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A New Minimally Invasive Approach for Treating Peri‐Implantitis
Author(s) -
Wilson Thomas G.
Publication year - 2019
Publication title -
clinical advances in periodontics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.182
H-Index - 2
eISSN - 2163-0097
pISSN - 2573-8046
DOI - 10.1002/cap.10052
Subject(s) - peri implantitis , medicine , dentistry , implant , soft tissue , enamel matrix derivative , radiography , foreign body , endosseous implants , regeneration (biology) , biomedical engineering , surgery , osseointegration , biology , microbiology and biotechnology
There is concern that peri‐implant bone loss may be associated with a foreign body reaction to cement and/or titanium particles. Previously described treatment approaches aimed at regenerating bone around an implant do not address the removal of these foreign bodies. Case Presentation A new videoscope‐assisted minimally invasive approach for bone regeneration is described which is designed to remove any tissue embedded foreign bodies before the placement of bone regenerative material. Following removal of the soft tissue adjacent to the area of bone loss, the defect is filled with demineralized freeze‐dried bone allograft mixed with enamel matrix derivative. The use of the videoscope allows this procedure to be performed using very small incisions. The case presented shows improved clinical and radiographic outcomes. Conclusion The method described here allows visualization of implant surfaces and the surrounding tissues, which may improve clinical and radiographic outcomes.