Surgical Treatment of Peri-Implantitis: A 17-Year Follow-Up Clinical Case Report
Identifieur interne : 000C86 ( Main/Exploration ); précédent : 000C85; suivant : 000C87Surgical Treatment of Peri-Implantitis: A 17-Year Follow-Up Clinical Case Report
Auteurs : Fabrizio Bassi [Italie] ; Pier Paolo Poli [Italie] ; Davide Rancitelli [Italie] ; Fabrizio Signorino [Italie] ; Carlo Maiorana [Italie]Source :
- Case Reports in Dentistry [ 2090-6447 ] ; 2015.
Abstract
The purpose of the present case report was to describe the surgical treatment of a peri-implantitis lesion associated with a regenerative approach. A 48-year-old patient came to authors' attention 36 months after the placement of a dental implant (ITI-Bonefit Straumann, Waldenburg, Switzerland) in position 46. A swelling of the peri-implant soft tissues was observed, associated with bleeding on probing and probing depth > 10 mm. A significant peri-implant bone loss was clearly visible on the periapical radiograph. A nonsurgical periodontal supportive therapy was firstly conducted to reduce the inflammation, followed by the surgical treatment of the defect. After mechanical and chemical decontamination with tetracycline solution, a regenerative approach consisting in the application of deproteinized bovine bone mineral (Bio-Oss, Geistlich Pharma AG, Wolhusen, Switzerland) and a collagen membrane (Bio-Gide, Geistlich Pharma AG, Wolhusen, Switzerland) was performed. An antibiotic therapy was associated with the treatment. The 17-year follow-up showed a physiological probing depth with no clinical signs of peri-implant inflammation and bleeding on probing. No further radiographic bone loss was observed. The treatment described in the present case report seemed to show improved clinical results up to a relevant follow-up period.
Url:
DOI: 10.1155/2015/574676
PubMed: 26064700
PubMed Central: 4443933
Affiliations:
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type="wicri:Area/Main/Exploration">000C86</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Surgical Treatment of Peri-Implantitis: A 17-Year Follow-Up Clinical Case Report</title><author><name sortKey="Bassi, Fabrizio" sort="Bassi, Fabrizio" uniqKey="Bassi F" first="Fabrizio" last="Bassi">Fabrizio Bassi</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Dental Implants, Maxillofacial Surgery and Odontostomatology Unit, Fondazione IRCCS Cà Granda, University of Milan, Via della Commenda 10, 20122 Milan, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Dental Implants, Maxillofacial Surgery and Odontostomatology Unit, Fondazione IRCCS Cà Granda, University of Milan, Via della Commenda 10, 20122 Milan</wicri:regionArea><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation></author><author><name sortKey="Poli, Pier Paolo" sort="Poli, Pier Paolo" uniqKey="Poli P" first="Pier Paolo" last="Poli">Pier Paolo Poli</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Dental Implants, Maxillofacial Surgery and Odontostomatology Unit, Fondazione IRCCS Cà Granda, University of Milan, Via della Commenda 10, 20122 Milan, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Dental Implants, Maxillofacial Surgery and Odontostomatology Unit, Fondazione IRCCS Cà Granda, University of Milan, Via della Commenda 10, 20122 Milan</wicri:regionArea><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation></author><author><name sortKey="Rancitelli, Davide" sort="Rancitelli, Davide" uniqKey="Rancitelli D" first="Davide" last="Rancitelli">Davide Rancitelli</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Dental Implants, Maxillofacial Surgery and Odontostomatology Unit, Fondazione IRCCS Cà Granda, University of Milan, Via della Commenda 10, 20122 Milan, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Dental Implants, Maxillofacial Surgery and Odontostomatology Unit, Fondazione IRCCS Cà Granda, University of Milan, Via della Commenda 10, 20122 Milan</wicri:regionArea><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation></author><author><name sortKey="Signorino, Fabrizio" sort="Signorino, Fabrizio" uniqKey="Signorino F" first="Fabrizio" last="Signorino">Fabrizio Signorino</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Dental Implants, Maxillofacial Surgery and Odontostomatology Unit, Fondazione IRCCS Cà Granda, University of Milan, Via della Commenda 10, 20122 Milan, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Dental Implants, Maxillofacial Surgery and Odontostomatology Unit, Fondazione IRCCS Cà Granda, University of Milan, Via della Commenda 10, 20122 Milan</wicri:regionArea><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation></author><author><name sortKey="Maiorana, Carlo" sort="Maiorana, Carlo" uniqKey="Maiorana C" first="Carlo" last="Maiorana">Carlo Maiorana</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Dental Implants, Maxillofacial Surgery and Odontostomatology Unit, Fondazione IRCCS Cà Granda, University of Milan, Via della Commenda 10, 20122 Milan, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Dental Implants, Maxillofacial Surgery and Odontostomatology Unit, Fondazione IRCCS Cà Granda, University of Milan, Via della Commenda 10, 20122 Milan</wicri:regionArea><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation></author></analytic><series><title level="j">Case Reports in Dentistry</title><idno type="ISSN">2090-6447</idno><idno 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A 48-year-old patient came to authors' attention 36 months after the placement of a dental implant (ITI-Bonefit Straumann, Waldenburg, Switzerland) in position 46. A swelling of the peri-implant soft tissues was observed, associated with bleeding on probing and probing depth > 10 mm. A significant peri-implant bone loss was clearly visible on the periapical radiograph. A nonsurgical periodontal supportive therapy was firstly conducted to reduce the inflammation, followed by the surgical treatment of the defect. After mechanical and chemical decontamination with tetracycline solution, a regenerative approach consisting in the application of deproteinized bovine bone mineral (Bio-Oss, Geistlich Pharma AG, Wolhusen, Switzerland) and a collagen membrane (Bio-Gide, Geistlich Pharma AG, Wolhusen, Switzerland) was performed. An antibiotic therapy was associated with the treatment. The 17-year follow-up showed a physiological probing depth with no clinical signs of peri-implant inflammation and bleeding on probing. No further radiographic bone loss was observed. The treatment described in the present case report seemed to show improved clinical results up to a relevant follow-up period.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Lindhe, J" uniqKey="Lindhe J">J. Lindhe</name></author><author><name sortKey="Meyle, J" uniqKey="Meyle J">J. Meyle</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lang, N P" uniqKey="Lang N">N. P. Lang</name></author><author><name sortKey="Berglundh, T" uniqKey="Berglundh T">T. Berglundh</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="De Boever, A L" uniqKey="De Boever A">A. L. de Boever</name></author><author><name sortKey="De Boever, J A" uniqKey="De Boever J">J. 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Sanz</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Italie</li></country><region><li>Lombardie</li></region><settlement><li>Milan</li></settlement></list><tree><country name="Italie"><region name="Lombardie"><name sortKey="Bassi, Fabrizio" sort="Bassi, Fabrizio" uniqKey="Bassi F" first="Fabrizio" last="Bassi">Fabrizio Bassi</name></region><name sortKey="Maiorana, Carlo" sort="Maiorana, Carlo" uniqKey="Maiorana C" first="Carlo" last="Maiorana">Carlo Maiorana</name><name sortKey="Poli, Pier Paolo" sort="Poli, Pier Paolo" uniqKey="Poli P" first="Pier Paolo" last="Poli">Pier Paolo Poli</name><name sortKey="Rancitelli, Davide" sort="Rancitelli, Davide" uniqKey="Rancitelli D" first="Davide" last="Rancitelli">Davide Rancitelli</name><name sortKey="Signorino, Fabrizio" sort="Signorino, Fabrizio" uniqKey="Signorino F" first="Fabrizio" last="Signorino">Fabrizio Signorino</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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