Peri-implantitis is confirmed when BOP and/or suppuration are present together with bone loss exceeding physiologic remodeling (>1–2 mm). Distinguish from mucositis (no bone loss) and from normal crestal remodeling in the first year. Check: probing depths at multiple sites, BOP, suppuration on probing, radiographic bone level vs prior imaging, patient and implant-level risk factors.

Non-surgical therapy is the mandatory first step in every peri-implantitis treatment (EFP S3 R7.1). Surgical therapy is considered only after re-evaluation if non-surgical end points have not been achieved. Click Continue to begin the non-surgical protocol.