Abstract
Rationale: The purpose of this report is to present a case of peri-implantitis with successful regeneration. The surface of the affected dental implant was decontaminated with an ultrasonic scaler and treated with bovine-derived hydroxyapatite and enamel matrix derivative. Patient concerns: A 52-year-old male was referred for evaluation of a dental implant placed in the mandibular right second premolar area. Diagnosis: The radiographic evaluation showed the loss of supporting bone around the dental implant. Bleeding upon probing and suppuration were observed, with the deepest probing depth at 6 mm. Interventions: The area was firstly treated with a nonsurgical approach. After re-evaluation, a full-thickness flap was elevated. The area was well debrided using various instruments, including curettes and an ultrasonic scaler. The defect area was grafted with bovine-derived hydroxyapatite and enamel matrix derivative. Outcomes: Histopathologic evaluation revealed chronic inflammation with fibrosis and calcification. The evaluation at 2 years and 3 months after surgery showed that the prosthesis was functioning well. Bleeding upon probing and suppuration was not noted, and reduction of probing depth was seen, with the deepest depth at 4 mm. The area showed maintenance of graft material with increased radiopacity around the dental implant. Lessons: In conclusion, a case of peri-implantitis can be successfully treated with bovine-derived hydroxyapatite and enamel matrix derivative after surface decontamination with an ultrasonic scaler.
| Original language | English |
|---|---|
| Article number | e13461 |
| Journal | Medicine (United States) |
| Volume | 97 |
| Issue number | 48 |
| DOIs | |
| State | Published - 1 Nov 2018 |
Bibliographical note
Funding Information:Editor: N/A. This research was supported by Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Science, Information and Communication Technology and Future Planning (NRF-2017R1A1A1A05001307). This study was reviewed and approved by the Institutional Review Board of Seoul St Mary’s Hospital, College of Medicine, Catholic University of Korea, Seoul, Republic of Korea (KC18ZESI0491). All data analyzed during this study are included in this published article.
Publisher Copyright:
Copyright © 2018 the Author(s). Published by Wolters Kluwer Health, Inc. This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC), where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal.
Keywords
- Bone substitutes
- Enamel matrix proteins
- Peri-implantitis
- Regeneration