Peri-implantitis: Prevention, Management, Future Treatment with Dr. George Kotsakis

Peri-implantitis is one of the fastest-growing complications in implant dentistry—and one of the most misunderstood.In this episode, Dr. Michael A. Pikos welcomes internationally recognized researcher Dr. George Kotsakis for a powerful discussion on the evidence, misconceptions, and future of peri-implant disease prevention and treatment.From diagnosis and risk factors to implant surface decontamination, prosthetic design, surgical intervention, and emerging host modulation therapies, this conversation delivers practical insight every implant clinician needs now.If you place implants, restore implants, or maintain implant patients—this episode is required listening.00:00 — Introduction to Episode 6 & Guest Introduction00:20 — Dr. George Kotsakis Background: Greece to U.S. Dentistry Journey03:22 — Why Curiosity Led Him into Peri-Implantitis Research05:10 — University of Washington, Texas, and Rutgers Academic Career10:49 — Why Peri-Implantitis Is Now a Clinical Reality12:27 — Modern Evidence-Based Prevention & Diagnostic Frameworks14:42 — The Biggest Modifiable Risk Factors Clinicians Overlook15:23 — Honest Patient Communication & Treatment Reliability17:58 — When Is It Better to Remove the Implant?20:18 — “Less Is More” Around Implant Surface Treatment22:05 — Why Chlorhexidine May Reduce Bone Regeneration23:01 — Lasers in Peri-Implantitis Therapy: Promise vs Reality25:23 — Prosthetic Design & Emergence Profile as a Risk Factor29:05 — Full Arch Bone/Soft Tissue Considerations Often Ignored34:01 — Future of Peri-Implantitis Treatment & Host Modulation36:40 — Closing Thoughts🎧 Listen on Spotify, Apple Podcasts, or watch on YouTube🔗 Explore courses at PikosInstitute.comConnect with us on Social Media: Facebook: https://www.facebook.com/pikosinstituteInstagram: https://www.instagram.com/pikosinstitute/LinkedIn: https://www.linkedin.com/company/pikos-institute/Twitter/X: ⁠https://x.com/PikosInstituteSpotify: https://open.spotify.com/episode/5JmGSwM7eOrOpAKVFY8F0O?si=Nt5MluomQBeCthhRU79zyAApple Podcasts: https://podcasters.spotify.com/pod/show/michael-a-pikosYouTube: https://youtu.be/jeQjIM81jdw