A Regenerative Approach to peri-implantitis
A 55 year old man was referred to me by his general dentist. Upon initial clinical and radiographic findings, failing implant #9 showed signs of peri-implantitis that included BoP, Suppuration, 9+mm PD and radiographic bone loss affecting both the implant and the natural adjacent tooth. Patient stated that although his gums bleed, he does not have any pain. Gingival erythema was also found.
The clinical goals were to eliminate the peri-implant infection, restore hard and soft-tissues and have long-term success. The technique utilized was a systematic regenerative approach to eliminate the underlying cause of the peri-implantitis infection and restore hard and soft-tissues to prior health.
My observation at the 1.5 year follow-up shows the elimination of peri-implantitis and complete peri-implant health was achieved showing a reduction in BOP, PD and most importantly soft tissue thickness stability. Radiographically, crestal bone shows no signs of progressive pathological loss and has maintained adequate volume.
Keys to Success
- Diagnosis and classifying peri-implantitis elect the appropriate treatment.
- Detoxification methods.
- Hard-tissue enhancement with Geistlich Bio-Oss®.
- Guided bone regeneration with Geistlich Bio-Gide®.
- Soft-tissue enhancement with Geistlich Fibro-Gide®.