Peri-implantitis is a plaque-associated pathologic condition occurring in tissues around dental implants, clinically characterized by increased peri-implant probing pocket depth and progressive loss of supporting bone. Consequently, to arrest further disease progression and to increase the chance to obtain re-osseointegration, surgical reconstructive procedures have been adopted. In particular, following a paradigm gathered from periodontal therapy, recent protocols have underlined the importance of a minimally invasive approach to optimize the outcomes of therapy while minimizing the risks of postoperative complications. The present review summarizes the level of evidence on the surgical reconstructive protocols focusing on the new approaches aiming to minimize surgical trauma and patients’ postoperative discomfort, underlining the pros and cons of each treatment modality.

中文翻译：

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种植体周围炎缺损重建治疗中的微创技术

种植体周围炎是发生在牙科种植体周围组织中的一种与菌斑相关的病理状况，其临床特征是种植体周围探诊深度增加和支撑骨逐渐丧失。因此，为了阻止进一步的疾病进展并增加获得重新骨整合的机会，已经采用外科重建程序。特别是，根据从牙周治疗中收集的范例，最近的协议强调了微创方法的重要性，以优化治疗结果，同时最大限度地降低术后并发症的风险。本综述总结了手术重建方案的证据水平，重点关注旨在尽量减少手术创伤和患者术后不适的新方法，