David Chvartszaid: Distinction between normality and pathology of marginal bone around oral implants
- Discussion on the overlap of physiologic and pathophysiologic clinical events around osseointegrated implants
- Definition of assessment thresholds will influence the perceived severity of the assessed parameter
- Peri-implantitis is an abused, overused and misused term
- New York 2013 symposium presentation
Distinguishing normal and abnormal marginal bone behaviour around osseointegrated implants is a complex and controversial topic. Dr Chvartszaid reviews why this distinction is difficult, and discusses topics such as the existence of multiple proposed etiologies, deficiencies in existing knowledge, shortcomings in the currently used clinical parameters and imperfect and inconsistent terminology. There is no universal agreement on what clinical and diagnostic parameters should be assessed and monitored, and how the thresholds are set has an influence on the perceived severity of the problem. Dr Chvartszaid concludes that therefore 'peri-implantitis is an abused, overused and misused term.
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