Surgical Success in Peri-implantitis Management using Guided Bone Regeneration: A Case Report with 2-Year Follow-up

Abstract

Dental implant-supported restorations have become a potential treatment option for edentulous patients. However, complications may arise due to an inappropriate selection of patients and/or inadequate treatment planning, along with irregular maintenance. In such scenarios, peri-mucositis and Peri-Implantitis (PI) may occur as sequelae to dental implants. The prevalence rates of these complications are reported to be high. Inflammation of peri-implant soft tissue and resorption of supporting bone are significant features of PI. Routine evaluation should include Probing Pocket Depth (PPD) measurement and radiographic assessments to determine pathological changes in the peri-implant tissue. Treatment modalities for PI include non-surgical therapy, local drug delivery, anti-infective therapy, and surgical management focused on regenerating the lost peri-implant tissue. This case report demonstrates successful surgical management of PI in a 22-year-old male patient who presented with exudate in relation to an endosseous implant in the 12 region, with a PPD of 7 mm and peri-implant bone loss. Meticulous planning and comprehensive management led to the implant finally being restored to a healthy and fully functional status.

Keywords

• allograft
• peri-mucositis
• probing pocket depth
• xenograft