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Treatment of Cement‐Associated Peri‐Implantitis Using Tetracycline and Enamel Matrix Derivative: A Case Report
Author(s) -
Rozenfeld Helen,
Iacono Vincent J.
Publication year - 2015
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 - 10.1902/cap.2013.130027
Subject(s) - enamel matrix derivative , peri implantitis , medicine , dentistry , bleeding on probing , cement , implant , radiography , surgery , materials science , periodontitis , metallurgy , regeneration (biology) , biology , microbiology and biotechnology
This case report describes the treatment of peri‐implantitis around a restored single‐unit implant. Case Presentation: Clinical findings included deep probing depths (PDs), bleeding on probing (BOP), and suppuration. Radiographs suggested crater‐like bone loss. The area was surgically treated via an access flap. The peri‐implant defect was associated with cement that was found below the cement‐retained permanent restoration. The cement was removed, and the implant was treated with tetracycline and enamel matrix derivative (EMD). After an uneventful 10‐month period of healing, there was a significant reduction in PD and absence of BOP and suppuration. In addition, there was radiographic evidence of new bone formation. Conclusion: This case report proposes a new technique for treating peri‐implantitis and a new application for EMD.