Abstract:
RATIONALE:The purpose of this report is to present a case of peri-implantitis with successful regeneration. The surface of the affected dental implant was decontaminated with an ultrasonic scaler and treated with bovine-derived hydroxyapatite and enamel matrix derivative. PATIENT CONCERNS:A 52-year-old male was referred for evaluation of a dental implant placed in the mandibular right second premolar area. DIAGNOSIS:The radiographic evaluation showed the loss of supporting bone around the dental implant. Bleeding upon probing and suppuration were observed, with the deepest probing depth at 6 mm. INTERVENTIONS:The area was firstly treated with a nonsurgical approach. After re-evaluation, a full-thickness flap was elevated. The area was well debrided using various instruments, including curettes and an ultrasonic scaler. The defect area was grafted with bovine-derived hydroxyapatite and enamel matrix derivative. OUTCOMES:Histopathologic evaluation revealed chronic inflammation with fibrosis and calcification. The evaluation at 2 years and 3 months after surgery showed that the prosthesis was functioning well. Bleeding upon probing and suppuration was not noted, and reduction of probing depth was seen, with the deepest depth at 4 mm. The area showed maintenance of graft material with increased radiopacity around the dental implant. LESSONS:In conclusion, a case of peri-implantitis can be successfully treated with bovine-derived hydroxyapatite and enamel matrix derivative after surface decontamination with an ultrasonic scaler.
journal_name
Medicine (Baltimore)journal_title
Medicineauthors
Park JBdoi
10.1097/MD.0000000000013461subject
Has Abstractpub_date
2018-11-01 00:00:00pages
e13461issue
48eissn
0025-7974issn
1536-5964pii
00005792-201811300-00090journal_volume
97pub_type
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