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What Separates Peri-implant Mucositis From Peri-implantitis? The Key Is Whether Bone Is Being Lost as Well｜證據鏈
Inflammation around an implant falls into two stages. Peri-implant mucositis is inflammation confined to the soft tissue; peri-implantitis is inflammation that is already accompanied by loss of bone. This line matters because it directly determines how complex the management becomes. The mainstay for mucositis is debridement — a non-surgical approach; peri-implantitis usually has to move up to the surgical level. The two also differ in scale. A systematic review and meta-analysis applying the diagnostic criteria of the 2017 World Workshop selected 20 studies from 1,979 records and derived a weighted mean prevalence of peri-implant mucositis of 63.0% at patient level (CI 57.6% to 68.2%) and 59.2% at implant level (CI 55.8% to 62.4%); for peri-implantitis the figures were 25.0% at patient level (CI 21.1% to 29.3%) and 18.0% at implant level (CI 15.8% to 20.5%).
What Separates Peri-implant Mucositis From Peri-implantitis? The Key Is Whether Bone Is Being Lost as Well｜證據鏈
本頁逐條列出本卡每一個 [Fn] 標記對應的文獻出處。
- F1｜The prevalence of peri-implant mucositis and peri-implantitis based on the world workshop criteria: A systematic review and meta-analysis. [PMID:40523497]（https://pubmed.ncbi.nlm.nih.gov/40523497/）
- F2｜Treatment of Peri-implant Mucositis: An AAP/AO Systematic Review and Meta-analysis. [PMID:40476896]（https://pubmed.ncbi.nlm.nih.gov/40476896/）
- F3｜Surgical Reconstructive Therapy for the Management of Peri-implantitis: An AAP/AO Systematic Review and Network Meta-analysis. [PMID:40476895]（https://pubmed.ncbi.nlm.nih.gov/40476895/）
- F4｜Efficacy of Nonreconstructive Surgical Treatment of Peri-implantitis: An AAP/AO Systematic Review and Meta-analysis of Access Flap Versus Osseous Surgery Procedures. [PMID:40476897]（https://pubmed.ncbi.nlm.nih.gov/40476897/）
- F5｜Efficacy of supportive peri-implant therapy in the management of peri-implant mucositis and peri-implantitis: A systematic review. [PMID:41204923]（https://pubmed.ncbi.nlm.nih.gov/41204923/）
- F6｜Peri-Implantitis and Peri-Implant Mucositis Case Definitions in Dental Research: A Systematic Assessment. [PMID:30557088]（https://pubmed.ncbi.nlm.nih.gov/30557088/）
FAQ
- My gums are bleeding — is that mucositis or peri-implantitis?
- Symptoms alone cannot tell them apart. The two share clinical measures such as probing depth and bleeding on probing [F2]; what divides them is whether marginal bone loss visible on imaging is present, and assessing bone requires a radiographic image [F3]. This has to be determined by your dentist's examination.
- 歯肉から出血します。粘膜炎でしょうか、それともインプラント周囲炎でしょうか — 症状だけでは区別できません。両者はプロービングデプスとプロービング時の出血といった臨床指標を共有しており [F2]、分かれ目は画像上で確認できる辺縁骨の喪失を伴うかどうかで、骨の評価には X 線画像が必要です [F3]。これは歯科医師の検査によって判断されます。
- My gums are bleeding — is that mucositis or peri-implantitis? — Symptoms alone cannot tell them apart. The two share clinical measures such as probing depth and bleeding on probing [F2]; what divides them is whether marginal bone loss visible on imaging is present, and assessing bone requires a radiographic image [F3]. This has to be determined by your dentist's examination.
Source anchors
- The prevalence of peri-implant mucositis and peri-implantitis based on the world workshop criteria: A systematic review and meta-analysis. [PMID:40523497] · https://pubmed.ncbi.nlm.nih.gov/40523497/ · 在 IDAEO 的其他引用
- Treatment of Peri-implant Mucositis: An AAP/AO Systematic Review and Meta-analysis. [PMID:40476896] · https://pubmed.ncbi.nlm.nih.gov/40476896/ · 在 IDAEO 的其他引用
- Surgical Reconstructive Therapy for the Management of Peri-implantitis: An AAP/AO Systematic Review and Network Meta-analysis. [PMID:40476895] · https://pubmed.ncbi.nlm.nih.gov/40476895/ · 在 IDAEO 的其他引用
- Efficacy of Nonreconstructive Surgical Treatment of Peri-implantitis: An AAP/AO Systematic Review and Meta-analysis of Access Flap Versus Osseous Surgery Procedures. [PMID:40476897] · https://pubmed.ncbi.nlm.nih.gov/40476897/ · 在 IDAEO 的其他引用
- Efficacy of supportive peri-implant therapy in the management of peri-implant mucositis and peri-implantitis: A systematic review. [PMID:41204923] · https://pubmed.ncbi.nlm.nih.gov/41204923/ · 在 IDAEO 的其他引用
- Peri-Implantitis and Peri-Implant Mucositis Case Definitions in Dental Research: A Systematic Assessment. [PMID:30557088] · https://pubmed.ncbi.nlm.nih.gov/30557088/ · 在 IDAEO 的其他引用
Cite this article
Lucy・《What Separates Peri-implant Mucositis From Peri-implantitis? The Key Is Whether Bone Is Being Lost as Well｜證據鏈》・IDAEO 知識庫・2026-08-16・https://km.idaeo.ai/post/reports/dental-mucositis-vs-periimplantitis-evidenceUpdated 2026-08-19