Management of Peri-Implantitis

Management of Peri-Implantitis

Dr BS Ubhi

The cases presented here illustrate over 20 years experience of implantology, periodontics and prosthodontics. It is my goal to remain current with advances in our profession and the most recent cases presented here will illustrate new techniques, procedures and technologies. I welcome your discussion and opinion related to the handling of difficult cases.

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Dental Implant Problems - Surgical Therapies

We are seeing quite a substantial increase in the number of patients going abroad for treatment. Whilst some of the work is of the good standard much of it is less than satisfactory. We have built up considerable experience of treating these implant problems and also with less well-known implant manufacturers.

Radiographs showing bone loss then 12 months post-op

Case Overview

As the number of dental implants placed each year has increased steadily, the problems with them have also increased. Peri-implantitis is a dental term used to describe the destructive inflammatory process affecting the soft and hard tissues surrounding dental implants.

The success of treatment for peri-implantitis lesions can vary on a number of factors….

Dr BS Ubhi
At this practice, we have extensive experience dealing with implant problems and their subsequent management with both non-surgical and surgical therapies. Please do not hesitate to contact us for a second opinion if you feel the patient has peri-implantitis around the implants or if you feel the treatment necessary is not within your comfort zone.

Procedure

STAGE 1

These implants had been placed almost 14 years ago but had lost 25-30% bone around the neck.

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STAGE 2

After reflecting a flap the granulation tissue around the neck of implants was removed and the exposed implant surface was cleaned with a titanium brush.

STAGE 3

The bone defects were augmented with an organic bovine graft material (Bio-Oss).

STAGE 4

The bone graft was covered with a collagen membrane (Bio-Gide)

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STAGE 5

A single implant was also placed in the lower left premolar area and the flap was closed with primary closure with resorbable sutures.

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Clinical Prognosis

The success of treatment for peri-implantitis lesions can vary on a number of factors. The extent of the lesion, patient maintenance, surgical experience and also host response. The surgical therapy in his case has been an outstanding success due to the patient having excellent oral hygiene and surgical experience. The last review visit of the patient in 2017 revealed excellent crestal bone levels around the back implants.

“The result has been I now have a full set of implanted teeth, which has helped me return to a normal life, I can eat, speak and drink normally. I am immensely grateful for what Dr Ubhi has done for me.”
DM, Birmingham

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