A prospective case series on surgical treatment of circumferential and semi-circumferential defects due to peri-implantitis
Abstract Different surgical treatment strategies for peri-implantitis with the use of graft material and membranes have been suggested without any longitudinal remarkable success rate. The present preliminary study was aimed to analyze a new clinical approach based on the disinfection of the implant...
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| Format: | Article |
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Sociedade Brasileira de Pesquisa Odontológica
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| Series: | Brazilian Oral Research |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242019000200202&lng=en&tlng=en |
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| author | Luigi CANULLO Luca SIGNORINI Roberto PISTILLI Romeo PATINI Valeria PISTILLI Paolo PESCE |
| author_facet | Luigi CANULLO Luca SIGNORINI Roberto PISTILLI Romeo PATINI Valeria PISTILLI Paolo PESCE |
| author_sort | Luigi CANULLO |
| collection | DOAJ |
| description | Abstract Different surgical treatment strategies for peri-implantitis with the use of graft material and membranes have been suggested without any longitudinal remarkable success rate. The present preliminary study was aimed to analyze a new clinical approach based on the disinfection of the implant connection, the disinfection of the implant surface and GBR approach in the treatment of circumferential and semi-circumferential bony defect resulting from peri-implantitis. Six consecutive patients were selected for the present study. After removal of factors that could potentially influence peri-implant pathology, the prosthetic rehabilitation was always removed and a full thickness flap was elevated to allow access to the peri-implant defect and the exposed implant surface. Once the defect was degranulated and the implant surface cleaned, a mixture (50:50) of autogenous bone and allograft was used. Guided bone regeneration technique using membranes was adopted and the flaps were closed for a submerged healing. Six months thereafter, a new re-opening procedure was performed and cleaned superstructures and crowns were repositioned. Patients were followed for one year thereafter and recalled for a customized oral hygiene every three months. Radiological and periodontal analysis was performed before surgery and every six months. The studied procedure was associated with a pronounced increase in REC and CAL with stable peri-implant conditions at 6 and 12 months. PI, BOP and PD values were significantly reduced both at 6 and 12 months. At 12 months, a mean PD gain of 4.5 mm and a bone loss reduction of 5.1 mm was obtained. Within the limitation of the present preliminary study, the proposed technique might represent a promising result for treatment of circumferential and semi-circumferential bone defects around implants affected by peri-implantitis. |
| first_indexed | 2024-12-13T11:50:31Z |
| format | Article |
| id | doaj.art-701d02a0ca6c4b12880e51a6da4063e0 |
| institution | Directory Open Access Journal |
| issn | 1807-3107 |
| language | English |
| last_indexed | 2024-12-13T11:50:31Z |
| publisher | Sociedade Brasileira de Pesquisa Odontológica |
| record_format | Article |
| series | Brazilian Oral Research |
| spelling | doaj.art-701d02a0ca6c4b12880e51a6da4063e02022-12-21T23:47:23ZengSociedade Brasileira de Pesquisa OdontológicaBrazilian Oral Research1807-310733suppl 110.1590/1807-3107bor-2019.vol33.0072S1806-83242019000200202A prospective case series on surgical treatment of circumferential and semi-circumferential defects due to peri-implantitisLuigi CANULLOLuca SIGNORINIRoberto PISTILLIRomeo PATINIValeria PISTILLIPaolo PESCEAbstract Different surgical treatment strategies for peri-implantitis with the use of graft material and membranes have been suggested without any longitudinal remarkable success rate. The present preliminary study was aimed to analyze a new clinical approach based on the disinfection of the implant connection, the disinfection of the implant surface and GBR approach in the treatment of circumferential and semi-circumferential bony defect resulting from peri-implantitis. Six consecutive patients were selected for the present study. After removal of factors that could potentially influence peri-implant pathology, the prosthetic rehabilitation was always removed and a full thickness flap was elevated to allow access to the peri-implant defect and the exposed implant surface. Once the defect was degranulated and the implant surface cleaned, a mixture (50:50) of autogenous bone and allograft was used. Guided bone regeneration technique using membranes was adopted and the flaps were closed for a submerged healing. Six months thereafter, a new re-opening procedure was performed and cleaned superstructures and crowns were repositioned. Patients were followed for one year thereafter and recalled for a customized oral hygiene every three months. Radiological and periodontal analysis was performed before surgery and every six months. The studied procedure was associated with a pronounced increase in REC and CAL with stable peri-implant conditions at 6 and 12 months. PI, BOP and PD values were significantly reduced both at 6 and 12 months. At 12 months, a mean PD gain of 4.5 mm and a bone loss reduction of 5.1 mm was obtained. Within the limitation of the present preliminary study, the proposed technique might represent a promising result for treatment of circumferential and semi-circumferential bone defects around implants affected by peri-implantitis.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242019000200202&lng=en&tlng=enPeri-ImplantitisDecontamination |
| spellingShingle | Luigi CANULLO Luca SIGNORINI Roberto PISTILLI Romeo PATINI Valeria PISTILLI Paolo PESCE A prospective case series on surgical treatment of circumferential and semi-circumferential defects due to peri-implantitis Brazilian Oral Research Peri-Implantitis Decontamination |
| title | A prospective case series on surgical treatment of circumferential and semi-circumferential defects due to peri-implantitis |
| title_full | A prospective case series on surgical treatment of circumferential and semi-circumferential defects due to peri-implantitis |
| title_fullStr | A prospective case series on surgical treatment of circumferential and semi-circumferential defects due to peri-implantitis |
| title_full_unstemmed | A prospective case series on surgical treatment of circumferential and semi-circumferential defects due to peri-implantitis |
| title_short | A prospective case series on surgical treatment of circumferential and semi-circumferential defects due to peri-implantitis |
| title_sort | prospective case series on surgical treatment of circumferential and semi circumferential defects due to peri implantitis |
| topic | Peri-Implantitis Decontamination |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242019000200202&lng=en&tlng=en |
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