Marco Annunziata DDS, PhD, Pg Oral Surg

Born in Naples (Italy) in 1979. Degree in Dentistry “cum laude” in 2002 at the University of Naples “Federico II”. Ph.D. degree in “Biomedical Technologies Applied to the Odontostomatological Sciences” in 2005 and Research Fellow from 2006 to 2010 at the University of Campania “Luigi Vanvitelli”. Assistant Professor of Periodontology and Implantology from 2010 and Associate Professor at the same University from 2018. Physician Assistant at the Periodontology and Implantology Unit of the Department of Dentistry from 2011. Post-graduate certification in Oral Surgery in 2012. Active Member and Board Member (2013-2014) of the Italian Academy of Osteointegration (IAO). Author of book chapters and scientific papers on international peer reviewed journals on themes of periodontology and implantology (68 papers, total citations 1559, h-index 25). Member of the editorial board and reviewer of several international journals. Main research fields: implant therapy in periodontally compromised patients, innovative materials and protocols in periodontology and implant dentistry.

Implant therapy in periodontitis patients: scientific evidence and clinical recommendations

In the last decades, the use of dental implants has become an established and widely used treatment option for rehabilitating both fully and partially edentulous patients. In patients suffering from periodontal disease, however, implant therapy deserves particular attention. A double link between periodontitis and implant treatment can be found, periodontitis being the main cause of tooth loss, so that a large part of patients requiring implant treatment have a history of periodontitis, and being, in turn, periodontitis able to significantly affect implant treatment and implant prognosis in the long term. This lecture aims to provide an in-depth examination of the most recent scientific literature, supported by personal research and clinical experience, about the influence that periodontitis, and a "history of periodontitis", may determine on the planning, implementation, and prognosis of implant therapy over time. Particular attention will be given to the role played, in the interpretation of literature data, by possible confounding variables, such as smoking, supportive periodontal/peri-implant care, type/severity of periodontitis and surface characteristics of dental implants. With regard to the latter, in particular, the lecture will try to provide a complete overview of the preclinical and clinical evidence available from the current scientific literature and deriving from our specific research expertise, on the possible link between implant surface properties and the occurring and the maintaining of osseointegration, as well as the onset and progression of peri-implant diseases.

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