The American Academy of Periodontology's (AAP, 2017) classification of periodontal diseases Periodontitis Periodontitis is a chronic inflammatory oral disease that progressively destroys the tooth-supporting apparatus. It usually manifests as a worsening of gingivitis and then, if untreated, with... read more includes 3 forms of peri-implant disease:
Peri-implant mucositis
Peri-implantitis
Peri-implant deficiencies of soft and/or hard tissues.
Peri-implant mucositis
Clinical signs of peri-implant mucositis include bleeding on probing, swelling, and inflammation associated with plaque. The condition may be reversed by measures to eliminate the plaque.
Peri-implantitis
Peri-implantitis is a plaque-associated pathologic condition characterized by inflammation and subsequent progressive loss of supporting bone. It is associated with poor plaque control and occurs in patients with a history of severe periodontitis. Treatment is as with treatment of periodontitis Treatment Periodontitis is a chronic inflammatory oral disease that progressively destroys the tooth-supporting apparatus. It usually manifests as a worsening of gingivitis and then, if untreated, with... read more .
Peri-implant deficiencies of soft and/or hard tissues
Normal healing following tooth loss may result in deficiencies of the jaw bone or lack of dense keratinized gingiva. These abnormalities can be corrected by grafting the hard or soft tissues.