Peri‐implant health, peri‐implant mucositis, and peri‐implantitis: Case definitions and diagnostic considerations
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The objective of this review is to identify case definitions and clinical criteria of peri‐implant healthy tissues, peri‐implant mucositis, and peri‐implantitis. The case definitions were constructed based on a review of the evidence applicable for diagnostic considerations. In summary, the diagnostic definition of peri‐implant health is based on the following criteria: 1) absence of peri‐implant signs of soft tissue inflammation (redness, swelling, profuse bleeding on probing), and 2) the absence of further additional bone loss following initial healing. The diagnostic definition of peri‐implant mucositis is based on following criteria: 1) presence of peri‐implant signs of inflammation (redness, swelling, line or drop of bleeding within 30 seconds following probing), combined with 2) no additional bone loss following initial healing. The clinical definition of peri‐implantitis is based on following criteria: 1) presence of peri‐implant signs of inflammation, 2) radiographic evidence of bone loss following initial healing, and 3) increasing probing depth as compared to probing depth values collected after placement of the prosthetic reconstruction. In the absence of previous radiographs, radiographic bone level ≥3 mm in combination with BOP and probing depths ≥6 mm is indicative of peri‐implantitis.
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Peri-implant health can exist around implants with normal or reduced bone support.
“Peri-implant health can exist around implants with normal or reduced bone support.”
From A new classification scheme for periodontal and peri‐implant diseases and conditions – Introduction and key changes from the 1999 classification (2018) · cites this paper as [30]
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Cites
The microbiota associated with successful or failing osseointegrated titanium implants
Mombelli, A., van Oosten, M. A. C., Schürch, E., & Lang, N. P. (1987) · Oral Microbiology and Immunology · doi:10.1111/j.1399-302x.1987.tb00298.x · Cited by 2,056 · see citing works
Long-term follow-up study of osseointegrated implants in the treatment of totally edentulous jaws.
Adell, R., Eriksson, B., Lekholm, U., et al. (1990) · PubMed · Cited by 1,923 · see citing works
Peri‐implant diseases: Consensus Report of the Sixth European Workshop on Periodontology
Lindhe, J., Meyle, J., & on behalf of Group D of the European Workshop on Periodontology (2008) · Journal Of Clinical Periodontology · doi:10.1111/j.1600-051x.2008.01283.x · Cited by 1,490 · see citing works
Peri‐implant health and disease. A systematic review of current epidemiology
Derks, J., & Tomasi, C. (2015) · Journal of Clinical Periodontology · doi:10.1111/jcpe.12334 · Cited by 1,302 · see citing works
Definition and prevalence of peri‐implant diseases
Zitzmann, N. U., & Berglundh, T. (2008) · Journal of Clinical Periodontology · doi:10.1111/j.1600-051x.2008.01274.x · Cited by 1,112 · see citing works
Schwarz, F., Derks, J., Monje, A., & Wang, H. (2018) · Journal of Periodontology · doi:10.1002/jper.16-0350 · Cited by 723 · see citing works
Lindquist, L. W., Carlsson, G. E., & Jemt, T. (1996) · Clinical Oral Implants Research · doi:10.1034/j.1600-0501.1996.070405.x · Cited by 700 · see citing works
Effectiveness of Implant Therapy Analyzed in a Swedish Population
Derks, J., Schaller, D., Håkansson, J., Wennström, J. L., Tomasi, C., & Berglundh, T. (2015) · Journal of Dental Research · doi:10.1177/0022034515608832 · Cited by 609 · see citing works
Nine‐ to fourteen‐year follow‐up of implant treatment. Part II: presence of peri‐implant lesions
Roos‐Jansåker, A., Lindahl, C., Renvert, H., & Renvert, S. (2006) · Journal Of Clinical Periodontology · doi:10.1111/j.1600-051x.2006.00906.x · Cited by 572 · see citing works
Self-citationPrevalence and risk variables for peri‐implant disease in Brazilian subjects
Ferreira, S. D., Silva, G. L. M., Cortelli, J. R., Costa, J. E., & Costa, F. O. (2006) · Journal Of Clinical Periodontology · doi:10.1111/j.1600-051x.2006.01001.x · Cited by 550 · see citing works
Prevalences of peri-implantitis and peri-implant mucositis: systematic review and meta-analysis
Lee, C.-T., Huang, Y.-W., Zhu, L., & Weltman, R. L. (2017) · Journal of Dentistry · doi:10.1016/j.jdent.2017.04.011 · Cited by 537 · see citing works
Clinical research on peri‐implant diseases: consensus report of W orking G roup 4
Sanz, M., Chapple, I., & on behalf of Working Group 4 of the VIII European Workshop on Periodontology (2012) · Journal Of Clinical Periodontology · doi:10.1111/j.1600-051x.2011.01837.x · Cited by 520 · see citing works
Long‐term implant survival and success: a 10–16‐year follow‐up of non‐submerged dental implants
Simonis, P., Dufour, T., & Tenenbaum, H. (2010) · Clinical Oral Implants Research · doi:10.1111/j.1600-0501.2010.01912.x · Cited by 458 · see citing works
Koldsland, O. C., Scheie, A. A., & Aass, A. M. (2010) · Journal of Periodontology · doi:10.1902/jop.2009.090269 · Cited by 435 · see citing works
Prevalence of subjects with progressive bone loss at implants
Fransson, C., Lekholm, U., Jemt, T., & Berglundh, T. (2005) · Clinical Oral Implants Research · doi:10.1111/j.1600-0501.2005.01137.x · Cited by 344 · see citing works
Cluster of Bacteria Associated with Peri‐Implantitis
Persson, G. R., & Renvert, S. (2013) · Clinical Implant Dentistry and Related Research · doi:10.1111/cid.12052 · Cited by 338 · see citing works
Self-citation(2013) · Journal of Periodontology · doi:10.1902/jop.2013.134001 · Cited by 325 · see citing works
Microbiome and Microbial Biofilm Profiles of Peri‐Implantitis: A Systematic Review
Lafaurie, G. I., Sabogal, M. A., Castillo, D. M., Rincón, M. V. B., Gómez, L. A., Lesmes, Y. A., & Chambrone, L. (2017) · Journal of Periodontology · doi:10.1902/jop.2017.170123 · Cited by 309 · see citing works
Daubert, D. M., Weinstein, B. F., Bordin, S., Leroux, B. G., & Flemmig, T. F. (2014) · Journal of Periodontology · doi:10.1902/jop.2014.140438 · Cited by 308 · see citing works
Heitz‐Mayfield, L. J. A., & Salvi, G. E. (2018) · Journal of Periodontology · doi:10.1002/jper.16-0488 · Cited by 307 · see citing works
Histologic probe penetration in healthy and inflamed peri‐implant tissues
Lang, N. P., Wetzel, A., Stich, H., & Caffesse, R. G. (1994) · Clinical Oral Implants Research · doi:10.1034/j.1600-0501.1994.050401.x · Cited by 272 · see citing works
Risk indicators for Peri‐implantitis. A cross‐sectional study with 916 implants
Dalago, H. R., Filho, G. S., Rodrigues, M. A. P., Renvert, S., & Bianchini, M. A. (2016) · Clinical Oral Implants Research · doi:10.1111/clr.12772 · Cited by 242 · see citing works
Self-citationClinical evaluation of periodontal diseases
Armitage, G. C. (1995) · Periodontology 2000 · doi:10.1111/j.1600-0757.1995.tb00035.x · Cited by 220 · see citing works
Peri‐implantitis susceptibility as it relates to periodontal therapy and supportive care
Pjetursson, B. E., Helbling, C., Weber, H., et al. (2012) · Clinical Oral Implants Research · doi:10.1111/j.1600-0501.2012.02474.x · Cited by 203 · see citing works
Prevalence and risk factors for peri‐implant disease in Belgian adults
Marrone, A., Lasserre, J. F., Bercy, P., & Brecx, M. (2012) · Clinical Oral Implants Research · doi:10.1111/j.1600-0501.2012.02476.x · Cited by 201 · see citing works
van Velzen, F. J. J., Ofec, R., Schulten, E. A. J. M., et al. (2014) · Clinical Oral Implants Research · doi:10.1111/clr.12499 · Cited by 198 · see citing works
Factors related to peri‐implantitis – a retrospective study
Renvert, S., Aghazadeh, A., Hallström, H., & Persson, G. R. (2013) · Clinical Oral Implants Research · doi:10.1111/clr.12208 · Cited by 191 · see citing works
Self-citationCharalampakis, G., Leonhardt, Å., Rabe, P., & Dahlén, G. (2011) · Clinical Oral Implants Research · doi:10.1111/j.1600-0501.2011.02258.x · Cited by 177 · see citing works
Araújo, M. G., & Lindhe, J. (2018) · Journal of Periodontology · doi:10.1002/jper.16-0424 · Cited by 172 · see citing works
Swierkot, K., Lottholz, P., Flores-de-Jacoby, L., et al. (2012) · Journal of Periodontology · doi:10.1902/jop.2012.110603 · Cited by 150 · see citing works
Prevalence of peri‐implant diseases. A cross‐sectional study based on a private practice environment
Mir‐Mari, J., Mir‐Orfila, P., Figueiredo, R., Valmaseda‐Castellón, E., & Gay‐Escoda, C. (2012) · Journal Of Clinical Periodontology · doi:10.1111/j.1600-051x.2012.01872.x · Cited by 146 · see citing works
Cochran, D. L., Nummikoski, P. V., Schoolfield, J. D., et al. (2009) · Journal of Periodontology · doi:10.1902/jop.2009.080401 · Cited by 138 · see citing works
Cross-sectional study on the prevalence and risk indicators of peri-implant diseases.
Konstantinidis, I. K., Kotsakis, G. A., Gerdes, S., & Walter, M. H. (2015) · PubMed · Cited by 134 · see citing works
Probing at implants with peri‐implantitis and its relation to clinical peri‐implant bone loss
Serino, G., Turri, A., & Lang, N. P. (2012) · Clinical Oral Implants Research · doi:10.1111/j.1600-0501.2012.02470.x · Cited by 131 · see citing works
Rokn, A., Aslroosta, H., Akbari, S., Najafi, H., Zayeri, F., & Hashemi, K. (2016) · Clinical Oral Implants Research · doi:10.1111/clr.12800 · Cited by 125 · see citing works
Aguirre-Zorzano, L.-A., Estefanía‐Fresco, R., Agirre, O. T., & Bravo, M. (2014) · Clinical Oral Implants Research · doi:10.1111/clr.12462 · Cited by 123 · see citing works
Zetterqvist, L., Feldman, S., Rotter, B. E., Vincenzi, G., Wennström, J. L., Chierico, A., Stach, R. M., & Kenealy, J. N. (2010) · Journal of Periodontology · doi:10.1902/jop.2009.090492 · Cited by 106 · see citing works
Papathanasiou, E., Finkelman, M., Hanley, J. B., & Parashis, A. O. (2015) · Journal of Periodontology · doi:10.1902/jop.2015.150476 · Cited by 91 · see citing works
Fardal, Ø., & Grytten, J. I. (2013) · Journal Of Clinical Periodontology · doi:10.1111/jcpe.12101 · Cited by 80 · see citing works
Microbiologic and Clinical Findings of Implants in Healthy Condition and with Peri-Implantitis
Canullo, L., Peñarrocha‐Oltra, D., Covani, U., & Rossetti, P. H. O. (2015) · The International Journal of Oral & Maxillofacial Implants · doi:10.11607/jomi.3947 · Cited by 74 · see citing works
Máximo, M. B. B., de Mendonça, A. C., Alves, J. F., Cortelli, S. C., Peruzzo, D. C., & Duarte, P. M. (2008) · Journal of Oral Implantology · doi:10.1563/1548-1336(2008)34[269:pdmbaw]2.0.co;2 · Cited by 74 · see citing works
Meijer, H. J. A., Raghoebar, G. M., de Waal, Y. C. M., et al. (2014) · Journal Of Clinical Periodontology · doi:10.1111/jcpe.12311 · Cited by 73 · see citing works
The Effect of Keratinized Mucosa Width on Peri‐Implant Outcome under Supportive Postimplant Therapy
Frisch, E., Ziebolz, D., Vach, K., & Ratka‐Krüger, P. (2013) · Clinical Implant Dentistry and Related Research · doi:10.1111/cid.12187 · Cited by 71 · see citing works
Mucosal inflammation and incidence of crestal bone loss among implant patients: a 10‐year study
Cecchinato, D., Parpaiola, A., & Lindhe, J. (2013) · Clinical Oral Implants Research · doi:10.1111/clr.12209 · Cited by 68 · see citing works
Probe penetration in periodontal and peri‐implant tissues: An experimental study in the beagle dog
Abrahamsson, I., & Soldini, C. (2006) · Clinical Oral Implants Research · doi:10.1111/j.1600-0501.2006.01235.x · Cited by 65 · see citing works
Gatti, C., Gatti, F., Chiapasco, M., et al. (2008) · PubMed · Cited by 63 · see citing works
Long‐term prospective cohort study on dental implants: clinical and microbiological parameters
Tenenbaum, H., Bogen, O., Séverac, F., Elkaïm, R., Davideau, J., & Huck, O. (2016) · Clinical Oral Implants Research · doi:10.1111/clr.12764 · Cited by 55 · see citing works
Ramanauskaite, A., Daugela, P., & Juodžbalys, G. (2016) · PubMed · doi:10.3290/j.qi.a35131 · Cited by 49 · see citing works
Specialists' management decisions and attitudes towards mucositis and peri-implantitis
Mattheos, N., Collier, S., & Walmsley, A. D. (2012) · BDJ · doi:10.1038/sj.bdj.2012.1 · Cited by 45 · see citing works
Clinical follow‐up of unilateral, fixed dental prosthesis on maxillary implants
Wahlström, M., SAGULIN, G. ‐., & Jansson, L. E. (2010) · Clinical Oral Implants Research · doi:10.1111/j.1600-0501.2010.01948.x · Cited by 45 · see citing works
Gholami, H., Mericske‐Stern, R., Kessler-Liechti, G., et al. (2014) · The International Journal of Oral & Maxillofacial Implants · doi:10.11607/jomi.3042 · Cited by 33 · see citing works
Does the number of implants have any relation with peri-implant disease?
Passoni, B. B., Dalago, H. R., Filho, G. S., et al. (2014) · Journal of Applied Oral Science · doi:10.1590/1678-775720140055 · Cited by 32 · see citing works
Prevalence of Peri-implant Diseases: Analyses of Associated Factors.
Ferreira, C. F., Buttendorf, A. R., de Souza, J. G. O., Dalago, H. R., Filho, G. S., & Bianchini, M. A. (2015) · PubMed · Cited by 31 · see citing works
Rinke, S., Rasing, H., Gersdorff, N., et al. (2015) · The Journal of Advanced Prosthodontics · doi:10.4047/jap.2015.7.4.338 · Cited by 29 · see citing works
Zitzmann, N. U., Berglundh, T., Marinello, C. P., et al. (2002) · Journal Of Clinical Periodontology · doi:10.1034/j.1600-051x.2002.290603.x · Cited by 26 · see citing works
Peri‐implantitis: a complex condition with non‐linear characteristics
Papantonopoulos, G., Gogos, C., Housos, E., et al. (2015) · Journal Of Clinical Periodontology · doi:10.1111/jcpe.12430 · Cited by 24 · see citing works
Retrospective Long-term Evaluation of Dental Implants in Totally and Partially Edentulous Patients
Trullenque‐Eriksson, A., & Moya, B. G. (2015) · Implant Dentistry · doi:10.1097/id.0000000000000224 · Cited by 22 · see citing works
Claffey, N. M., Kelly, A., Bergquist, J., et al. (1996) · Journal Of Clinical Periodontology · doi:10.1111/j.1600-051x.1996.tb01820.x · Cited by 19 · see citing works
Martens, F., Vandeweghe, S., Browaeys, H., et al. (2014) · The International Journal of Periodontics & Restorative Dentistry · doi:10.11607/prd.1938 · Cited by 17 · see citing works
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Research works printed but not linked: 2
- Albrektsson T, Isidor F. Consensus report of session IV. In: Lang NP, Karring T, eds. Proceedings from the 1st European Workshop on Periodontology. London: Quintessence, 1994:365-369.
- van Velzen FJJ, Ofec R, Schulten EAJM, ten Bruggenkate CM. 10-year survival rate and the incidence of peri-implant disease of 374 titanium dental implants with a SLA surface: a prospective 19433670, 2018, S1, Downloaded from https://aap.onlinelibrary.wiley.com/doi/10.1002/JPER.17-0588, Wiley Online Library on [15/01/2026]. See the Terms and Conditions (https://onlinelibrary.wiley.com/terms-and-conditions) on Wiley Online Library for rules of use; OA articles are governed by the applicable Creative Commons License
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Caton, J. G., Armitage, G., Berglundh, T., Chapple, I. L. C., Jepsen, S., Kornman, K. S., Mealey, B. L., Papapanou, P. N., Sanz, M., & Tonetti, M. S. (2018) · Journal of Periodontology · doi:10.1002/jper.18-0157 · Cited by 1,845 · see citing works
Berglundh, T., Armitage, G., Araujo, M. G., Avila‐Ortiz, G., Blanco, J., Camargo, P. M., Chen, S., Cochran, D., Derks, J., Figuero, E., et al. (2018) · Journal of Clinical Periodontology · doi:10.1111/jcpe.12957 · Cited by 1,755 · see citing works
Self-citationBerglundh, T., Armitage, G., Araujo, M. G., Avila‐Ortiz, G., Blanco, J., Camargo, P. M., Chen, S., Cochran, D., Derks, J., Figuero, E., et al. (2018) · Journal of Periodontology · doi:10.1002/jper.17-0739 · Cited by 861 · see citing works
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- Authors
- Renvert, S., Persson, G. R., Pirih, F. Q., & Camargo, P. M.
- Affiliations
- Kristianstad University (SE)
- University of California, Los Angeles (US)
- Corresponding author
- Renvert, Stefan
- Venue
- Journal of Periodontology
- Publisher
- Wiley
- Published
- 2018-06
- Volume
- 89
- Issue
- S1
- ISSN
- 0022-3492 (ISSN-L)
- 1943-3670
- OpenAlex
- W3050462433
- Cited by
- 367
- References
- 59
- Citations by year
- 2026: 28 · 2025: 48 · 2024: 62 · 2023: 49 · 2022: 60 · 2021: 53 · 2020: 37 · 2019: 27 · 2018: 3
- FWCI
- 5.78
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Periodontology (publishedVersion)
- Topics
- Health Sciences › Dentistry › Oral Surgery › Dental Implant Techniques and Outcomes
- Health Sciences › Dentistry › Periodontics › Oral microbiology and periodontitis research
- Health Sciences › Medicine › Urology › Periodontal Regeneration and Treatments
- Keywords
- peri-implant health, peri-implant mucositis, peri-implantitis, case definition, diagnostic criteria, soft tissue inflammation, bleeding on probing, probing depth, radiographic bone loss, dental implants
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