Case report of surgical treatment for peri-implantitis : using Osstem’s smart scaler and smart brush
By: Seung-Hwan Kang, InSoo Kim, Suyeon Kim
Peri-implant mucositis describes an inflammatory lesion that resides in the mucosa, while peri-implantitis also affects the supporting bone. Non-surgical treatment for peri-implant mucositis seems to be effective while modest and not-predictable outcomes are expected for peri-implantitis. In case of evident bone loss and pocket formation deeper than 5mm, the surgical treatment seems to be the only effective one in managing peri-implantitis.
In this presentation, we report 4 cases of surgical treatment for peri-implantitis using Osstem’s smart scaler and smart brush.
Materials & Methods
In all cases, surgery was performed in the same manner as case 1, except that bone graft was not performed in case 3 and 4. The decision to employ either a regenerative or non -regenerative surgical treatment depends among other things upon aesthetic demands of the site, the defect morphology, and the presence of adjacent teeth or implants.
Age/Sex : 60 / F
Chief complain : loss of teeth.
Treatment plan : Implants were planned to installed in the mandible at #32,43,44,46 area, and a 3-unit bridge of # 46-X-44 type implant prosthesis and a 5-unit bridge of #43-X-X-X-32 type prosthesis were planned. For the #16 area, implant installation with sinus augmentation using CAS kit (Osstem, Seoul, Korea) was planned due to limited alveolar bone height (Fig.2).
Fig 2. Surgical procedure. A,B) The granulation tissue around the peri-implantitis lesion was removed. C) Smart scaler and brush were used on the contaminated fixture surface for mechanical polishing. D,E) Bone graft was performed in the defect.
4 patients (total 6 implants) with evident bone loss and pocket formation deeper than 5 mm (with BOP/SUPP) were treated. Clinically, a reduction in inflammatory signs (BOP(-) / SUPP(-) / <5mm PD) was observed in all patients, and bone formation was also observed on radiographs.
In this case report, we did not use any adjunctive measures (antiseptics, local antibiotics, air-abrasive devices etc.) on the contaminated fixture surface for peri-implantitis, and favorable treatment results were obtained with Osstem’s smart scaler and smart brush.