Tratamiento quirúrgico de la periimplantitis mediante colgajo de Widman modificadodetoxificación de la superficie implantaria Vs. modificación de la superficie
- Bascones Martínez, Antonio
- Lorenzo Vignau, R.
- Martínez Corria, R.
- Sanz Casado, José Vicente
ISSN: 1699-6585
Any de publicació: 2006
Volum: 18
Número: 2
Pàgines: 75-82
Tipus: Article
Altres publicacions en: Avances en periodoncia e implantología oral
Resum
The late failiure of the implants make us design new therapeutic strategies for solving the bone lost around the implants in long term (periimplantitis). It is presented a surgical approach that preserve the marginal tissues (modified Widman flap) in two pacients one of them treated with a modification of the implant roughtness: implantoplasty (test) and other case with detoxification of the surface with clorhexidine (control). Material and Methods: 2 Women that present clinical signs of inflamation, supuration, bleeding on probing, probing depth >6mm and evidece of radiographic bone lost. Results: in both cases the was a reduction of the inflamatories clinical signs a 3 and 6 months and a reduction of the probing depth. Conclusion: The surgical approach with modified Widman flap it is an effective approach for the treatment of the horizontal defects around the implants with a minimal trauma mantaining the gingival aesthetic.