Herrera D, Berglundh T, Schwarz F et al. Prevention and treatment of peri-implant diseases-The EFP S3 level clinical practice guideline. J Clin Periodontol 2023; 50 Suppl 26: 4-76.

The guideline provides S3 level CPG for the prevention and treatment of peri-implant diseases.

The aim was to develop an S3 level Clinical Practice Guideline (CPG) for the prevention and treatment of peri-implant diseases, focusing on the implementation of interdisciplinary approaches required to prevent the development of peri-implant diseases or their recurrence, and to rehabilitate patients with dental implants following the development of peri-implant diseases. Developed by the European Federation of Periodontology, a rigorous and transparent process included synthesis of relevant research in 13 specifically commissioned systematic reviews and a structured consensus process involving leading experts and a broad base of stakeholders.

The S3 level CPG for the prevention and treatment of peri-implant diseases culminated in the recommendation for implementation of various interventions before, during and after implant placement/loading. Prevention of peri-implant diseases should commence when dental implants are planned, surgically placed and prosthetically loaded. Once the implants are loaded and in function, a supportive peri-implant care programme should be structured, including periodical assessment of peri-implant tissue health. If peri-implant mucositis or peri-implantitis are detected, appropriate treatments for their management must be rendered.