In clinical practice, achieving optimal oral health and esthetic results of implant procedures is dependent upon the patient, site, and treatment-related factors. Several risk factors are known to affect the development of peri-implant diseases.3 Factors that can negatively impact implant health and treatment outcomes include: systemic diseases, smoking status, plaque control, maintenance adherence, prosthetic design and occlusal overload, retained cement, soft tissue quality/quantity, and periodontal health.3 Due to these risk factors, proper patient selection, site development, and treatment planning are key to achieving high success rates and identification of early clinical signs of disease is critical to successful intervention for peri-implant diseases (Figure 3).
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