No implant with existing periodontitis
Therefore, it is not surprising that patients with a history of periodontitis have a 5-6-fold increased risk of peri-implantitis with a severe clinical course and require a longer treatment duration. If the patient is currently experiencing periodontitis, the risk for peri-implant diseases even increases up to seven times. Periodontitis is therefore regarded as a significant risk factor for peri-implant infections. For this reason, the first implantological imperative states that no implantation may be performed unless the periodontal disease has been successfully treated. A microbiological test shows the presence of periodontopathogenic bacteria and helps to successfully treat periodontitis. In addition, after completion of periodontitis treatment it can be determined, if the periodontopathogenic bacteria were sufficiently reduced. This way, the risk of peri-implantitis can be minimized in advance of the implantation.