All Issue

2024 Vol.28, Issue 4 Preview Page

Clinical or Case Report

The Surgical Approaches to Treat Peri-implantitis with Intrabony Defect
Ji-Won Song1
,
Jin-Un Yoon1
,
Hyun-Joo Kim2
,
Ju-Youn Lee3
,
Ji-Young Joo4*
1Resident, Department of Periodontology, Dental Research Institute, Pusan National University Dental Hospital, Yangsan City, Korea
2Assistant Professor, Department of Periodontology, Dental and Life Science Institute, School of Dentistry, Pusan National University, Yangsan, Korea
3Professor, Department of Periodontology, Dental and Life Science Institute, School of Dentistry, Pusan National University, Yangsan, Korea
4Associate Professor, Department of Periodontology, Dental and Life Science Institute, School of Dentistry, Pusan National University, Yangsan, Korea
*Corresponding Author
31 December 2024. pp. 200-209
PDF XML Citation
Abstract

Peri-implant diseases are increasingly recognized as complications associated with dental implants. Managing peri-implant diseases remain a challenging issue, with no consistently reliable and predictable treatments established to date. Both non-surgical and surgical treatments have been attempted for their management. However, non-surgical treatment through mechanical debridement alone does not provide much benefit in the management of peri-implant diseases. The surgical treatment provides direct access to peri-implantitis lesion for the purpose of thorough debridement of infected tissue and decontamination of implant surfaces. It is effective in reducing inflammation and arresting disease progression. Augmentative surgical techniques using bone graft or biological modulating materials seek to regenerate the bone defects and achieve re-osseointegration. We present an augmentative treatment for peri-implantitis, addressing three different types of bone morphology and bone defect types without removing the prosthesis. However, this study is limited by its short-term observation period.

Keywords
Alveolar bone loss
Dental implants
Peri-implantitis
Periodontal diseases
References
1

Caton JG. A new classification scheme for periodontal and peri-implant diseases and conditions - Introduction and key changes from the 1999 classification. J Periodontol 2018;89(Suppl 1):S1-8.

10.1002/JPER.18-015729926946
2

Schwarz F, Derks J, Monje A, Wang HL. Peri-implantitis. J Periodontol 2018;89(Suppl 1):S267-90.

10.1002/JPER.16-035029926957
3

Derks J, Schaller D, Hakansson J, Wennstrom JL, Tomasi C, Berglundh T. Peri‐implantitis-onset and pattern of progression. J Clin Periodontol 2016;43:383-8.

10.1111/jcpe.1253526900869
4

Berglundh T, Mombelli A, Schwarz F, Derks J. Etiology, pathogenesis and treatment of peri-implantitis: A European perspective. Periodontol 2000 2024;00:1-36f.

10.1111/prd.1254938305506
5

Schwarz F, Jepsen S, Obreja K, Galarraga-Vinueza ME, Ramanauskaite A. Surgical therapy of peri-implantitis. Periodontol 2000 2022;88:145-81.

10.1111/prd.1241735103328
6

Tonetti MS, Pini-Prato G, Cortellini P. Periodontal regeneration of human intrabony defects. IV. Determinants of healing response. J Periodontol 1993;64:934-40.

10.1902/jop.1993.64.10.9348277400
7

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 Clin Periodontol 2018;45:S286-91.

10.1902/jop.1993.64.10.9348277400
8

Nibali L, Koidou VP, Nieri M, Barbato L, Pagliaro U, Cairo F. Regenerative surgery versus access flap for the treatment of intrabony periodontal defects: a systematic review and meta-analysis. J Clin Periodontol 2020;47(Suppl 22):320-51.

10.1111/jcpe.1295729926491
9

Sanz-Sanchez I, Montero E, Citterio F, Romano F, Molina A, Aimetti M. Efficacy of access flap procedures compared to subgingival debridement in the treatment of periodontitis. A systematic review and meta-analysis. J Clin Periodontol 2020;47(Suppl 22):282-302.

10.1111/jcpe.1325931970821
10

Derks J, Ichioka Y, Dionigi C, Trullenque-Eriksson A, Berglundh J, Tomasi C, et al. Prevention and management of peri-implant mucositis and peri-implantitis: a systematic review of outcome measures used in clinical studies in the last 10 years. J Clin Periodontol 2023;50(Suppl 25):55-66.

10.1111/jcpe.1360835246865
11

Loos BG, Needleman I. Endpoints of active periodontal therapy. J Clin Periodontol 2020;47(Suppl 22):61-71.

10.1111/jcpe.1325331912527PMC7670400
12

Herrera D, Berglundh T, Schwarz F, Chapple I, Jepsen S, Sculean A, et al. Prevention and treatment of peri-implant diseases-the EFP S3 level clinical practice guideline. J Clin Periodontol 2023;50(Suppl 26):4-7.

10.1111/jcpe.1382337271498
13

Wohlfahrt JC, Aass AM, Ronold HJ, Lyngstadaas SP. Micro CT and human histological analysis of a peri-implant osseous defect grafted with porous titanium granules: a case report. Int J Oral Maxillofac Implants 2011;26:9-14.

21365035
14

Fletcher P, Deluiz D, Tinoco EM, Ricci JL, Tarnow DP, Tinoco JM. Human histologic evidence of reosseointegration around an implant affected with peri-implantitis following decontamination with sterile saline and antiseptics: a case history report. Int J Periodontics Restorative Dent 2017;37:499-508.

10.11607/prd.303728196152
15

Isehed C, Holmlund A, Renvert S, Svenson B, Johansson I, Lundberg P. Effectiveness of enamel matrix derivative on the clinical and microbiological outcomes following surgical regenerative treatment of peri-implantitis. A randomized controlled trial. J Clin Periodontol 2016;43:863-73.

10.1111/jcpe.1258327418458
16

Froum SJ, Froum SH, Rosen PS. A regenerative approach to the successful treatment of peri-implantitis: a consecutive series of 170 implants in 100 patients with 2 to 10-year follow-up. Int J Periodontics Restorative Dent 2015;35:857-63.

10.11607/prd.257126509990
17

Mercado F, Hamlet S, Ivanovski S. Regenerative surgical therapy for peri-implantitis using deproteinized bovine bone mineral with 10% collagen, enamel matrix derivative and doxycycline-A prospective 3-year cohort study. Clin Oral Implants Res 2018;29:583-91.

10.1111/clr.1325629767434
18

Isehed C, Svenson B, Lundberg P, Holmlund A. Surgical treatment of peri-implantitis using enamel matrix derivative, an RCT: 3- and 5-year follow-up. J Clin Periodontol 2018;45:744-53.

10.1111/jcpe.1289429574866
19

Khoury F, Keeve PL, Ramanauskaite A, Schwarz F, Koo KT, Sculean A, et al. Surgical treatment of peri-implantitis-consensus report of Working Group 4. Int Dent J 2019;69:18-22.

10.1111/idj.1250531478576PMC9379045
Information
  • Publisher :The Korean Academy of Oral & Maxillofacial Implantology
  • Publisher(Ko) :대한구강악안면임플란트학회
  • Journal Title :Journal of implantology and applied sciences
  • Journal Title(Ko) :대한구강악안면임플란트학회지
  • Volume : 28
  • No :4
  • Pages :200-209
  • Received Date : 2024-10-28
  • Revised Date : 2024-12-14
  • Accepted Date : 2024-12-17
  • DOI :https://doi.org/10.32542/implantology.2024021
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