{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T12:57:05Z","timestamp":1791896225784,"version":"4.3.4"},"reference-count":14,"publisher":"Wiley","issue":"S16","license":[{"start":{"date-parts":[[2015,3,31]],"date-time":"2015-03-31T00:00:00Z","timestamp":1427760000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Clinic Periodontology"],"published-print":{"date-parts":[[2015,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>Over the past decades, the placement of dental implants has become a routine procedure in the oral rehabilitation of fully and partially edentulous patients. However, the number of patients\/implants affected by peri\u2010implant diseases is increasing. As there are \u2013 in contrast to periodontitis \u2013 at present no established and predictable concepts for the treatment of peri\u2010implantitis, primary prevention is of key importance. The management of peri\u2010implant mucositis is considered as a preventive measure for the onset of peri\u2010implantitis. Therefore, the remit of this working group was to assess the prevalence of peri\u2010implant diseases, as well as risks for peri\u2010implant mucositis and to evaluate measures for the management of peri\u2010implant mucositis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Discussions were informed by four systematic reviews on the current epidemiology of peri\u2010implant diseases, on potential risks contributing to the development of peri\u2010implant mucositis, and on the effect of patient and of professionally administered measures to manage peri\u2010implant mucositis. This consensus report is based on the outcomes of these systematic reviews and on the expert opinion of the participants.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Key findings included: (i) meta\u2010analysis estimated a weighted mean prevalence for peri\u2010implant mucositis of 43% (<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 32\u201354%) and for peri\u2010implantitis of 22% (<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 14\u201330%); (ii) bleeding on probing is considered as key clinical measure to distinguish between peri\u2010implant health and disease; (iii) lack of regular supportive therapy in patients with peri\u2010implant mucositis was associated with increased risk for onset of peri\u2010implantitis; (iv) whereas plaque accumulation has been established as aetiological factor, smoking was identified as modifiable patient\u2010related and excess cement as local risk indicator for the development of peri\u2010implant mucositis; (v) patient\u2010administered mechanical plaque control (with manual or powered toothbrushes) has been shown to be an effective preventive measure; (vi) professional intervention comprising oral hygiene instructions and mechanical debridement revealed a reduction in clinical signs of inflammation; (vii) adjunctive measures (antiseptics, local and systemic antibiotics, air\u2010abrasive devices) were not found to improve the efficacy of professionally administered plaque removal in reducing clinical signs of inflammation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Consensus was reached on recommendations for patients with dental implants and oral health care professionals with regard to the efficacy of measures to manage peri\u2010implant mucositis. It was particularly emphasized that implant placement and prosthetic reconstructions need to allow proper personal cleaning, diagnosis by probing and professional plaque removal.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jcpe.12369","type":"journal-article","created":{"date-parts":[[2015,1,27]],"date-time":"2015-01-27T15:29:19Z","timestamp":1422372559000},"source":"Crossref","is-referenced-by-count":450,"title":["Primary prevention of peri\u2010implantitis: Managing peri\u2010implant mucositis"],"prefix":"10.1111","volume":"42","author":[{"given":"S\u00f8ren","family":"Jepsen","sequence":"first","affiliation":[{"name":"University of Bonn Bonn Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tord","family":"Berglundh","sequence":"additional","affiliation":[{"name":"University of Gothenburg Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Genco","sequence":"additional","affiliation":[{"name":"University at Buffalo Buffalo NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne Merete","family":"Aass","sequence":"additional","affiliation":[{"name":"University of Oslo Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Korkud","family":"Demirel","sequence":"additional","affiliation":[{"name":"Istanbul University Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan","family":"Derks","sequence":"additional","affiliation":[{"name":"University of Gothenburg Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elena","family":"Figuero","sequence":"additional","affiliation":[{"name":"University of Complutense Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean Louis","family":"Giovannoli","sequence":"additional","affiliation":[{"name":"Private Practice Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moshe","family":"Goldstein","sequence":"additional","affiliation":[{"name":"Hadassah\u2010Hebrew University Medical Center Jerusalem Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"France","family":"Lambert","sequence":"additional","affiliation":[{"name":"University of Liege Liege Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alberto","family":"Ortiz\u2010Vigon","sequence":"additional","affiliation":[{"name":"University of Complutense Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ioannis","family":"Polyzois","sequence":"additional","affiliation":[{"name":"Trinity College Dublin Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giovanni E.","family":"Salvi","sequence":"additional","affiliation":[{"name":"University of Bern Bern 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