A clinical therapy for treatment of Peri – Implantitis

Petrusevski, Andrej and Krmzova, Valentina and Papakoca, Kiro and Krmzova, Suzana (2019) A clinical therapy for treatment of Peri – Implantitis. In: Dental summer school & Second International Student’s Congress in Dental Medicine 2019, 23-26 May 2019, Ohrid, Macedonia.

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Implant-based treatment is a growing part in the modern dentistry. A dental implant is considered to be a failure if it shows peri-implant bone loss greater than 1.0 mm in the first year and 0.2 mm more later. It causes an inflammatory process in soft tissues and bone loss and can result loss of the implant itself. In this research 58 years old Male patient came to our clinic for treatment of a failing implant at the mandibular right first molar. Probing depths more than 10 mm circumferentially were noted, with bleeding and purulence present. After giving local anesthesia, an intrasulcular incision was made from the first molar area to the canine. A full thickness mucoperiosteal flap was elevated, and the granulation tissue surrounding the implant was removed. After that the exposed contaminated implant surface was debrided with a piezoelectric scaler with water irrigation and returned to its place. Then we use platelet-rich plasma gel, before applying grafting and using the PRP membrane over the graft. After one year of follow up, periapical radiography showed that bone around the implant is filled. Probing depths were reduced to 3 mm or less circumferentially, and the absence of purulence and bleeding was observed. Conclusion: Comparing the results of radiological measurement and the depth of the osseous pockets, radio densitometry of the bone structures and the use of calcium hydroxyapatite, this procedure is very effective in peri-implantitis therapy.

Item Type: Conference or Workshop Item (Lecture)
Subjects: Medical and Health Sciences > Other medical sciences
Divisions: Faculty of Medical Science
Depositing User: Sandra Atanasova
Date Deposited: 06 Oct 2020 10:03
Last Modified: 06 Oct 2020 10:03
URI: https://eprints.ugd.edu.mk/id/eprint/26590

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