Pityriasis Lichenoids-Et Varioliformis Acuta (Pleva): A Rare Case Report. -

Recent advances in the field of dental implants have led to widespread use of them as a treatment of choice for missing teeth hence increasing the incidences of peri-implantitis. Peri-implantitis is the site-specific destructive inflammatory process affecting the soft and hard tissues surrounding dental implants. The array of periodontal pathogens similar to those found in association with various forms of periodontal disease; include the etiology of this disease around an osseointegrated implant. Other factors which govern the etiology include implant design, degree of roughness, external morphology, and excessive mechanical load. The microorganisms most commonly associated with implant failure are spirochetes and mobile forms of Gram-negative anaerobes, unless the origin is the result of simple mechanical overload. Diagnosis is based on changes in the clinical parameters namely color of the gingiva, bleeding and probing depth of peri-implant pockets, suppuration. Degree of bone destruction can be evaluated using radiographs. Depending on the diagnosis, treatment will differ for a case of peri-implant mucositis or peri-implantitis. This review article gives a brief summarization etiopathogenesis, clinical features, diagnosis and the varied treatment modalities available in the management of peri-implantitis.