The International Journal of Periodontics & Restorative Dentistry · 2018 · 47 citations · 12 references
DentistryPeriodonticsPeriodontologyBone AugmentationImplant SurgeryPeri-implant DiseasesPeri-implant Bone Level AssessmentPeri-implant Tissue HealthPeri-implantitis ManagementPeri-implantitis PreventionPeri-implantitis TherapyRadiographic AssessmentPeri-implant Bone Defect EvaluationPeri-implant Recession CoveragePeri-implant Tissue PrognosisPocket Depth MeasurementPocket Depth ReductionProbing Pocket DepthProspective Case StudySurgical Peri-implantitis Therapy
A prospective case series was performed to examine the clinical and radiographic changes to peri-implant tissues 2 years after resective treatment of peri-implantitis, including an apically positioned flap, osteoplasty, and implantoplasty. In total, 25 patients with 40 titanium implants of multiple brands and advanced peri-implantitis were included in this study. After 2 years, all implants survived, mean probing pocket depth was reduced from 8.7 to 3.3 mm, and bone level remained stable in 92.5% of the implants. Findings suggest the approach of an apically positioned flap combined with osteoplasty and implantoplasty as an effective and reliable strategy against peri-implantitis, although increased gingival recessions may limit its application in esthetic areas.
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