TY  - JOUR
A1  - Soldatos, Nikolaos
A1  - Romanos, Georgios
A1  - Michaiel, Michelle
A1  - Sajadi, Ali
A1  - Angelov, Nikola
A1  - Weltman, Robin
T1  - Management of retrograde peri-implantitis using an air-abrasive device, Er,Cr:YSGG laser, and guided bone regeneration
T2  - Case reports in dentistry
N2  - Background. The placement of an implant in a previously infected site is an important etiologic factor contributing to implant failure. The aim of this case report is to present the management of retrograde peri-implantitis (RPI) in a first maxillary molar site, 2 years after the implant placement. The RPI was treated using an air-abrasive device, Er,Cr:YSGG laser, and guided bone regeneration (GBR).
Case Description. A 65-year-old Caucasian male presented with a draining fistula associated with an implant at tooth #3. Tooth #3 revealed periapical radiolucency two years before the implant placement. Tooth #3 was extracted, and a ridge preservation procedure was performed followed by implant rehabilitation. A periapical radiograph (PA) showed lack of bone density around the implant apex. The site was decontaminated with an air-abrasive device and Er,Cr:YSGG laser, and GBR was performed. The patient was seen every two weeks until suture removal, followed by monthly visits for 12 months. The periapical X-rays, from 6 to 13 months postoperatively, showed increased bone density around the implant apex, with no signs of residual clinical or radiographic pathology and probing depths ≤4 mm.
Conclusions. The etiology of RPI in this case was the placement of an implant in a previously infected site. The use of an air-abrasive device, Er,Cr:YSGG, and GBR was utilized to treat this case of RPI. The site was monitored for 13 months, and increased radiographic bone density was noted.
Y1  - 2018
UR  - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/46572
UR  - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-465724
SN  - 2090-6455
SN  - 2090-6447
N1  - Copyright © 2018 Nikolaos Soldatos et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
VL  - 2018
IS  - Art. 7283240
SP  - 1
EP  - 9
PB  - Hindawi
CY  - New York, NY
ER  -