{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T19:13:28Z","timestamp":1790795608263,"version":"4.1.0"},"reference-count":51,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T00:00:00Z","timestamp":1756339200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Oral Implants Res"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To assess clinical trends to prevent peri\u2010implantitis in applying a two\u2010step survey based on the Delphi method.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and Methods<\/jats:title>\n                    <jats:p>A panel of participants aged &lt;\u200945\u2009years old selected by the Spanish Society of Periodontology (SEPA) was asked to answer a survey with 75 statements prepared by a steering committee. Items were divided into 5 major areas: etiopathogenesis and epidemiology, surgical, implant, and prosthetic\u2010related factors on the onset\/progression of peri\u2010implantitis, and self\u2010 and professional\u2010administered oral hygiene. Degree of agreement or disagreement among participants was reported.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In total, 44 participants responded favorably to participate in the survey. From the 75 statements formulated, 35 were agreed on in a first round (46.7%). From the 40 statements that did not reach consensus, 16 were agreed on in a second round (40.0%). Overall, 51 out of 75 statements (68.0%) achieved consensus in a second round. From these, 36 (48.0%) were in agreement, while 15 (20.0%) were in disagreement. The sections that explored surgical\u2010related factors and prosthesis\u2010related factors of peri\u2010implantitis yielded the highest level of conflict (9\/18 and 8\/14 statements demonstrated indeterminate agreement, respectively). In the sections on the etiopathogenesis and epidemiology of peri\u2010implantitis and implant\u2010related factors, most items reached consensus (14\/17 and 10\/13 items, respectively). The section on self\u2010 and professional\u2010administered oral hygiene obtained the highest level of consensus, with only 1\/13 items showing dissent among the participants.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The results of this study on the clinical trends in the prevention of peri\u2010implantitis showed consensus agreement for \u223c70% of the statements evaluated.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/clr.70030","type":"journal-article","created":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T09:50:18Z","timestamp":1756374618000},"page":"1560-1574","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Clinical Trends in the Prevention of Peri\u2010Implantitis: Spanish Society of Periodontology (\n                    <scp>SEPA)<\/scp>\n                    Foundation 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