title: Surgical Treatment of Severe Peri-Implantitis Using a Round Titanium Brush for Implant Surface Decontamination: A Case Report With Clinical Reentry.
abstract: The most common cause of peri-implantitis is the accumulation of plaque and the formation of a biofilm on the implant surface. Terminating the development of the disease requires the biofilm to be removed from the implant surface. This paper describes 2 cases of severe peri-implantitis lesions treated through surgical approaches. Complete mechanical debridement with a round titanium brush was mainly performed to detoxify and modify the affected implant surface. A regenerative approach was then performed. In both cases, the surgical procedure was effective in arresting the peri-implantitis, and clinical reentry revealed uneventful healing of the existing bone defect. No further radiographic bone loss was observed over the 2-year follow-up period. This technique has the advantage of effective cleaning the contaminated implant surface, producing positive clinical and radiological results. However, further studies involving more cases are necessary to verify the reliability and validity of this technique.
authors.affiliation: 1   Department of Periodontology, Research Institute for Periodontal Regeneration, College of Dentistry, Yonsei University, Seoul, Korea.
authors.forename: Yin-Zhe
authors.initials: YZ
authors.lastname: An
authors.affiliation: 2   Department of Periodontology, Daejeon Dental Hospital, College of Dentistry, Wonkwang University, Daejeon, Korea.
authors.forename: Jae-Hong
authors.initials: JH
authors.lastname: Lee
authors.affiliation: 3   Global Academy of Osseointegration, Seoul, Korea.
authors.forename: Young-Ku
authors.initials: YK
authors.lastname: Heo
authors.affiliation: 1   Department of Periodontology, Research Institute for Periodontal Regeneration, College of Dentistry, Yonsei University, Seoul, Korea.
authors.forename: Jung-Seok
authors.initials: JS
authors.lastname: Lee
authors.affiliation: 1   Department of Periodontology, Research Institute for Periodontal Regeneration, College of Dentistry, Yonsei University, Seoul, Korea.
authors.forename: Ui-Won
authors.initials: UW
authors.lastname: Jung
authors.affiliation: 1   Department of Periodontology, Research Institute for Periodontal Regeneration, College of Dentistry, Yonsei University, Seoul, Korea.
authors.forename: Seong-Ho
authors.initials: SH
authors.lastname: Choi
mesh_terms: D018441:Biofilms; D003646:Debridement / Q000295:instrumentation* / Q000379:methods; D003666:Decontamination / Q000295:instrumentation / Q000379:methods; D015921:Dental Implants / Q000382:microbiology; D003773:Dental Plaque / Q000150:complications; D006801:Humans; D008297:Male; D008875:Middle Aged; D057873:Peri-Implantitis / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D014025:Titanium
chemical_list: D015921:Dental Implants; D014025:Titanium
keywords: debridement; dental implant; peri-implant disease; regeneration