If you watched Dr. GeorgiTopic: Zirconia ceramic implants: a viable alternative in dental implantology.
Hot Seat part 17- Dr. Omid Moghaddas with Dr. Sammy Noumbissi
If you watched Dr. Georgios Kotsakis’ lecture during the Pikos Symposium 2020 event last October 15-17 and you feel the need to to re-watch it; check out this video where Dr. Kotsakis goes in the hot-seat with Dr. Omid Moghaddas.
Peri-implantitis is a pathogenetically complex clinical picture and, in addition to local effects, has systemic effects depending on individual genetic susceptibility. It has some similarities to periodontitis but differs in the taxonomic biofilm composition and is also involved in foreign body reactions to the implant material.
Other relevant polymorphisms adversely impacting on bone health can increase the risk of peri-implantitis by affecting the rate of bone turnover, the bone mineral density and the formation of the collagen based bone matrix.
Implant surface characteristics, as well as physical and mechanical properties, are responsible for the positive interaction between the dental implant, the bone and the surrounding soft tissues.
Particulate metal was identified in peri-implantitis and control biopsies, but element analyses could confirm only the presence of Ti in peri-implantitis tissue.
Implants with peri-implantitis harbored significantly higher mean levels of titanium (0.85 ± 2.47) versus healthy implants (0.07 ± 0.19) after adjusting for amount of plaque collected per site (P = 0.033).