periprotesial

Periprotesial is an adjective used in medical and dental contexts to describe the tissues and structures located around a prosthesis, most often referring to the soft and hard tissues that surround dental implants, abutments, crowns, and removable prostheses. The term emphasizes the interface between a prosthetic device and the host tissues, including the peri-implant mucosa, the peri-implant bone, and the supporting connective tissue.

In practice, periprotesial health is critical for the stability and function of a prosthesis. Compromise of these tissues can lead to complications such as inflammation, infection, loosening of implants, or discomfort with the prosthesis. The more widely used terminology in clinical literature is peri-prosthetic or periprosthetic, with an emphasis on peri-implant tissues when implants are involved.

Clinical concerns include peri-prosthetic mucositis and peri-prostheticitis around implants, or peri-prosthetic soft tissue recession around denture bases. Diagnosis is based on clinical examination, probing depths, bleeding on probing, mucosal integrity, and imaging studies to assess surrounding bone.

Management focuses on maintaining hygiene, removing biofilm, adjusting prosthesis fit to relieve trauma, and treating infections as indicated. In some cases, surgical intervention may be necessary to repair or augment peri-prosthetic tissues or to regenerate bone.

Prevention centers on meticulous oral hygiene, regular monitoring, proper prosthesis design, and occlusal management to preserve the health of the periprotesial tissues and the longevity of the device.