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Serino G, Ström C. Clin Oral Implants Res 2009; 20: 169–174

Twenty-three subjects were selected from consecutive patients who had been referred for treatment of peri-implantitis. Among other criteria, each patient had at least one implant with >6 mm pockets and some natural teeth. 'The site-level analysis showed that a high proportion of implants with a diagnosis of peri-implantitis were associated with no accessibility/capability for appropriate oral hygiene measures', whereas access for plaque control was rarely associated with this condition. The majority of patients with peri-implantitis had minimal bone loss in the remaining dentition. In addition, there was no difference in the prevalence of this condition between smokers and non-smokers. Although some of the implants in this study demonstrated peri-implantitis, in almost half of the subjects, the implants had been functioning for more than 10 years.