NON-SURGICAL TREATMENT OF PERI-IMPLANTITIS: CASE REPORT

Abstract

Background: Dental implants are an effective, reliable and widely implemented clinical treatment option for the replacement of missing teeth. But although showing predictable successful outcomes, problems are not rare, and nowadays intensively are discussed the related biological complications. And while peri-implant diseases are becoming frequent health issues in dental offices, commonly accepted and applied treatment protocols are still missing. Materials and methods: In this article, we present a case of acute peri-implantitis. A male patient, 50 years old, systemically healthy and non-smoker, complained of pain, oedema and bleeding in the site of an implant placed 5 years ago. The clinical evaluation revealed red and swollen mucous and the presence of a peri-implant abscess. After probing, extensive bleeding and suppuration were observed. The probing depth on the distal site of 4.5 implant was 7mm and the X-ray evaluation showed significant bone loss at this site. The case was resolved completely with non-surgical mechanical debridement combined with systemic antibiotic therapy and subsequent regular peri-implant maintenance therapy. Results: The case demonstrates satisfactory results with a gain of radiographic bone level as it is seen on the X ray imaging, comparing the initial bone level and the bone level 6 months after active treatment. Resolution of peri-implant soft tissue inflammation (no bleeding on probing, no suppuration) is also observed. Conclusion: Non-surgical therapy of peri-implantitis is effective in arresting progressive bone loss and can achieve radiographic bone fill.

Keywords

• dental implant
• peri-implantitis
• non-surgical therapy
• debridement
• antibiotics
• radiographic bone level