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Management of peri-implant diseases: A commentary

Ioannis Kormas, Alessandro Pedercini, Larry F. Wolff

This manuscript is a commentary on the recent publication “Peri-implant Diseases: Diagnosis, Clinical, Histological, Microbiological Characteristics and Treatment Strategies. A Narrative reviews”. The paper addresses the gaps in the literature on the subject of peri-implant diseases. Currently, the vast majority of epidemiological studies are using a heterogenous definition for peri-implant diseases; it is important to use the case definitions of the 2017 World Workshop on the Classification of Periodontal and Peri-implant Diseases and Conditions. Existing implant prognostication systems are based on studies with weak evidence; more prospective studies with longer follow-up are required for the development of a reliable system. Finally, there is no universal agreement on the treatment of peri-implantitis; further research is warranted to propose an evidence-based treatment protocol.