Abordaje quirúrgico combinado para la desinfección y regeneración de defectos periimplantariosa propósito de tres casos

1. Iria González-Regueiro ¹
2. Natalia Martínez Rodríguez ¹
3. María Andrés Veiga ¹
4. Javier Sanz Alonso ²
5. José Mª Martínez González ²

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Resum

Dental implants suffer a high occurrence of mucositis and peri-implantitis, which may lead to implant failure. There are several therapeutical approaches both surgical and non-surgical for the treatment of these pathologies, though in peri-implantitis lesions a surgical procedure must be conducted . Surgical treatment can be trough: access surgery, resective or regenerative surgery. In arder to remove the biofilm and to improve peri-implant tissues, decontamination of implant surface must be performed beforehand. For this, mechanical, chemical , antibiotics or lasers may be employed . In this article, we present three clinical cases of combined surgical treatment by implantoplasty, chemical decontamination with clorhexidine and orthophosphoric acid, local antibiotic (piperazilin/tazobactam) and regenerative treatment with synthetic hydroxyapatite and resorbable membrane. This treatment has shown favourable results, coinciding with the results found in the literature.

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