LAUSR

Bleeding on probing (BOP) is regarded as an indispensable diagnostic tool for evaluating periodontal disease activity, however its role in peri-implant disease is more intricate. Much of the confusion about the interpretation originates from drawing parallels between periodontal and peri-implant conditions. BOP can originate from two forms of probing in implants: traumatic or pathologic induction. This, in addition to the dichotomous scale of BOP can complicate diagnosis. The objectives of this editorial include: (1) to discuss the value of BOP as a d6iagnostic tool for peri-implant diseases; (2) the reasons it should be distinct from value for diagnosing periodontal and peri-implant diseases; and (3) the current best evidence on how to implement it in daily clinical practice. A comprehensive bleeding index is proposed for evaluating and monitoring peri-implant conditions. Conclusion: BOP should be used in addition to other parameters such as visual signs of inflammation, probing depth, and progressive bone loss before a peri-implant diagnosis is established. This article is protected by copyright. All rights reserved.