√ The non-surgical approach has proven to be quite effective in case of mucositis, combining adequate home care with appropriate mechanical instrumentation.

Conversely, in the case of peri-implantitis with progressive and irreversible bone loss, the site specific non-surgical phase should always be the initial treatment of choice. Often, we are able to attain unpredictable satisfactory results, even in the long term, which can prolong the survival of severely ailing implants.

Numerous clinical images, didactic drawings and videos related to clinical cases with follow up will illustrate how to obtain an effective decontamination/detoxification of the implant surface with innovative materials for a multiple antimicrobial approach. This will be demonstrated applying differentiated protocols used to maintain peri-implant tissue health and in the treatment of mucositis and/or peri-implantitis.

Although it is often possible to treat peri-implant disease, prevention remains the best cure.

Peri-implantitis is a bacterial infection of peri-implant

supporting tissues, characterized by loss of supporting bone. Early interception is a crucial factor that can improve treatment prognosis.

The primary objective of surgical treatment in peri-implantitis lesions is to get access to the exposed implant surface to optimize the removal of bacterial contaminants and decontamination or conditioning, resolving the inflammatory lesion. Additionally, it is necessary to reconstruct the lost periodontal tissues even if the process of re-osseointegration is not currently considered predictable.

Several peri-implantitis cases with survival follow up, strategies, clinical protocol and step by step techniques for treatment will be presented.