TY - JOUR A1 - Schwarz, Frank A1 - Alcoforado, Gil A1 - Guerrero, Adrian A1 - Jönsson, Daniel A1 - Klinge, Björn A1 - Lang, Niklaus P. A1 - Mattheos, Nikos A1 - Mertens, Brenda Nilufar A1 - Pitta, João A1 - Ramanauskaite, Ausra A1 - Sayardoust, Shariel A1 - Sanz-Martin, Ignacio A1 - Stavropoulos, Andreas A1 - Heitz-Mayfield, Lisa J. A. T1 - Peri-implantitis: summary and consensus statements of group 3. The 6th EAO Consensus Conference 2021 T2 - Clinical oral implants research N2 - Objective: To evaluate the influence of implant and prosthetic components on peri-implant tissue health. A further aim was to evaluate peri-implant soft-tissue changes following surgical peri-implantitis treatment. Materials and methods: Group discussions based on two systematic reviews (SR) and one critical review (CR) addressed (i) the influence of implant material and surface characteristics on the incidence and progression of peri-implantitis, (ii) implant and restorative design elements and the associated risk for peri-implant diseases, and (iii) peri-implant soft-tissue level changes and patient-reported outcomes following peri-implantitis treatment. Consensus statements, clinical recommendations, and implications for future research were discussed within the group and approved during plenary sessions. Results: Data from preclinical in vivo studies demonstrated significantly greater radiographic bone loss and increased area of inflammatory infiltrate at modified compared to non-modified surface implants. Limited clinical data did not show differences between modified and non-modified implant surfaces in incidence or progression of peri-implantitis (SR). There is some evidence that restricted accessibility for oral hygiene and an emergence angle of >30 combined with a convex emergence profile of the abutment/prosthesis are associated with an increased risk for peri-implantitis (CR). Reconstructive therapy for peri-implantitis resulted in significantly less soft-tissue recession, when compared with access flap. Implantoplasty or the adjunctive use of a barrier membrane had no influence on the extent of peri-implant mucosal recession following peri-implantitis treatment (SR). KW - consensus KW - peri-implantitis KW - risk factors Y1 - 2021 UR - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/63436 UR - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-634363 SN - 1600-0501 VL - 32 IS - S21 SP - 245 EP - 253 PB - Wiley-Blackwell CY - Oxford ER -