Periodontal disease is an ongoing public health issue that calls for our attention, especially as highlighted in the recent report from the United States Centers for Disease Control and Prevention.1 Astonishingly, nearly 50% of adults aged 30 and older are affected by this condition, with prevalence rates sharply increasing as individuals age. It’s particularly concerning that about two-thirds of those aged 65 and older show signs of periodontal disease, emphasizing the need for proactive care among our aging population.

For dental professionals, it’s essential to thoughtfully assess patients facing significant challenges with their natural teeth. In many situations, dental implants stand out as the most effective treatment option, especially for those who appreciate the long-term benefits that implants can provide. Patients who have the financial means often see implants as an attractive solution. On the flip side, traditional prosthetic solutions—like crowns, bridges, and removable dentures—can sometimes compromise periodontal health. These options may lead to unfavorable gum conditions and can hinder masticatory function, making it difficult for patients to maintain healthy gums and bone structure.

One of the standout benefits of dental implants is their remarkable resistance to decay and their ease of maintenance compared to more conventional prosthetics. This feature not only supports the long-term health of the tissues surrounding the implant but also minimizes the risk of complications. Implants can effectively replace single teeth, multiple adjacent teeth, or even act as sturdy anchors for full or partial dentures in patients who no longer have any teeth, significantly enhancing their quality of life. With such numerous advantages, it is clear why dental implants have become the treatment of choice for so many facing periodontal challenges.

Nevertheless, dental practitioners must be mindful of the intricacies involved in ensuring peri-implant health. The lack of a standardized definition for peri-implant inflammation creates some complexities in the field. The current research shows variable rates of peri-implantitis, yet we are seeing a concerning overall increase in its incidence.2,3 This trend may be linked to the remarkable longevity of dental implants, which are designed to last a lifetime, unlike conventional prostheses that typically last around ten years. Since the health of the peri-implant tissues is crucial for the success of the implants, ensuring optimal gum health before and after placement is vital. Therefore, comprehensive periodontal treatment is as important as managing peri-implant conditions.

In this issue of the Journal of Periodontal & Implant Science, we are thrilled to present a carefully selected collection of scholarly articles that explore strategies for maintaining both periodontal and peri-implant health.4 The dedicated research included in this edition beautifully illustrates the interconnected nature of these two aspects of dental health. With the contributions of our talented authors and the involvement of our engaged readers, we are set to pave the way for advancements in periodontal and implant dentistry, ultimately enhancing clinical outcomes and the overall well-being of our patients. Let’s embrace this journey towards better dental health together.

https://doi.org/10.5051/jpis.2014.44.1.1