Clinical case description:
Surgical management of peri-implantitis: A case report
C. M. D. Maran, M. J. Brennand Roper, A. Dutta.
This case describes the treatment of a patient who was initially provided with a single implant retained prosthesis and who subsequently went on to develop peri-implantitis. This was initially treated non-surgically but failure to achieve peri-implant tissue health prompted surgical intervention. The patient presented in this case was a 50 year old male who had lost tooth 21 due to trauma and was provided with implant therapy in 2007. The implant was restored with a cement retained porcelain bonded crown and composite resin was used to close the diastema. The patient was returned to his General Dental Practitioner for maintenance and routine dental care following a six month post-restoration follow up. In 2010, the patient was re-referred with a diagnosis of peri-implantitis associated with tooth 21. Pocket probing depths of 10mm with suppuration and bone loss were recorded. The patient underwent a non-surgical disinfection stage via ultrasonic debridement and subsequently consented to a surgical approach in an attempt to resolve the peri-implant inflammation.