highly specific for monitoring peri-implant conditions, while their sensitivity is lower compared with their use in monitoring periodontal stability.
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Metadata
Title
Insights into the Clinical Diagnosis of Peri-implantitis: to Probe or Not to Probe
Authors
Alberto Monje
David French
José Nart
Mia Rakic
Publication date
01-09-2020
Publisher
Springer International Publishing
Published in
Current Oral Health Reports / Issue 3/2020
Electronic ISSN: 2196-3002
DOI
https://doi.org/10.1007/s40496-020-00277-z

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