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Explore›Clinical Mistakes›Poor management of peri-implantitis risk factors (periodontitis, smoking, etc.)

Poor management of peri-implantitis risk factors (periodontitis, smoking, etc.)

AreaImplantology

What it is

Failing to identify, assess, and manage modifiable risk factors for peri-implantitis before and after implant placement. Key risk factors include a history of periodontitis, active smoking, uncontrolled diabetes, poor oral hygiene, and lack of compliance with maintenance programs.

Why it happens

• Not screening for periodontal disease history before implant treatment • Placing implants in active periodontal disease (untreated pockets, BOP) • Not requiring smoking cessation or reduction before surgery • Not checking HbA1c in diabetic patients before proceeding • Assuming osseointegration eliminates the need for risk management • No structured discussion of risk factors with the patient during treatment planning

The full clinical mistake entry includes

  • How to avoid it — the prevention protocol
  • The clinical tip experienced clinicians use
  • The documented reference behind the mistake
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More clinical mistakes

No prosthetically driven plan (implant placed where bone is)Skipping/poor CBCT-based risk assessment when neededWrong 3D implant positioning (too buccal/too deep/too shallow)Improper implant angulation compromising esthetics/prostheticsInadequate primary stability planning (bone quality not respected)Overheating bone during osteotomy (drilling errors)Wrong implant diameter/length selection for siteViolating vital structures (IAN/mental foramen/sinus/nasal floor)Poor soft-tissue management (thin biotype, no keratinized tissue plan)Immediate implant placement without correct case selectionImmediate loading without stability/occlusal control criteriaPoor emergence profile planning → hygiene difficulty

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