New surgical procedure to successfully treat peri-implantitis

11 July 2017
Volume 31 · Issue 6

Peri-implantitis is an irreversible inflammatory disease that is commonly caused by plaque and biofilm that accumulates on the exterior of a dental implant.

It affects both the soft and hard tissues surrounding the implant and, without treatment, may result in excessive bone loss proximal to the implant and its eventual failure. Surgical therapies are most suitable for accessing and removing the biofilm, and thereby impeding the progression of the disease.
 
Researchers from Wonkwang University (Daejeon, Korea), Yonsei University (Seoul, Korea) and the Global Academy of Osseointegration (Seoul, Korea) published a study in the current issue of the Journal of Oral Implantology that examines a novel surgical procedure to combat peri-implantitis. In the article, the authors conducted two case studies using a newly developed cleaning and regenerative surgical process.

In both cases, a round titanium brush was used to remove the debris, while maintaining the rough surface of the diseased implant. A regenerative approach incorporating bone graft materials was used to rebuild the bone surrounding the implant. The key to successful regeneration of the bone proximal to the implant is to successfully remove the plaque biofilm while maintaining the rough implant surface. The titanium brush used in this technique was extremely effective at removing the plaque biofilm that was causing the disease, while also preserving the rough surface of the implant threads. This made the regenerative process more successful and predictable.

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