Abstract
A cause-and-effect relationship between the oral hygiene and the development of peri-implant mucositis is established in experimental peri-implantitis study in man and animals. It was revealed that poor oral hygiene was clearly associated with peri-implant mucositis development with a high odds ratio in clinical studies. Although experimental peri-implantitis study model has not yet been established, most of the clinical studies indicate that poor oral hygiene was risk factor for peri-implantitis development.
Also in this chapter, we mention the issue of whether occlusal factors are involved in the development of peri-implantitis. The effect of implant overload on bone implant loss in clinically well-integrated implants is poorly reported and provides little unbiased evidence to support a cause-and-effect relationship. At the animal studies, occlusal overload mimicked by supra-occlusal contacts acting in an uninflamed peri-implant environment, did not negatively affect osseointegration and even was anabolic. In contrast, supra-occlusal contacts in the presence of inflammation significantly increased the plaque-induced bone resorption.
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Shin, K., Tatsumi, J., Hayashi, J. (2020). Additional Risk Factors for Peri-implant Diseases. In: Ogata, Y. (eds) Risk Factors for Peri-implant Diseases  . Springer, Cham. https://doi.org/10.1007/978-3-030-39185-0_10
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DOI: https://doi.org/10.1007/978-3-030-39185-0_10
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