Dentists’ Perspectives Regarding the Influence of Periodontal Disease on the Success of Dental Implant Therapy

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Introduction .Dental implants are widely accepted for replacing missing natural teeth. The presence of healthy peri-implant soft tissue before implant placement is considered essential for long-term success. Mucosal thickness plays an important role in maintaining peri-implant marginal bone stability, while untreated periodontal disease may negatively influence treatment outcomes.
Objective. The objective of this study was to evaluate dentists’ perspectives regarding the impact of periodontal disease on the long-term success of dental implant therapy.
Material and method. A survey was conducted among 60 dentists who routinely place dental implants in clinical practice. An anonymous questionnaire was developed and distributed between July and September 2025. The questions focused on periodontal health, implant follow-up protocols, and the relationship between periodontitis and peri-implant complications.
Results. Analysis of the collected data showed that 71.66% of respondents believed that implant removal is not necessary if periodontitis develops after placement. Concerning follow-up intervals, 46% of dentists scheduled patients one month after placement, 37% at six months,
and 17% at three months. Regarding the association between periodontitis and peri-implantitis, 88% of respondents considered periodontitis a risk factor for peri-implantitis, while 12% did not perceive a significant relationship.
Conclusion. In conclusion, most of the examined dentists do not consider implant removal mandatory in cases of periodontitis but acknowledge its role as a risk factor for peri-implantitis. The findings emphasize the importance of periodontal assessment and maintenance in ensuring long-term implant success.