Implant prosthodontic design as a predisposing or precipitating factor for peri‐implant disease: A review

Abstract

AbstractOver the past decade, emerging evidence indicates a strong relationship between prosthetic design and peri‐implant tissue health. The objective of this narrative review was to evaluate the evidence for the corresponding implant prosthodontic design factors on the risk to peri‐implant tissue health. One of the most important factors to achieve an acceptable implant restorative design is the ideal implant position. Malpositioned implants often result in a restorative emergence profile at the implant‐abutment junction that can restrict the access for patients to perform adequate oral hygiene. Inadequate cleansability and poor oral hygiene has been reported as a precipitating factors to induce the peri‐implant mucositis and peri‐implantitis and are influenced by restorative contours. The implant–abutment connection, restorative material selection and restoration design are also reported in the literature as having the potential to influence peri‐implant sort tissue health.