Combined surgical approach for disinfection and regeneration of peri-implant defects. Three case report

• González-Regueiro, Iria ; Martínez Rodríguez, Natalia ^[2] ; Andrés Veiga, María ^[2] ; Sanz Alonso, Javier ^[1] ; Martínez-González, José Mª ^[1]
  1. [1] Universidad Complutense de Madrid

     Universidad Complutense de Madrid

     Madrid, España

     
  2. [2] Hospital Virgen de La Paloma
• Localización: Científica dental: Revista científica de formación continuada, ISSN 1697-6398, ISSN-e 1697-641X, Vol. 16, Nº. Extra 4 (Versión en inglés de los trabajos ganadores y los segundos clasificados de los premios de la revista), 2019, págs. 29-36
• Idioma: inglés
• Enlaces
  • Texto completo (pdf)
• Resumen

  • Dental implants suffer a high incidence of mucositis and peri-implantitis, which can lead to failure. There are multiple non-surgical and surgical therapeutic approaches for these pathologies, although surgical treatment is indicated for peri-implantitis. Surgery may take the form of access surgery, resective and/or regenerative treatment. In order to achieve biofilm removal and improvement of peri-implant tissues, prior implant decontamination should always be performed. Mechanical, chemical, antibiotic or laser methods may be used to carry out the procedure. This article discusses three clinical cases in which a combined surgical approach was used employing implantoplasty, decontamination with chlorohexidine and orthophosphoric acid, application of local antibiotic (piperacillin/tazobactam) and regeneration via synthetic hydroxyapatite and resorbable membrane, showing favorable clinical outcomes consistent with bibliographical references.