Peri-implantitis, a common complication among patients receiving implant-supported restorative
therapy, often requires surgical intervention for effective treatment. Understanding the specific
configuration of peri-implant bony defect and adjacent bone peaks is crucial for tailoring treatment
strategies and improving outcomes. A decision tree for reconstructive peri-implantitis therapy has been
developed based on the new classification of defect configurations (Class I to V), guiding clinicians in
selecting treatment options, including biomaterials, techniques, and healing approaches. Furthermore,
clinicians are encouraged to consider various factors such as local predisposing factors (such as soft
tissue characteristics, prosthetic design, and implant position in three-dimensional perspective), clinical
factors (surgeon skill and experience), and patient-related factors (such as local and systemic health,
preferences, and cost) when evaluating reconstructive therapy options.
Schlagwörter: bone regeneration, dental implants, peri-implant defect, peri-implantitis, reconstructive therapy