{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T21:55:29Z","timestamp":1788299729395,"version":"build-2803163510"},"reference-count":90,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,1,10]],"date-time":"2026-01-10T00:00:00Z","timestamp":1768003200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,10]],"date-time":"2026-01-10T00:00:00Z","timestamp":1768003200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Esthet Restor Dent"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To examine which prosthetic factors, including design, materials, and cleansability, may influence the onset of peri\u2010implant diseases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>The Spanish Society of Periodontology (SEPA) convened a group of experienced periodontists, prosthodontists, and laboratory technicians to develop clinical recommendations based on expert consensus.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Emerging evidence highlights the importance of prosthetic design, implant positioning, and material selection in mitigating biological complications. Notably, access for self\u2010performed oral hygiene is a significant predictor of peri\u2010implant health, and designs that facilitate cleaning and prosthetic configurations that minimize plaque accumulation are favored. Additionally, the use of less porous materials, such as zirconia, has been shown to improve soft tissue integration and plaque control. Other critical considerations include minimizing prosthetic manipulation and ensuring optimal implant\u2010abutment connections to prevent bone loss.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This review presents clinical recommendations on prosthetic design, material selection, and implant placement in order to reduce the risk of peri\u2010implant diseases. Future research should focus on refining these strategies and evaluating the long\u2010term effectiveness of digital manufacturing techniques in improving prosthetic accuracy and reducing the incidence of disease.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Significance<\/jats:title>\n                    <jats:p>Peri\u2010implant diseases, including peri\u2010implantitis, are major concerns in implant dentistry, often linked to suboptimal prosthetic designs and maintenance. This review underscores the importance of prosthetic design in preventing such diseases. Clinicians should prioritize prosthetic configurations that enhance accessibility for self\u2010performed oral hygiene. Furthermore, proper implant positioning in a 3D prosthetically driven position is essential for preventing peri\u2010implant complications. Additionally, the choice of materials, such as ceramic\u2010based and zirconia prostheses, can influence plaque accumulation and soft tissue health. Regular follow\u2010ups and patient education on maintaining good oral hygiene are critical for the prevention of peri\u2010implant diseases. Finally, the increasing use of digital technologies in implant placement and prosthesis manufacturing offers the potential for improving accuracy and minimizing prosthetic misfits, which may further reduce the risk of disease. Future research is needed to explore the impact of digital tools on peri\u2010implant health and to refine best practices in prosthetic design and material selection.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jerd.70108","type":"journal-article","created":{"date-parts":[[2026,1,10]],"date-time":"2026-01-10T09:09:43Z","timestamp":1768036183000},"page":"1082-1100","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Influence of Surgical and Prosthetic Factors on Peri\u2010Implant Health or Disease. Clinical Recommendations From a Spanish Society of Periodontology (\n                    <scp>SEPA<\/scp>\n                    ) Expert Consensus"],"prefix":"10.1111","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5542-7659","authenticated-orcid":false,"given":"Beatriz","family":"de Tapia","sequence":"first","affiliation":[{"name":"Department of Periodontology Universitat Internacional de Catalunya  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8292-1927","authenticated-orcid":false,"given":"Alberto","family":"Monje","sequence":"additional","affiliation":[{"name":"Department of Periodontology Universitat Internacional de Catalunya  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9716-1385","authenticated-orcid":false,"given":"Guillermo","family":"Prad\u00edes","sequence":"additional","affiliation":[{"name":"Department of Conservative and Prosthetic Dentistry Faculty of Odontology, Universidad Complutense  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7472-7526","authenticated-orcid":false,"given":"Ramon","family":"Pons","sequence":"additional","affiliation":[{"name":"Department of Periodontology Universitat Internacional de Catalunya  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4570-5974","authenticated-orcid":false,"given":"Irene","family":"Garc\u00eda","sequence":"additional","affiliation":[{"name":"Department of Conservative and Prosthetic Dentistry Faculty of Odontology, Universidad Complutense  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7037-1163","authenticated-orcid":false,"given":"Ignacio","family":"Sanz\u2010Mart\u00edn","sequence":"additional","affiliation":[{"name":"Private Practice  Lausanne Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Carrillo","family":"de Albornoz","sequence":"additional","affiliation":[{"name":"Etiology and Therapy of Periodontal and Peri\u2010Implant Diseases (ETEP) Research Group, Universidad Complutense  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ferran","family":"Puigrefagut","sequence":"additional","affiliation":[{"name":"Laboratory holder: Pr\u00f3tesis y Artesan\u00eda Dental S.L.  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