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Landmark SEPA-led consensus identifies key surgical and prosthetic drivers of peri-implant health and disease

Author(s): Dental News

New consensus report highlights the critical role of surgical planning  and prosthetic design in preventing peri-implant disease, warning  that inadequate execution may increase the risk of peri-implantitis and calling for closer collaboration between periodontists,  prosthodontists and dental technicians to improve outcomes globally 

A previously unmet clinical need has now been  addressed. The Spanish Society of Periodontology (SEPA) has led the  development of a major expert consensus report providing clinical  recommendations on the influence of surgical and prosthetic factors on peri implant health and disease. 

The paper, bringing together the clinical expertise of periodontists,  prosthodontists and dental technicians, has been published in the Journal of  Esthetic and Restorative Dentistry, under the title “Influence of surgical and  prosthetic factors on peri-implant health or disease: clinical recommendations  from a SEPA expert consensus”. 

“This guidance document stems from the need to offer clinicians a practical  framework to prevent peri-implant diseases from the outset of treatment, taking  into account both surgical and prosthetic considerations,” says Dr Ignacio Sanz  Sánchez, co-author of the paper. 

Dr Beatriz de Tapia, co-author and SEPA board member for education and  research, adds: “Implementing these recommendations may have a meaningful  impact both nationally and internationally, by providing clear and consistent  criteria for clinicians and dental technicians, and supporting more predictable  decision-making in both clinical and laboratory settings.” 

Peri-implant diseases, including peri-implantitis, remain a major concern in  implant dentistry and are frequently associated with prosthesis-related factors.  This review highlights the importance of integrating both surgical and prosthetic  planning to reduce the risk of disease development. 

Clinicians are encouraged to prioritise prosthetic designs that facilitate effective  oral hygiene. Three-dimensional implant positioning — guided by the intended  prosthetic outcome — is essential to minimise complications. Material selection,  including ceramic and zirconia restorations, may also influence plaque  accumulation.

Long-term success in implant dentistry depends on prosthetically driven  planning, hygienic prosthetic design, appropriate selection of implant–abutment  connections and materials, minimal implant manipulation, and maintenance  tailored to patient risk - Read More

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