Review Article

Treatment Alternatives to Negotiate Peri-Implantitis

Figure 2

Treatment of peri-implantitis using a regenerative approach. (a) Preop, note the severe bone loss on implant at position #14. (b) Upon reflection of the flaps, note the granulation tissue but also excess cementum on the crown’s margin. (c) Following degranulation, demonstrating the extent of bone loss. (d) Excess cement was removed and the implant surface was debrided using hand instruments and ultrasonic scaler. (e) Decortication was performed using diamond burs. (f) Surface decontamination was supplemented with the application of 24% EDTA for 3 minutes. (g) The defect was grafted with bovine derived Xenograft (BioOss). (h) 3 years later, complete resolution of the radiographic defect is evident.
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