Patients who have undergone successful implant therapy should receive individualized, systematic and continuous supportive care of the peri-implant tissues.
Patients at higher risk for peri-implantitis, such as those with partial edentia or pre-existing chronic periodontitis, should be identified and monitored closely.
Several studies have demonstrated that sites of pre-existing infection may act as reservoirs for periopathogens, which can spread to colonize the implant, especially in patients with aggressive periodontitis. Other patients potentially at risk are patients with diabetes mellitus who have poor metabolic control, those with poor plaque control13 and those who smoke cigarettes.
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