Implant prosthodontic design as a predisposing or precipitating factor for peri‐implant disease: A review

Over the past decade, emerging evidence indicates a strong relationship between prosthetic design and peri‐implant tissue health. The objective of this narrative review was to evaluate the evidence for the corresponding implant prosthodontic design factors on the risk to peri‐implant tissue health. The ideal implant position is one of the most important factors in achieving an acceptable implant restorative design. Malpositioned implants often result in a restorative emergence profile at the implant‐abutment junction that can restrict patients' access to adequate oral hygiene. Inadequate cleanability and poor oral hygiene have been reported as precipitating factors to induce peri‐implant mucositis and peri‐implantitis and are influenced by restorative contours. The implant–abutment connection, restorative material selection and restoration design are also reported in the literature as having the potential to affect peri-implant sort tissue health.