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Surgical Treatment of Peri-Implantitis: A 17-Year Follow-Up Clinical Case Report

The purpose of the present case report was to describe the surgical treatment of a peri-implantitis lesion associated with a regenerative approach. A 48-year-old patient came to authors' attention 36 months after the placement of a dental implant (ITI-Bonefit Straumann, Waldenburg, Switzerland)...

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Autores principales: Bassi, Fabrizio, Poli, Pier Paolo, Rancitelli, Davide, Signorino, Fabrizio, Maiorana, Carlo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4443933/
https://www.ncbi.nlm.nih.gov/pubmed/26064700
http://dx.doi.org/10.1155/2015/574676
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author Bassi, Fabrizio
Poli, Pier Paolo
Rancitelli, Davide
Signorino, Fabrizio
Maiorana, Carlo
author_facet Bassi, Fabrizio
Poli, Pier Paolo
Rancitelli, Davide
Signorino, Fabrizio
Maiorana, Carlo
author_sort Bassi, Fabrizio
collection PubMed
description The purpose of the present case report was to describe the surgical treatment of a peri-implantitis lesion associated with a regenerative approach. A 48-year-old patient came to authors' attention 36 months after the placement of a dental implant (ITI-Bonefit Straumann, Waldenburg, Switzerland) in position 46. A swelling of the peri-implant soft tissues was observed, associated with bleeding on probing and probing depth > 10 mm. A significant peri-implant bone loss was clearly visible on the periapical radiograph. A nonsurgical periodontal supportive therapy was firstly conducted to reduce the inflammation, followed by the surgical treatment of the defect. After mechanical and chemical decontamination with tetracycline solution, a regenerative approach consisting in the application of deproteinized bovine bone mineral (Bio-Oss, Geistlich Pharma AG, Wolhusen, Switzerland) and a collagen membrane (Bio-Gide, Geistlich Pharma AG, Wolhusen, Switzerland) was performed. An antibiotic therapy was associated with the treatment. The 17-year follow-up showed a physiological probing depth with no clinical signs of peri-implant inflammation and bleeding on probing. No further radiographic bone loss was observed. The treatment described in the present case report seemed to show improved clinical results up to a relevant follow-up period.
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spelling pubmed-44439332015-06-10 Surgical Treatment of Peri-Implantitis: A 17-Year Follow-Up Clinical Case Report Bassi, Fabrizio Poli, Pier Paolo Rancitelli, Davide Signorino, Fabrizio Maiorana, Carlo Case Rep Dent Case Report The purpose of the present case report was to describe the surgical treatment of a peri-implantitis lesion associated with a regenerative approach. A 48-year-old patient came to authors' attention 36 months after the placement of a dental implant (ITI-Bonefit Straumann, Waldenburg, Switzerland) in position 46. A swelling of the peri-implant soft tissues was observed, associated with bleeding on probing and probing depth > 10 mm. A significant peri-implant bone loss was clearly visible on the periapical radiograph. A nonsurgical periodontal supportive therapy was firstly conducted to reduce the inflammation, followed by the surgical treatment of the defect. After mechanical and chemical decontamination with tetracycline solution, a regenerative approach consisting in the application of deproteinized bovine bone mineral (Bio-Oss, Geistlich Pharma AG, Wolhusen, Switzerland) and a collagen membrane (Bio-Gide, Geistlich Pharma AG, Wolhusen, Switzerland) was performed. An antibiotic therapy was associated with the treatment. The 17-year follow-up showed a physiological probing depth with no clinical signs of peri-implant inflammation and bleeding on probing. No further radiographic bone loss was observed. The treatment described in the present case report seemed to show improved clinical results up to a relevant follow-up period. Hindawi Publishing Corporation 2015 2015-05-12 /pmc/articles/PMC4443933/ /pubmed/26064700 http://dx.doi.org/10.1155/2015/574676 Text en Copyright © 2015 Fabrizio Bassi et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Bassi, Fabrizio
Poli, Pier Paolo
Rancitelli, Davide
Signorino, Fabrizio
Maiorana, Carlo
Surgical Treatment of Peri-Implantitis: A 17-Year Follow-Up Clinical Case Report
title Surgical Treatment of Peri-Implantitis: A 17-Year Follow-Up Clinical Case Report
title_full Surgical Treatment of Peri-Implantitis: A 17-Year Follow-Up Clinical Case Report
title_fullStr Surgical Treatment of Peri-Implantitis: A 17-Year Follow-Up Clinical Case Report
title_full_unstemmed Surgical Treatment of Peri-Implantitis: A 17-Year Follow-Up Clinical Case Report
title_short Surgical Treatment of Peri-Implantitis: A 17-Year Follow-Up Clinical Case Report
title_sort surgical treatment of peri-implantitis: a 17-year follow-up clinical case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4443933/
https://www.ncbi.nlm.nih.gov/pubmed/26064700
http://dx.doi.org/10.1155/2015/574676
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