Peri-Implantitis: A New Definition Proposal Based on Unnatural Spatial Arrangement and Late Mechanical Coupling between Two Cortical Bone Layers during Osseointegration Phase: Part I

Scientists have been speculating for three decades about the reasons occurrence of peri-implantitis around dental implants. Many theories proposed since beginning 1990. Since then, profession has exposed to a vast number cases, whereas “disease” had unknown before this time. However, situation not improved because we focus more on how treat problem instead trying understand it completely. The aim paper is present purely bone-based explanation “bone loss” process already “osseointegrated” Conclusion: There are possible chain reactions physiological bone response implants which may explain peri-implantitis. Bacteria and “immunological reactions” be main causes disease. In first part, authors principles biology physiology based Donath, Jansen Frost transfer them field implantology. They describe stages “osseointegration”, explaining subsequent changes in at implant–bone interface.