Management of an advanced periimplantitis

허영구 원장님 Dr. Heo

Author
Dr. Young-Ku Heo, DDS, MDS, PhD

Director of Global Academy of Osseointegration
Seoul, Korea



Severe bone resorption, gingival inflammation & recession around implant #46.
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Flap was reflected to clean the contaminated implant surface. Large bone defects were found.

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Each contaminated implant thread was cleaned by i Brushing with copious water for 3 minutes.

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With i Brushing, deep below the crestal area may be cleaned.

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New rough surface has been created. i Brushing is only recommended for 1 to 3 exposed threads, as it takes 3 minutes for each thread.

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Laser treatment was additionally applied to the surface to eliminate remaining plaques or harmful toxins.

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Tetracycline was applied for detoxification for 5 minutes.

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The autogenous bone was harvested using ACM drill at 50rpm without water.

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Harvested bone chips were applied to the defect.

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The wound closure was achieved with suture.

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Postoperative radiographic view.

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1 year postop. Soft tissue around implants has been maintained without any inflammation signs.

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1 year follow of crestal bone level shows no further bone loss.

This case presents how to treat periimplantitis with i Brushing and additional laser & tetracycline treatment.

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