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http://dx.doi.org/10.14368/jdras.2014.30.3.259

Treatment of retrograde peri-implantitis: seven-year follow-up study  

Lee, Ju-Youn (Department of Periodontology, School of Dentistry, Pusan National University)
Publication Information
Journal of Dental Rehabilitation and Applied Science / v.30, no.3, 2014 , pp. 259-264 More about this Journal
Abstract
Retrograde peri-implantitis (RPI) is defined as a clinically symptomatic periapical lesion. RPI is generally accompanied by symptoms of pain, tenderness, swelling and fistula. Several etiologic factors of RPI were possible, residual bacteria would be the main cause of RPI. Various treatment modalities have been introduced: debridement only or a combination of debridement with the grafting material accompanied by a detoxification of the infected implant surfaces, apicoectomy and so on. Although the definitive management methods remain undefined, many favorable clinical results of a treatment of RPI have been published. This case report introduces the 7-year long-term clinical result of the application the principle: implant surface detoxification using saline and chlorhexidine and guided bone regeneration with bone graft material and barrier membrane. If the implant was not mobile, it would be possible to treat RPI according to surgical approach and good results will be maintained over long term.
Keywords
peri-implantitis; alveolar bone graft; bone regeneration; membrane;
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1 Ayangco L, Sheridan PJ. Development and treatment of retrograde peri-implantitis involving a site with a history of failed endodontic and apicoectomy procedures: a series of reports. Int J Oral Maxillofac Implants 2001;16:412-7.
2 Quirynen M, Vogels R, Alsaadi G, Naert I, Jacobs R, van Steenberghe D. Predisposing conditions for retrograde peri-implantitis, and treatment suggestions. Clin Oral Implants Res 2005;16:599-608.   DOI   ScienceOn
3 Lin S, Mayer Y. Treatment of a large periradicular lesion of endodontic origin around a dental implant with enamel matrix protein derivative. J Periodontol 2007;78:2385-8.   DOI   ScienceOn
4 Flanagan D. Apical (retrograde) peri-implantitis: a case report of an active lesion. J Oral Implantol 2002;28:92-6.   DOI
5 Chan HL, Wang HL, Bashutski JD, Edwards PC, Fu JH, Oh TJ. Retrograde peri-implantitis: a case report introducing an approach to its management. J Periodontol 2011;82:1080-8.   DOI   ScienceOn
6 Green TL, Walton RE, Taylor JK, Merrell P. Radiographic and histologic periapical findings of root canal treated teeth in cadaver. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1997;83:707-11.   DOI   ScienceOn
7 van der Stelt PF. Experimentally produced bone lesions. Oral Surg Oral Med Oral Pathol 1985;59:306-12.   DOI   ScienceOn
8 Velvart P, Hecker H, Tillinger G. Detection of the apical lesion and the mandibular canal in conventional radiography and computed tomography. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2001;92:682-8.   DOI   ScienceOn
9 Melcher AH. On the repair potential of periodontal tissues. J Periodontol 1976;47:256-60.   DOI
10 Zablotsky MH, Diedrich DL, Meffert RM. Detoxification of endotoxin-contaminated titanium and hydroxyapatite-coated surfaces utilizing various chemotherapeutic and mechanical modalities. Implant Dent 1992;1:154-8.   DOI   ScienceOn
11 Tsesis I, Rosen E, Tamse A, Taschieri S, Del Fabbro M. Effect of guided tissue regeneration on the outcome of surgical endodontic treatment: a systematic review and meta-analysis. J Endod 2011;37:1039-45.   DOI   ScienceOn
12 Mailoa J, Lin GH, Chan HL, MacEachern M, Wang HL. Clinical outcomes of using lasers for peri-implantitis surface detoxification: a systematic review and meta-analysis. J Periodontol 2014;85:1194-202.   DOI   ScienceOn
13 Park JB. Treatment of peri-implantitis with deproteinised bovine bone and tetracycline: a case report. Gerodontology 2012;29:145-9.   DOI   ScienceOn
14 Claffey N, Clarke E, Polyzois I, Renvert S. Surgical treatment of peri-implantitis. J Clin Periodontol 2008;35:316-32.   DOI   ScienceOn
15 Schou S, Holmstrup P, Jorgensen T, Skovgaard LT, Stoltze K, Hjorting-Hansen E, Wenzel A. Implant surface preparation in the surgical treatment of experimental peri-implantitis with autogenous bone graft and ePTFE membrane in cynomolgus monkeys. Clin Oral Implants Res 2003;14:412-22.   DOI   ScienceOn
16 Dahlin C, Nikfarid H, Alsen B, Kashani H. Apical peri-implantitis: possible predisposing factors, case reports, and surgical treatment suggestions. Clin Implant Dent Relat Res 2009;11:222-7.   DOI   ScienceOn
17 Quirynen M, Gijbels F, Jacobs R. An infected jawbone site compromising successful osseointegration. Periodontol 2000 2003;33:129-44.   DOI   ScienceOn
18 Reiser GM, Nevins M. The implant periapical lesion: etiology, prevention, and treatment. Compend Contin Educ Dent 1995;16:768, 770, 772 passim.