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Case Reports
. 2022;100(7):564-567.

The challenge of periimplantitis management: a case report

Ghita Kadri, Oum Keltoum Ennibi, Zouheir Ismaili
Case Reports

The challenge of periimplantitis management: a case report

Ghita Kadri et al. Tunis Med. 2022.

Abstract

Introduction: Implant therapy has changed tremendously the management of edentulism, and are a real alternative to conventional prosthesis. However, with the constant increase of the number of peri-implantitis, the question of therapeutic management arises. The first goal of the treatment is to control the infection, which requires periodontal debridement and decontamination of the implant surface. Secondary objectives are to promote bone regeneration and repair of the attachment around the implant.

Case report: The patient was a 24-years-old female in good general health with no history of smoking. Intraoral and radiological examination revealed a peri-implantitis around the implant at the site of tooth 14. The peri-implantitis management involved a non-surgical treatment to reduce inflammation, followed by surgical treatment of the bone defect. This combined decontamination of the implant surface and bone regeneration.

Conclusion: The heterogeneity of the surgical protocols does not suggest any true recommendations. Several treatments for periimplantitis are currently implemented. However, we still lack relevant data regarding the effectiveness of these therapies.

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Figures

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Figure 1 : A : Vueclinique montrant une inflammation gingivale, un sondage de neuf mm associé àun saignement en regard de la première prémolaire supérieure droite / B :Radio rétro-alvéolaire montrant une lyse osseuse sous forme de cratère
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Figure 2 : A :Décollement d’un lambeau de pleine épaisseur et mise en évidence du tissu degranulation au niveau de la lésion osseuse / B : Élimination dutissu de granulation par une curette et décontamination de la surfaceimplantaire (Classe 1 de Schwartz : Une cratérisation sans déhiscence) / C :comblement de la lésion par du substitut osseux d’originebovine / D : Mise en place et adaptation de la membrane de collagène et utilisationdu pilier pour stabiliser la membrane.
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Figure3 : Suivi radiologique de la lésion après traitement chirurgical . A: État à J0 / B : Comblement de lalésion à huit mois / C : Stabilité de la lésion à vingt-quatre mois.
See this image and copyright information in PMC

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