Although a compromised status of implant with more than 2/3 marginal bone loss caused by periimplantitis might have to be removed, the prognosis is good to guarded, depending on the proper treatment of periimplantitis as presented in this case. 

This case shows how to treat periimplantitis and create new rough surface using R Brush and i Brush. The defect caused by periimplantitis was filled with bone materials, and the final result of postoperative radiographic view verified crestal level of peri-implant bone.