The use of implantoplasty and guided bone regeneration in the treatment of peri-implantitis: two case reports.
A variety of treatment modalities have been proposed for the management of peri-implantitis. These are mostly based on empiric experience and use the systemic administration of an antibiotic in conjunction with surgical intervention. To ensure decontamination of the affected implant surface(s), chemical and/or mechanical debridement is used. For textured implant surfaces, detoxification using implantoplasty could also give favorable results when used as part of the procedure. Two cases are reported in which implants developed localized peri-implantitis lesions. Implantoplasty followed by topical tetracycline decontamination was used in conjunction with guided bone regeneration. In both cases, the procedures were effective in arresting disease and regenerating lost bone. These results suggest that the technique holds promise and should be investigated further.
Suh
Jong-Jin
JJ
Department of Periodontics, Yonsei University College of Dentistry, Seoul, Korea. dreamsjj@hananet.net
Simon
Ziv
Z
Jeon
Young-Sik
YS
Choi
Byeong-Gap
BG
Kim
Chong-Kwan
CK
D000328:Adult; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D001861:Bone Regeneration; D003666:Decontamination; D003758:Dental Implantation, Endosseous / Q000009:adverse effects; D015921:Dental Implants / Q000009:adverse effects* / Q000382:microbiology*; D003775:Dental Polishing; D005260:Female; D016557:Guided Tissue Regeneration, Periodontal; D006801:Humans; D008297:Male; D008875:Middle Aged; D010518:Periodontitis / Q000209:etiology / Q000601:surgery*; D013499:Surface Properties; D013752:Tetracycline / Q000008:administration & dosage
D000900:Anti-Bacterial Agents; D015921:Dental Implants; D013752:Tetracycline