All Issue

2020 Vol.24, Issue 3 Preview Page

Clinical or Case Report

Adjunctive use of Gel-type Desiccating Agent for Regenerative Surgical Treatment of Peri-implantitis in Patients with Inaccessible Implant Surface: A Case Report
Do-Hyung Kim1
,
Seong-Nyum Jeong2
,
Jae-Hong Lee3*
1Resident, Department of Periodontology, Wonkwang University College of Dentistry
2Professor, Department of periodontology, Wonkwang University Colleage of Dentistry
3Associate Professor, Department of Periodontology, Wonkwang University College of Dentistry
*Corresponding Author
30 September 2020. pp. 117-126
PDF XML Citation
Abstract

Peri-implantitis is a chronic inflammatory disease with alveolar bone loss, and one of the most common biological complications of dental implants. Various approaches have been introduced and developed for the treatment of peri-implantitis, but none of the them have clearly shown better treatment outcomes or fewer biological complications. Especially in cases of peri-implantitis around an implant with limited accessibility, non-surgical or surgical treatment with mechanical debridement is often insufficient to disinfect contaminated implant surface. To improve the result of implant surface disinfection, various mechanical and chemical decontamination agents have been introduced. In this case report, gel type desiccating agent was used to disinfect the inaccessible surface of dental implants. Both cases in this report showed successf ul clinical and radiographic outcome up to 6 months of follow up.

Keywords
Bone loss
Dental implants
Peri-implantitis
References
1
Berglundh T, Armitage G, Araujo MG, Avila-Ortiz G, Blanco J, Camargo PM, et al. Peri-implant diseases and conditions: Consensus report of workgroup 4 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J Periodontol 2018;89 Supp1:S313-S8.
10.1002/JPER.17-073929926955
2
Figuero E, Graziani F, Sanz I, Herrera D, Sanz M. Management of peri-implant mucositis and periimplantitis. Periodontol 2000 2014;66:255-73.
10.1111/prd.1204925123773
3
Meyle J. Mechanical, chemical and laser treatments of the implant surface in the presence of marginal bone loss around implants. Eur J Oral Implantol 2012;5 Suppl:S71-S81.
4
Karlsson K, Derks J, Hakansson J, Wennstrom JL, Petzold M, Berglundh T. Interventions for periimplantitis and their effects on further bone loss: A retrospective analysis of a registry-based cohort. J Clin Periodontol 2019;46:872-9.
10.1111/jcpe.1312931077421
5
Renvert S, Persson GR, Pirih FQ, Camargo PM. Peri-implant health, peri-implant mucositis, and peri-implantitis: Case definitions and diagnostic considerations. J Clin Periodontol 2018;45 Suppl 20:S278-S85.
10.1111/jcpe.1295629926496
6
Ronay V, Merlini A, Attin T, Schmidlin PR, Sahrmann P. In vitro cleaning potential of three implant debridement methods. Simulation of the non-surgical approach. Clin Oral Implants Res 2017;28:151-5.
10.1111/clr.1277326799360
7
An YZ, Lee JH, Heo YK, Lee JS, Jung UW, Choi SH. Surgical Treatment of Severe Peri-Implantitis Using a Round Titanium Brush for Implant Surface Decontamination: A Case Report With Clinical Reentry. J Oral Implantol 2017;43:218-25.
10.1563/aaid-joi-D-16-0016328218864
8
Lopez MA, Andreasi Bassi M, Confalone L, Silvestre F, Arcuri C. The treatment of peri-implant diseases: a new approach using hybenx ® as a decontaminant for implant surface and oral tissues. Oral Implantol (Rome) 2016;9:106-14.
9
Carcuac O, Derks J, Charalampakis G, Abrahamsson I, Wennstrom J, Berglundh T. Adjunctive Systemic and Local Antimicrobial Therapy in the Surgical Treatment of Peri-implantitis: A Randomized Controlled Clinical Trial. J Dent Res 2016;95:50-7.
10.1177/002203451560196126285807
10
Cha JK, Lee JS, Kim CS. Surgical Therapy of Peri-Implantitis with Local Minocycline: A 6-Month Randomized Controlled Clinical Trial. J Dent Res 2019;98:288-95.
10.1177/002203451881847930626263
11
Chan HL, Lin GH, Suarez F, MacEachern M, Wang HL. Surgical management of peri-implantitis:a systematic review and meta-analysis of treatment outcomes. J Periodontol 2014;85:1027-41.
10.1902/jop.2013.13056324261909
12
Persson GR, Samuelsson E, Lindahl C, Renvert S. Mechanical non-surgical treatment of periimplantitis: a single-blinded randomized longitudinal clinical study. II. Microbiological results. J Clin Periodontol 2010;37:563-73.
10.1111/j.1600-051X.2010.01561.x20507380
13
Roos-Jansåker AM, Persson GR, Lindahl C, Renvert S. Surgical treatment of peri-implantitis using a bone substitute with or without a resorbable membrane: a 5-year follow-up. J Clin Periodontol 2014;41:1108-14.
10.1111/jcpe.1230825195613
14
Cha JK, Paeng K, Jung UW, Choi SH, Sanz M, Sanz-Martin I. The effect of five mechanical instrumentation protocols on implant surface topography and roughness: A scanning electron microscope and confocal laser scanning microscope analysis. Clin Oral Implants Res 2019;30:578-87.
10.1111/clr.1344631022305
15
Martin V, Bettencourt A. Bone regeneration: Biomaterials as local delivery systems with improved osteoinductive properties. Mater Sci Eng C Mater Biol Appl 2018;82:363-71.
10.1016/j.msec.2017.04.03829025670
16
Lombardo G, Signoretto C, Corrocher G, Pardo A, Pighi J, Rovera A, et al. A topical desiccant agent in association with ultrasonic debridement in the initial treatment of chronic periodontitis: a clinical and microbiological study. New Microbiol 2015;38:393-407.
17
Pini-Prato G, Magnani C, Rotundo R. Treatment of Acute Periodontal Abscesses Using the Biofilm Decontamination Approach: A Case Report Study. Int J Periodontics Restorative Dent 2016;36:55-63.
10.11607/prd.255726697553
18
Isola G, Matarese G, Williams RC, Siciliano VI, Alibrandi A, Cordasco G, et al. The effects of a desiccant agent in the treatment of chronic periodontitis: a randomized, controlled clinical trial. Clin Oral Investig 2018;22:791-800.
10.1007/s00784-017-2154-728624914
Information
  • Publisher :The Korean Academy of Oral & Maxillofacial Implantology
  • Publisher(Ko) :대한구강악안면임플란트학회
  • Journal Title :Implantology
  • Journal Title(Ko) :대한구강악안면임플란트학회지
  • Volume : 24
  • No :3
  • Pages :117-126
  • Received Date : 2020-04-03
  • Revised Date : 2020-04-20
  • Accepted Date : 2020-04-27
  • DOI :https://doi.org/10.32542/implantology.202012
Journal Informaiton Journal of implantology and applied sciences Journal of implantology and applied sciences
Online Submission & Review System
  • NRF
  • 임플란트학회 전용 배너
  • KOFST
  • crossref crossmark
  • crossref cited-by
  • crossref funder-registry
  • crosscheck
  • orcid
  • open access
  • ccl
Journal Informaiton Journal Informaiton - close