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Clinical Trends in the Prevention of Peri‐Implantitis: Spanish Society of Periodontology ( SEPA) Foundation Survey Using the Delphi Method

Year: 2025

Type: article

Abstract: OBJECTIVE: To assess clinical trends to prevent peri-implantitis in applying a two-step survey based on the Delphi method. MATERIAL AND METHODS: A panel of participants aged < 45 years old selected by the Spanish Society of Periodontology (SEPA) was asked to answer a survey with 75 statements prepared by a steering committee. Items were divided into 5 major areas: etiopathogenesis and epidemiology, surgical, implant, and prosthetic-related factors on the onset/progression of peri-implantitis, and self- and professional-administered oral hygiene. Degree of agreement or disagreement among participants was reported. RESULTS: In total, 44 participants responded favorably to participate in the survey. From the 75 statements formulated, 35 were agreed on in a first round (46.7%). From the 40 statements that did not reach consensus, 16 were agreed on in a second round (40.0%). Overall, 51 out of 75 statements (68.0%) achieved consensus in a second round. From these, 36 (48.0%) were in agreement, while 15 (20.0%) were in disagreement. The sections that explored surgical-related factors and prosthesis-related factors of peri-implantitis yielded the highest level of conflict (9/18 and 8/14 statements demonstrated indeterminate agreement, respectively). In the sections on the etiopathogenesis and epidemiology of peri-implantitis and implant-related factors, most items reached consensus (14/17 and 10/13 items, respectively). The section on self- and professional-administered oral hygiene obtained the highest level of consensus, with only 1/13 items showing dissent among the participants. CONCLUSION: The results of this study on the clinical trends in the prevention of peri-implantitis showed consensus agreement for ∼70% of the statements evaluated.

Source: Clinical Oral Implants Research

DOI: 10.1111/clr.70030