The challenge of periimplantitis management: a case report

Implant therapy has changed tremendously the management of edentulism, and are a real alternative to conventional prosthesis. However, with the constant increase of the number of peri-implantitis, the question of therapeutic management arises. The first goal of the treatment is to control the infection, which requires periodontal debridement and decontamination of the implant surface. Secondary objectives are to promote bone regeneration and repair of the attachment around the implant.

The patient was a 24-years-old female in good general health with no history of smoking. Intraoral and radiological examination revealed a peri-implantitis around the implant at the site of tooth 14. The peri-implantitis management involved a non-surgical treatment to reduce inflammation, followed by surgical treatment of the bone defect. This combined decontamination of the implant surface and bone regeneration.

The heterogeneity of the surgical protocols does not suggest any true recommendations. Several treatments for periimplantitis are currently implemented. However, we still lack relevant data regarding the effectiveness of these therapies.