Dr. Tord Berglundh is Professor and Chairman at the Department of Periodontology, Institute of Odontology, Sahlgrenska Academy at University of Gothenburg. He graduated (DDS) 1978 in Gothenburg and received his certificate as specialist in Periodontics in 1992 and the degree of Odont. Dr. (PhD) in 1993. He was appointed to Associate professor in 1994 and full Professor in Periodontology 2002 from the University of Gothenburg, where he has served since 1981.
Dr. Berglundh is co-editor of the textbook Clinical Periodontology and Implant Dentistry and associate editor of the journals Clinical Oral Implants Research and Journal of Clinical Periodontology. He is a member of the editorial board of Journal of Dental Research and serves as a referee in several other journals. Dr. Berglundh has received numerous scientific awards and produced about 230 scientific publications within the field of dental implants, periodontal and peri-implant diseases, immunology, genetics, tissue integration and regeneration.
Peri-implantitis is a disease affecting peri-implant tissues. It is characterized by bleeding/suppuration on probing together with loss of supporting bone. Recent evaluations on the prevalence of the disease indicate that about 15% of implant-carrying patients present with significant peri-implantitis problems. The assessment of the prevalence of the disease, however, depends on case definitions. Subjects with a history of severe periodontitis have higher risk for the disease.
Results from recent studies on peri-implantitis and periodontitis using experimental protocols and human samples will be presented and important differences between the two conditions will be described. The understanding of disease onset and progression for peri-implantitis will be addressed from the comparison between periodontitis and peri-implantitis. The presentation will also address the role of implant surface characteristics in relation to peri-implantitis. Results from pre-clinical in vivo studies will be presented and their clinical relevance will be discussed.
The tissues surrounding dental implants include peri-implant mucosa and peri-implant bone. The integration of hard and soft tissues with the implant device is the result of a wound healing process extending over several weeks. The established peri-implant mucosa presents with an oral epithelium, which is continuous with a junctional epithelium. The interface between the transmucosal portion of the implant and the peri-implant mucosa is comprised by junctional epithelium and connective tissue, the dimensions of which are similar to that of teeth.
The presentation will provide new information on the morphogenesis of the peri-implant mucosa based on human material. The new terminology of the biological width concept will be discussed. The importance of the differences in fiber-mechanical attachment between peri-implant and periodontal tissues on host response to biofilm formation will also be illustrated. The continuum from healthy mucosa to peri-implant mucositis and to peri-implantitis will be addressed.