What is peri-implantitis?

Peri-implantitis occurs when bacteria colonize the tissues around an osseointegrated dental implant, triggering an inflammatory response that damages both soft tissue and the underlying bone. Unlike peri-implant mucositis, which affects only the gum tissue and is reversible, peri-implantitis involves progressive bone loss around the implant and can compromise the implant's stability and longevity if left untreated.

The condition typically develops due to inadequate oral hygiene, subgingival calculus buildup, or improper implant placement or restoration design. Patients may notice bleeding on probing, swelling, tenderness, or suppuration around the implant site. In some cases, peri-implantitis remains asymptomatic until significant bone resorption has occurred, making regular clinical monitoring essential for anyone with implants.

Management of peri-implantitis ranges from non-surgical treatment (professional cleaning, antimicrobials, and improved home care) to surgical intervention when bone loss is extensive. Early detection during routine dental visits helps preserve implant function and avoid extraction. Those with implants should maintain strict oral hygiene, attend regular follow-up appointments, and work with practitioners experienced in implant care. For specialized treatment, implant-periodontics providers in Columbia, SC can assess and manage this condition.