Purpose: With the improved macro‐ and micro‐designs, dental implants enjoy a high survival rate. However, peri‐implant bone loss has recently emerged to be the focus of implant therapy. As such, researchers and clinicians are in need of finding predictable techniques to treat peri‐implant bone loss and stop its progression. Materials and Methods: Literature search on the currently available treatment modalities was performed and a brief description of each modality was provided. Results: Numerous techniques have been proposed and none has been shown to be superior and effective in managing peri‐implant bone loss. This may be because of the complex of etiological factors acting on the implant‐supported prosthesis hence the treatment approach has to be individually tailored. Conclusion: Due to the lack of high‐level clinical evidence on the management of peri‐implant bone loss, the authors, through a literature review, attempt to suggest a decision tree or guideline, based on sound periodontal surgical principles, to aid clinicians in managing peri‐implantitis associated bone loss.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/92084/1/j.1708-8208.2011.00387.x.pd
