Surgical Treatment of Peri-Implantitis: A 17-Year Follow-Up Clinical Case Report

The purpose of the present case report was to describe the surgical treatment of a peri-implantitis lesion associated with a regenerative approach. A 48-year-old patient came to authors’ attention 36 months after the placement of a dental implant (ITI-Bonefit Straumann, Waldenburg, Switzerland) in p...

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Main Authors: Fabrizio Bassi, Pier Paolo Poli, Davide Rancitelli, Fabrizio Signorino, Carlo Maiorana
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/2015/574676
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author Fabrizio Bassi
Pier Paolo Poli
Davide Rancitelli
Fabrizio Signorino
Carlo Maiorana
author_facet Fabrizio Bassi
Pier Paolo Poli
Davide Rancitelli
Fabrizio Signorino
Carlo Maiorana
author_sort Fabrizio Bassi
collection DOAJ
description The purpose of the present case report was to describe the surgical treatment of a peri-implantitis lesion associated with a regenerative approach. A 48-year-old patient came to authors’ attention 36 months after the placement of a dental implant (ITI-Bonefit Straumann, Waldenburg, Switzerland) in position 46. A swelling of the peri-implant soft tissues was observed, associated with bleeding on probing and probing depth > 10 mm. A significant peri-implant bone loss was clearly visible on the periapical radiograph. A nonsurgical periodontal supportive therapy was firstly conducted to reduce the inflammation, followed by the surgical treatment of the defect. After mechanical and chemical decontamination with tetracycline solution, a regenerative approach consisting in the application of deproteinized bovine bone mineral (Bio-Oss, Geistlich Pharma AG, Wolhusen, Switzerland) and a collagen membrane (Bio-Gide, Geistlich Pharma AG, Wolhusen, Switzerland) was performed. An antibiotic therapy was associated with the treatment. The 17-year follow-up showed a physiological probing depth with no clinical signs of peri-implant inflammation and bleeding on probing. No further radiographic bone loss was observed. The treatment described in the present case report seemed to show improved clinical results up to a relevant follow-up period.
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spelling doaj-art-1b0dfc56684c4708a69b4e0aa4e3d04e2025-02-03T05:45:49ZengWileyCase Reports in Dentistry2090-64472090-64552015-01-01201510.1155/2015/574676574676Surgical Treatment of Peri-Implantitis: A 17-Year Follow-Up Clinical Case ReportFabrizio Bassi0Pier Paolo Poli1Davide Rancitelli2Fabrizio Signorino3Carlo Maiorana4Department of Dental Implants, Maxillofacial Surgery and Odontostomatology Unit, Fondazione IRCCS Cà Granda, University of Milan, Via della Commenda 10, 20122 Milan, ItalyDepartment of Dental Implants, Maxillofacial Surgery and Odontostomatology Unit, Fondazione IRCCS Cà Granda, University of Milan, Via della Commenda 10, 20122 Milan, ItalyDepartment of Dental Implants, Maxillofacial Surgery and Odontostomatology Unit, Fondazione IRCCS Cà Granda, University of Milan, Via della Commenda 10, 20122 Milan, ItalyDepartment of Dental Implants, Maxillofacial Surgery and Odontostomatology Unit, Fondazione IRCCS Cà Granda, University of Milan, Via della Commenda 10, 20122 Milan, ItalyDepartment of Dental Implants, Maxillofacial Surgery and Odontostomatology Unit, Fondazione IRCCS Cà Granda, University of Milan, Via della Commenda 10, 20122 Milan, ItalyThe purpose of the present case report was to describe the surgical treatment of a peri-implantitis lesion associated with a regenerative approach. A 48-year-old patient came to authors’ attention 36 months after the placement of a dental implant (ITI-Bonefit Straumann, Waldenburg, Switzerland) in position 46. A swelling of the peri-implant soft tissues was observed, associated with bleeding on probing and probing depth > 10 mm. A significant peri-implant bone loss was clearly visible on the periapical radiograph. A nonsurgical periodontal supportive therapy was firstly conducted to reduce the inflammation, followed by the surgical treatment of the defect. After mechanical and chemical decontamination with tetracycline solution, a regenerative approach consisting in the application of deproteinized bovine bone mineral (Bio-Oss, Geistlich Pharma AG, Wolhusen, Switzerland) and a collagen membrane (Bio-Gide, Geistlich Pharma AG, Wolhusen, Switzerland) was performed. An antibiotic therapy was associated with the treatment. The 17-year follow-up showed a physiological probing depth with no clinical signs of peri-implant inflammation and bleeding on probing. No further radiographic bone loss was observed. The treatment described in the present case report seemed to show improved clinical results up to a relevant follow-up period.http://dx.doi.org/10.1155/2015/574676
spellingShingle Fabrizio Bassi
Pier Paolo Poli
Davide Rancitelli
Fabrizio Signorino
Carlo Maiorana
Surgical Treatment of Peri-Implantitis: A 17-Year Follow-Up Clinical Case Report
Case Reports in Dentistry
title Surgical Treatment of Peri-Implantitis: A 17-Year Follow-Up Clinical Case Report
title_full Surgical Treatment of Peri-Implantitis: A 17-Year Follow-Up Clinical Case Report
title_fullStr Surgical Treatment of Peri-Implantitis: A 17-Year Follow-Up Clinical Case Report
title_full_unstemmed Surgical Treatment of Peri-Implantitis: A 17-Year Follow-Up Clinical Case Report
title_short Surgical Treatment of Peri-Implantitis: A 17-Year Follow-Up Clinical Case Report
title_sort surgical treatment of peri implantitis a 17 year follow up clinical case report
url http://dx.doi.org/10.1155/2015/574676
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AT pierpaolopoli surgicaltreatmentofperiimplantitisa17yearfollowupclinicalcasereport
AT daviderancitelli surgicaltreatmentofperiimplantitisa17yearfollowupclinicalcasereport
AT fabriziosignorino surgicaltreatmentofperiimplantitisa17yearfollowupclinicalcasereport
AT carlomaiorana surgicaltreatmentofperiimplantitisa17yearfollowupclinicalcasereport