A two-stage surgical approach to the treatment of severe peri-implant defect: a 30-month clinical follow-up report

J Oral Implantol. 2014 Jun;40(3):299-305. doi: 10.1563/AAID-JOI-D-12-00030. Epub 2012 Oct 30.

Abstract

With the advance of dental implant technology and the consequential increase in its success rate, the implant has become a highly predictable treatment method. Despite this, related complications are on the rise, with peri-implant mucositis and peri-implantitis being the most commonly observed. As in the case of conventional periodontitis, many patients experience peri-implant mucositis and peri-implantitis. In this case presentation, extensive bone loss occurred around the implant due to peri-implantitis, and the infection was first treated by applying chlorhexidine-soaked gauze and topical antibiotics. Then the guided bone regeneration procedure was performed using a bovine bone material and a collagen membrane, which resulted in the recovery of the lesion. With follow-ups of the healing process for 30 months, a successful outcome was observed that is reported herein.

Keywords: guided bone regeneration; implant; infrabony defects; peri-implantitis; surface treatment.

Publication types

  • Case Reports

MeSH terms

  • Animals
  • Anti-Bacterial Agents / therapeutic use
  • Anti-Infective Agents, Local / therapeutic use
  • Bone Substitutes / therapeutic use
  • Cattle
  • Chlorhexidine / therapeutic use
  • Collagen
  • Female
  • Follow-Up Studies
  • Gingival Hemorrhage / surgery
  • Granulation Tissue / surgery
  • Guided Tissue Regeneration, Periodontal / instrumentation
  • Guided Tissue Regeneration, Periodontal / methods*
  • Humans
  • Membranes, Artificial
  • Middle Aged
  • Minerals / therapeutic use
  • Osseointegration / physiology
  • Peri-Implantitis / surgery*
  • Periodontal Abscess / drug therapy
  • Periodontal Abscess / surgery
  • Periodontal Pocket / surgery
  • Treatment Outcome

Substances

  • Anti-Bacterial Agents
  • Anti-Infective Agents, Local
  • Bio-Gide
  • Bio-Oss
  • Bone Substitutes
  • Membranes, Artificial
  • Minerals
  • Collagen
  • Chlorhexidine