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Treating peri-implantitis using a combined regenerative/resective procedure: a case report.
1Department of Periodontology, Nova Southeastern University, Fort Lauderdale, Florida, USA.
Compendium of Continuing Education in Dentistry (Jamesburg, N.J. : 1995)
|May 1, 2013
Summary
This study presents a combined surgical approach for treating peri-implantitis caused by excess cement. The regenerative and resective procedure successfully restored bone levels and resolved inflammation around the dental implant.
Area of Science:
- Dental implantology
- Periodontology
- Regenerative medicine
Background:
- Peri-implantitis, an inflammation of tissues around dental implants, can lead to bone loss and implant failure.
- Excess cement is a known risk factor contributing to peri-implantitis.
- Combined circumferential and buccal dehiscence defects present complex challenges in treatment.
Observation:
- A case of peri-implantitis was diagnosed, specifically linked to excess cement.
- The defect involved both circumferential and buccal dehiscence around the implant.
- The patient presented with signs of active peri-implantitis.
Findings:
- A combined surgical therapy involving minimal bone resection and guided bone regeneration was performed.
- At 12 months post-surgery, peri-implantitis was resolved, with no pathologic probing depths, bleeding, or suppuration.
- Radiographic analysis showed significant bone fill within the defect, and clinically acceptable recession.
Implications:
- This combined regenerative/resective technique offers a viable solution for managing complex peri-implantitis defects.
- Effective management of excess cement is crucial for preventing and treating peri-implantitis.
- The findings support the use of guided bone regeneration in conjunction with surgical debridement for implant salvage.
