Peri-implant Disease Support Protocol

Dental/Oral HealthLimited Evidence

supplements

Primary

Supporting

Grade A

Studies

Primary Stack

Core supplements with strongest evidence

Vitamin DC

2000-4000 IU daily

Supports bone health and immune function around implants

5 studies200 participants

Supporting Studies (1)

PMID: 28750270 - Vitamin D and implant outcomes: review (2017)

CalciumC

1000-1200mg daily

Essential for bone health and osseointegration

4 studies150 participants

Supporting Studies (1)

PMID: 28332116 - Calcium for bone health: guidelines (2017)

Supporting Stack

Additional supplements for enhanced results

Omega-3 Fatty AcidsC

2-3g EPA+DHA daily

Anti-inflammatory; may help reduce peri-implant inflammation

3 studies100 participants

Supporting Studies (1)

PMID: 27840029 - Omega-3 for periodontal conditions: review (2017)

ProbioticsC

Oral probiotics with L. reuteri 10B CFU daily

May improve oral microbiome and reduce pathogenic bacteria

4 studies150 participants

Supporting Studies (1)

PMID: 24045160 - Probiotics for oral health: systematic review (2013)

How This Protocol Works

Simple Explanation

Peri-implant diseases are conditions affecting the tissues around dental implants, similar to how gum disease affects natural teeth.

TYPES:

•Peri-implant mucositis: Inflammation of soft tissue around implant (reversible)

•Peri-implantitis: More severe; involves bone loss around implant (may lead to implant failure)

SYMPTOMS:

•Red, swollen gums around implant

•Bleeding when brushing or probing

•Deepening pockets around implant

•Pus or discharge

•Loose implant (advanced disease)

RISK FACTORS:

•Poor oral hygiene

•History of periodontal disease

•Smoking

•Diabetes

•Genetic factors

CRITICAL: Peri-implant diseases require professional dental management. This protocol is SUPPORTIVE ONLY.

DENTAL TREATMENTS:

•Professional cleaning around implants

•Antiseptic rinses

•Antibiotics (if needed)

•Surgical debridement for peri-implantitis

•May require implant removal if severe

PREVENTION:

•Excellent oral hygiene

•Regular dental checkups

•Professional cleanings

•Don't smoke

•Control diabetes

* Vitamin D and calcium support bone health.

* Omega-3s may help reduce inflammation.

* Oral hygiene is most important.

Expected timeline: Mucositis can resolve with improved hygiene. Peri-implantitis requires professional treatment.

Clinical Perspective

Peri-implant Diseases: Peri-implant mucositis (reversible soft tissue inflammation) and peri-implantitis (progressive bone loss). Prevalence: mucositis ~43%, peri-implantitis ~22%. Risk factors: history of periodontitis, poor oral hygiene, smoking, diabetes.

Treatment: Mucositis - professional cleaning, improved oral hygiene. Peri-implantitis - non-surgical debridement first; surgical if needed; may require implant removal. Supplements: limited evidence; vitamin D/calcium for bone health; omega-3 anti-inflammatory; probiotics emerging. Primary focus: oral hygiene, professional maintenance, smoking cessation.

* Vitamin D (C-grade): Bone health. Review: (PMID: 28750270). 2000-4000 IU daily.

* Calcium (C-grade): Bone health. Guidelines: (PMID: 28332116). 1000-1200mg daily.

* Omega-3 (C-grade): Anti-inflammatory. Review: (PMID: 27840029). 2-3g EPA+DHA daily.

* Probiotics (C-grade): Oral microbiome. Systematic review: (PMID: 24045160). L. reuteri 10B CFU daily.

Assessment targets: Probing depth, bleeding on probing, radiographic bone levels.

Protocol notes: Prevention: most important; regular maintenance visits q3-6mo. Diagnosis: probing depths >6mm with bleeding/suppuration and radiographic bone loss = peri-implantitis. Non-surgical: ultrasonic debridement, antiseptic rinses (chlorhexidine), local antibiotics. Surgical: access flap, debridement, bone grafting/regeneration in select cases. Smoking: major risk factor; cessation essential. Diabetes: glycemic control improves outcomes. Implant failure: may be necessary if severe progressive bone loss.

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