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International Journal of Zoology and Applied Biosciences Research Article
Peri-implantitis management: evidence-based nonsurgical and surgical treatment strategies a narrative review
Misba Anum JN, Prem Blaisie Rajula M, Malhaan Khan, Subhasri Raman
Year : 2026 | Volume: 11 | Issue: 6 | Pages: 22-29
Received on: 21/08/2026
Revised on: 26/09/2026
Accepted on: 13/10/2026
Published on: 01/11/2026
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Misba Anum JN, Prem Blaisie Rajula M, Malhaan Khan, Subhasri Raman( 2026).
Peri-implantitis management: evidence-based nonsurgical and surgical treatment strategies a narrative review
. International Journal of Zoology and Applied Biosciences, 11( 6), 22-29.
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Abstract
The global proliferation of dental implant therapy has been accompanied by a concurrent rise in biological complications, most notably peri-implantitis an inflammatory condition characterized by progressive destruction of the peri-implant supporting tissues with associated marginal bone loss. Large-scale meta-analyses highlight a significant oral health burden with about 19.53% of implant patients and 12.53% of individual implants affected by peri-implantitis. Results of the 2024 Academy of Osseointegration/American Academy of Periodontology (AO/AAP) consensus conference, which systematically evaluated 102 studies, paved the way for an undeniable consensus framework for prevention and therapy of PIPs. The factors that were identified as risks include an obesity status, smoking, inadequate biofilm control, poorly controlled diabetes mellitus, and history of periodontitis, which were found to be critical modifiable risk factors. Therapeutic spectrum includes conservative, nonsurgical mechanical debridement methods used for reversible Peri-implant mucositis, and personalized surgery methods used to treat established Peri-implantitis. The outcome of surgery is consistently excellent with disease resolution and prevention of continued bone destruction at most patients' treated sites as shown in long-term surgical outcomes. In addition, adjunctive modalities such as erbium-doped yttrium aluminum garnet (Er:YAG) laser therapy, implant plasty and antimicrobial photodynamic therapy (aPDT) have been shown to have clinical potential as ancillary treatments. This review aims to combine the current evidence to help clinicians adopt systematic, personalized impressions to treat peri-implantitis.
Keywords
Biofilm management, Bone loss, Dental implants, Laser therapy, Mechanical debridement.
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© The Author(s) 2026. This article is published by International Journal of Zoology and Applied Biosciences under the terms of the Creative Commons Attribution 4.0 International License (creativecommons.org), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
