---
title: "Management of inadequate peri-implant soft and hard tissues with a full-arch implant-supported fix"
id: "pubmed-42763881"
canonical_url: "https://medichelpline.com/clinical-feed/pubmed-42763881"
content_type: "clinical_feed_article"
specialty: "Pharmacology"
source_name: "PubMed / NCBI"
source_url: "https://pubmed.ncbi.nlm.nih.gov/42763881/"
doi: "10.1556/650.2026.33645"
published_at: "2026-09-20T00:00:00.000Z"
evidence_level: "Journal Article"
license: "CC-BY-NC-4.0 / Informational Use"
---
# Management of inadequate peri-implant soft and hard tissues with a full-arch implant-supported fix
## Provenance & Clinical Metadata
- **Canonical URL:** https://medichelpline.com/clinical-feed/pubmed-42763881
- **Specialty:** [Pharmacology](https://medichelpline.com/clinical-feed/pharmacology.md)
- **Primary Source:** PubMed / NCBI
- **Source URL:** [Original Journal Publication](https://pubmed.ncbi.nlm.nih.gov/42763881/)
- **DOI:** [10.1556/650.2026.33645](https://doi.org/10.1556%2F650.2026.33645)
- **Published At:** 2026-09-20T00:00:00.000Z
- **Evidence Rating:** Journal Article
## Executive GIST (TL;DR)
- Dental implant therapy use and the number of placed implants have risen worldwide, increasing the incidence of biological and mechanical complications. - **Peri-implant inflammatory diseases**, especially **peri-implantitis** with progressive bone loss, are a major clinical challenge because they can cause loss of implants and restorations and impose financial and health burdens. - The primary etiological factor of peri-implantitis is accumulation of bacterial **biofilm**. - Peri-implantitis most commonly occurs in patients with a history of unsuccessfully treated periodontal disease. - Additional risk factors include insufficient alveolar bone support, weak peri-implant soft tissues, inadequate keratinized mucosa width, and lack of periodontal/peri-implant maintenance therapy after implant placement. - Prevention and regular professional maintenance are crucial to long-term success. - Comprehensive management requires meticulous preoperative planning, ideal implant positioning, prosthetic designs that facilitate effective oral hygiene, and ongoing supportive therapy. - The published case report (full-arch, severe peri-implantitis) demonstrates that favorable outcomes are achievable with a multidisciplinary therapeutic approach followed by strict maintenance. - Long-term follow-up in the case highlights that with proper rehabilitation and strong patient compliance, implant function can be preserved even in the presence of compromised peri-implant hard tissue.
## Clinical Analysis & Structured Key Points
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Print 2026 Sep 20. # [Management of inadequate peri-implant soft and hard tissue conditions in the presence of a full-arch implant-supported fixed bridge] [Article in Hungarian] [Fanni Bolya-Orosz](https://pubmed.ncbi.nlm.nih.gov/?term=Bolya-Orosz+F&cauthor_id=42763881)[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42763881/#full-view-affiliation-1 "1 Semmelweis Egyetem, Fogorvostudományi Kar, Parodontológiai Klinika Budapest, Szentkirályi u. 47., 4. emelet, 1088 Magyarország."), [István Gera](https://pubmed.ncbi.nlm.nih.gov/?term=Gera+I&cauthor_id=42763881)[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42763881/#full-view-affiliation-1 "1 Semmelweis Egyetem, Fogorvostudományi Kar, Parodontológiai Klinika Budapest, Szentkirályi u. 47., 4. emelet, 1088 Magyarország."), [Dániel Palkovics](https://pubmed.ncbi.nlm.nih.gov/?term=Palkovics+D&cauthor_id=42763881)[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42763881/#full-view-affiliation-1 "1 Semmelweis Egyetem, Fogorvostudományi Kar, Parodontológiai Klinika Budapest, Szentkirályi u. 47., 4. emelet, 1088 Magyarország."), [Péter Windisch](https://pubmed.ncbi.nlm.nih.gov/?term=Windisch+P&cauthor_id=42763881)[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42763881/#full-view-affiliation-1 "1 Semmelweis Egyetem, Fogorvostudományi Kar, Parodontológiai Klinika Budapest, Szentkirályi u. 47., 4. emelet, 1088 Magyarország.") Affiliations Expand ### Affiliation * 1 1 Semmelweis Egyetem, Fogorvostudományi Kar, Parodontológiai Klinika Budapest, Szentkirályi u. 47., 4. emelet, 1088 Magyarország. * PMID: **42763881** * DOI: [ 10.1556/650.2026.33645 ](https://doi.org/10.1556/650.2026.33645) Item in Clipboard Case Reports # [Management of inadequate peri-implant soft and hard tissue conditions in the presence of a full-arch implant-supported fixed bridge] [Article in Hungarian] Fanni Bolya-Orosz et al. Orv Hetil. 2026. Show details Display options Display options Format Abstract PubMed PMID Orv Hetil Actions * [ Search in PubMed ](https://pubmed.ncbi.nlm.nih.gov/?term=%22Orv+Hetil%22%5Bjour%5D&sort=date&sort_order=desc) * [ Search in NLM Catalog ](https://www.ncbi.nlm.nih.gov/nlmcatalog?term=%22Orv+Hetil%22%5BTitle+Abbreviation%5D) * [ Add to Search ](https://pubmed.ncbi.nlm.nih.gov/42763881/) . 2026 Sep 20;167(38):1523-1531. doi: 10.1556/650.2026.33645. Print 2026 Sep 20. ### Authors [Fanni Bolya-Orosz](https://pubmed.ncbi.nlm.nih.gov/?term=Bolya-Orosz+F&cauthor_id=42763881)[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42763881/#short-view-affiliation-1 "1 Semmelweis Egyetem, Fogorvostudományi Kar, Parodontológiai Klinika Budapest, Szentkirályi u. 47., 4. emelet, 1088 Magyarország."), [István Gera](https://pubmed.ncbi.nlm.nih.gov/?term=Gera+I&cauthor_id=42763881)[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42763881/#short-view-affiliation-1 "1 Semmelweis Egyetem, Fogorvostudományi Kar, Parodontológiai Klinika Budapest, Szentkirályi u. 47., 4. emelet, 1088 Magyarország."), [Dániel Palkovics](https://pubmed.ncbi.nlm.nih.gov/?term=Palkovics+D&cauthor_id=42763881)[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42763881/#short-view-affiliation-1 "1 Semmelweis Egyetem, Fogorvostudományi Kar, Parodontológiai Klinika Budapest, Szentkirályi u. 47., 4. emelet, 1088 Magyarország."), [Péter Windisch](https://pubmed.ncbi.nlm.nih.gov/?term=Windisch+P&cauthor_id=42763881)[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42763881/#short-view-affiliation-1 "1 Semmelweis Egyetem, Fogorvostudományi Kar, Parodontológiai Klinika Budapest, Szentkirályi u. 47., 4. emelet, 1088 Magyarország.") ### Affiliation * 1 1 Semmelweis Egyetem, Fogorvostudományi Kar, Parodontológiai Klinika Budapest, Szentkirályi u. 47., 4. emelet, 1088 Magyarország. * PMID: **42763881** * DOI: [ 10.1556/650.2026.33645 ](https://doi.org/10.1556/650.2026.33645) Item in Clipboard Cite Display options Display options Format Abstract PubMed PMID ## Abstract in [ English, ](https://pubmed.ncbi.nlm.nih.gov/42763881/#eng-abstract) [ Hungarian ](https://pubmed.ncbi.nlm.nih.gov/42763881/#hun-abstract) Dental implant therapy has become an increasingly widespread option for rehabilitation worldwide, with a substantial rise in both the number of implants placed and the patients seeking this type of treatment. As a result, the prevalence of biological and mechanical complications has also increased. Peri-implant inflammatory diseases - especially peri-implantitis, which involves progressive bone loss - have emerged as a major clinical challenge, as they can ultimately lead to the loss of the implant and the associated restoration, imposing significant financial and health burdens on patients. The primary etiological factor of peri-implantitis is the accumulation of bacterial biofilm. The condition most commonly occurs in patients with a history of unsuccessfully treated periodontal disease. Nevertheless, several additional risk factors contribute to its development, including insufficient alveolar bone support, weak peri-implant tissue, the lack of supportive periodontal and peri-implant maintenance therapy following implant placement. To ensure long-term treatment success, prevention and regular maintenance are crucial. Comprehensive management includes meticulous preoperative planning, ideal implant positioning, prosthetic designs that facilitate effective oral hygiene, and continuous professional supportive therapy. The following case report demonstrates that even in severe, full-arch peri-implantitis cases, favorable outcomes can be achieved through a multidisciplinary therapeutic approach when followed by strict maintenance. Long-term follow-up highlights that with proper rehabilitation and strong patient compliance, implant function can be preserved even in the presence of compromised peri-implant hard tissue environment. Orv Hetil. 2026; 167(38): 1523-1531. A fogászati implantáció napjainkban egyre elterjedtebb rehabilitációs eljárás, amely világszerte jelentős növekedést mutat mind a beültetett implantátumok számát, mind a kezelést igénybe vevő páciensek körét tekintve. Ennek következményeként azonban emelkedik azoknak az eseteknek az aránya is, amelyeknél biológiai vagy mechanikai komplikációk merülnek fel. A periimplantaris gyulladásos betegségek – különösen a csontveszteséggel járó periimplantitis – mára a klinikai gyakorlat egyik legfontosabb kihívásává váltak, mivel az implantátum és a fogpótlás elvesztésének kockázatát hordozzák, így jelentős anyagi és egészségügyi terhet jelentenek a páciensek számára. A periimplantitis elsődleges kiváltó tényezője a bakteriális biofilm felhalmozódása. A leggyakrabban a korábban nem sikeresen kezelt fogágybeteg pácienseknél fordul elő. Kialakulásában azonban számos egyéb rizikófaktor is közrejátszik, például az implantációs kezelést követően elégtelen szájhigiénia és a fenntartó kezelés hiánya. A hosszú távú sikeresség érdekében a prevenció és a rendszeres kontroll hangsúlyos szerepet kap: a precíz tervezés, az ideális implantátumpozicionálás, stabil periimplantaris lágyrész-viszonyok, illetve a megfelelő szélességű keratinizált mucosa jelenléte, a tisztítható protetikai megoldások alkalmazása és a rendszeres professzionális szájhigiénés ellátás mind elengedhetetlen. Az esettanulmány bemutatja, hogy súlyos, teljes állcsontot érintő periimplantitis esetén is eredmény érhető el multidiszciplináris kezeléssel, ha a terápiát következetes fenntartó ellátás kíséri. A hosszú távú utánkövetés rávilágít arra, hogy megfelelően kialakított rehabilitációval és pácienskooperációval a meglévő implantátumok funkciója még kompromittált csontkínálat esetén is megőrizhető. Orv Hetil. 2026; 167(38): 1523–1531. **Keywords:** biofilm okozta; biofilm-induced; fenntartó terápia; implant-borne restoration; implant-supportive therapy; implantátum körüli csontvesztés; implantátumokon elhorgonyzott fogpótlás; peri-implant hard tissue deficiencies; periimplantitis. 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