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Surgical Treatment of Implants Affected by Periimplantitis After 15 Years of Loading: A Case Report
Lélis Gustavo Nícoli1, Suzane Cristina Pigossi, Cláudio Marcantonio
1*PhD Student in Implant Dentistry, Department of Diagnosis and Surgery, Universidade Estadual Paulista, UNESP, Araraquara, Brazil. †PhD Student in Periodontics, Department of Diagnosis and Surgery, Universidade Estadual Paulista, UNESP, Araraquara, Brazil. ‡Assistant Professor, Implant Dentistry Graduate Program, Universidade de Araraquara, UNIARA, Araraquara, Brazil. §Assistant Professor of Periodontics, Department of Diagnosis and Surgery, Universidade Estadual Paulista, UNESP, Araraquara, Brazil. ¶Full Professor of Periodontics, Department of Diagnosis and Surgery, Universidade Estadual Paulista, UNESP, Araraquara, Brazil.
Purpose:
The aim of this case report is to describe the surgical treatment of 2 implants affected by periimplantitis after 15 years of loading.
Materials And Methods:
The treatment included mechanical and chemical decontamination with topical application of tetracycline associated with a regenerative approach. Both defects were filled with particulate autogenous bone from tuber and covered with resorbable collagen membrane.
Results:
The follow-up of 30 and 13 months of the implants 24 and 14, respectively, showed an absence of clinical signs of periimplant inflammation and near-complete bone regeneration.
Conclusions:
The therapy approach was effective in eliminating periimplant inflammation and promoting bone gain around the implants.
