A NOVEL APPROACH FOR REGENERATIVE TREATMENT OF PERI-IMPLANTITIS: A CASE REPORT AND PROPOSAL OF A PROTOCOL
by Povilas Daugela (Lithuania), Gintaras Juodzbalys

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Classification: Treatment, Research, Events, Symposia / Congresses , Periimplantitis
Content
Objectives: The aim of this report was to propose guidelines for managing peri-implantitis including a three-step decontamination protocol and regeneration of a bone defect using autologous leukocyte and platelet-rich fibrin (L-PRF)-enriched composite graft, and to evaluate the radiographic defect fill and various clinical parameters.
Methods: A 57-year-old woman was diagnosed with advanced peri-implantitis around two right molar implants that were placed and restored 4 years ago. Clinical examination revealed probing depth (PDs) of up to 12 mm, with bleeding and suppuration. After initial conservative non-surgical treatment, surgery was performed. The approach consisted of flap reflection, one-step mechanical debridement, three-step surface decontamination and fill of the intrabony defect with composite L-PRF, demineralised freeze-dried bone allograft (DFDBA), and gentamicin graft. Coverage was with a double-layer of autologous L-PRF membrane.
Results: At 24-month follow-up there was a considerable reduction in probing depth and radiographic bone defect fill.
Conclusions: The main treatment goals for peri-implantitis (peri-implant mucosa health and regeneration of peri-implant bone) were achieved using a novel complex management and maintenance (CMM) protocol for treatment of peri-implantitis. Long-term, randomised, controlled clinical trials are needed to produce robust data on the effectiveness of this treatment modality for treatment of peri-implant defects.
Details
Osteology Foundation
Content Type:
Poster
Publication date:
02/09/2015
Publisher:
Osteology Foundation