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KMID : 0602720150190010036
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Implantology
2015 Volume.19 No. 1 p.36 ~ p.44
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Treatment of Peri-implantitis with Surgical Approach: Case Reports
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Lee Jung-Won
Koo Ki-Tae
Kim Sung-Tae
Lee Yong-Moo
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Abstract
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The aim of this case report is to evaluate the treatment of complicated peri-implantitis. The three cases of peri-implantitis presented below were treated with a surgical approach. Case 1: A fifty-year-old male patient presented to the clinic with the chief complaint of pus discharge and discomfort around implants that had been placed on the mandibular right first, second, and third molar areas (#46, #47, and #48). A radiograph indicated that the area around the implants had apparent peri-implant bone loss. The implant at the mandibular right third molar was mesial tilted, and the distance between the implants at the mandibular right second and third molar were too close to maintain good oral hygiene. An apically positioned flap and a free gingiva graft were performed after the implant fixture surface was decontaminated with an air powder abrasive device and a rotary instrument. The implant in area #47 had inflammation and a remaining probing depth of 0 mm and was removed 3 months after surgery. No more bone loss or inflammation were observed around the other two implants. Case 2: A fifty-five-year old man patient with peri-implantitis in the maxillary right central incisor (#11) position was treated through a surgical approach. After the surgery, no inflammatory signs could be observed. Three months later, a definitive prosthesis was delivered. Pink porcelain was used to compensate for the vertical and horizontal deficiency of the edentulous ridge. Case 3: A fifty-sixyear old female patient with peri-implantitis in the mandibular left second premolar and the first molar (#35 and #36) position was treated through a surgical approach. Unlike the two cases described above, bleeding on probing(+), a pocket depth of 6 mm around the implant, and even subgingival calculus were observed. The implant was removed with a Gracey curette. The implant surface was decontaminated with an air powder abrasive device and a rotary instrument. An apically positioned flap was performed and sutured with 4/0 vicryl. No more inflammation was observed 6 months after surgery.
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KEYWORD
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bone loss, decontamination, implant, inflammation, peri-implantitis
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FullTexts / Linksout information
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Listed journal information
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