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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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| 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. |
| format | Article |
| id | doaj-art-1b0dfc56684c4708a69b4e0aa4e3d04e |
| institution | Kabale University |
| issn | 2090-6447 2090-6455 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Dentistry |
| 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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