Finnish perio society considers ‘violent topic’ of peri-implantitis at autumn seminar
Prof Björn Klinge at the autumn seminar of the Finnish Society of Periodontology
The Finnish Society of Periodontology held a one-day seminar in Helsinki on October 7 devoted to the subject of peri-implant diseases.
There was a lively debate about whether peri-implantitis is an infection-driven inflammatory process, with some similarities to periodontitis, or whether there is any biologically reasonable basis to consider this condition as “foreign-body disequilibrium.”
The seminar, attended by more than 80 periodontists and other oral-health professionals, was given by Prof Björn Klinge, professor of periodontology and dean of the faculty of odontology at Malmö University in Sweden and professor in the periodontology department of the Karolinksa Institutet in Stockholm.
Among the key messages from Prof Klinge’s presentations were:
The varying prevalence rates of peri-implant diseases can be explained by the variations in cut-off levels for bone loss that are selected to define the disease in different studies.
As the number of implant-treated patients and implant-supported dental reconstructions will increase in the future, so peri-implant diseases will become more common among the population.
Appropriate diagnostics must include probing and not probing should be considered as malpractice.
The key ways to prevent peri-implant disease include providing patients with instructions for plaque control, the extent to which the restoration is cleansable, periodontal treatment before implant installation, and adherence to maintenance care.
Caution is needed with extractions because natural teeth are superior to implants in terms of longevity.
Six companies – Implantona, Hammasväline, Nobel Biocare, Mads, Plandent, and Straumann – presented their products during the autumn seminar, which was held at the Ravintola Palace restaurant in Helskini.
“It was really awarding to see that the event roused interest not only among periodontists but there were also several oral surgeons and prosthodontists, as well as young specialising dentists attending our seminar,” said Prof Eija Könönen, president of the Finnish perio society.
“The event had a great atmosphere and the speaker gave an excellent overview on what is going on and sucked the audience into this somewhat ‘violent topic’ where standpoints and views seem to diverge greatly – especially in our western neighbour of Sweden.”