title: Decontamination using a desiccant with air powder abrasion followed by biphasic calcium sulfate grafting: a new treatment for peri-implantitis.
abstract: Peri-implantitis is characterized by inflammation and crestal bone loss in the tissues surrounding implants. Contamination by deleterious bacteria in the peri-implant microenvironment is believed to be a major factor in the etiology of peri-implantitis. Prior to any therapeutic regenerative treatment, adequate decontamination of the peri-implant microenvironment must occur. Herein we present a novel approach to the treatment of peri-implantitis that incorporates the use of a topical desiccant (HYBENX), along with air powder abrasives as a means of decontamination, followed by the application of biphasic calcium sulfate combined with inorganic bovine bone material to augment the intrabony defect. We highlight the case of a 62-year-old man presenting peri-implantitis at two neighboring implants in positions 12 and 13, who underwent access flap surgery, followed by our procedure. After an uneventful 2-year healing period, both implants showed an absence of bleeding on probing, near complete regeneration of the missing bone, probing pocket depth reduction, and clinical attachment gain. While we observed a slight mucosal recession, there was no reduction in keratinized tissue. Based on the results described within, we conclude that the use of HYBENX and air powder abrasives, followed by bone defect grafting, represents a viable option in the treatment of peri-implantitis.
authors.affiliation: Clinic of Dentistry and Maxillofacial Surgery, Policlinico G.B. Rossi, University of Verona, Piazzale L.A. Scuro 10, 37134 Verona, Italy.
authors.forename: Giorgio
authors.initials: G
authors.lastname: Lombardo
authors.affiliation: Clinic of Dentistry and Maxillofacial Surgery, Policlinico G.B. Rossi, University of Verona, Piazzale L.A. Scuro 10, 37134 Verona, Italy.
authors.forename: Giovanni
authors.initials: G
authors.lastname: Corrocher
authors.affiliation: Clinic of Dentistry and Maxillofacial Surgery, Policlinico G.B. Rossi, University of Verona, Piazzale L.A. Scuro 10, 37134 Verona, Italy.
authors.forename: Angela
authors.initials: A
authors.lastname: Rovera
authors.affiliation: Clinic of Dentistry and Maxillofacial Surgery, Policlinico G.B. Rossi, University of Verona, Piazzale L.A. Scuro 10, 37134 Verona, Italy.
authors.forename: Jacopo
authors.initials: J
authors.lastname: Pighi
authors.affiliation: Department of Dental Medicine, University of Cartagena, Avenida del Consulado # Calle 30 No. 48-152, Cartagena, Bolívar 130011, Colombia.
authors.forename: Mauro
authors.initials: M
authors.lastname: Marincola
authors.affiliation: Department of Biomaterials, Implant Dentistry Centre, 501 Arborway, Jamaica Plain, Boston, MA 02130, USA.
authors.forename: Jeffrey
authors.initials: J
authors.lastname: Lehrberg
authors.affiliation: Clinic of Dentistry and Maxillofacial Surgery, Policlinico G.B. Rossi, University of Verona, Piazzale L.A. Scuro 10, 37134 Verona, Italy.
authors.forename: Pier Francesco
authors.initials: PF
authors.lastname: Nocini