Combined surgical approach for disinfection and regeneration of peri-implant defects. Three case report
- González-Regueiro, Iria
- Martínez Rodríguez, Natalia 1
- Andrés Veiga, María 1
- Sanz Alonso, Javier 2
- Martínez-González, José Mª 2
- 1 Hospital Virgen de La Paloma
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2
Universidad Complutense de Madrid
info
ISSN: 1697-6398, 1697-641X
Año de publicación: 2019
Volumen: 16
Número: 4
Páginas: 29-36
Tipo: Artículo
Otras publicaciones en: Científica dental: Revista científica de formación continuada
Resumen
Dental implants suffer a high incidence of mucositis and peri-implantitis, which can lead to failure. There are multiple non-surgical and surgical therapeutic approaches for these pathologies, although surgical treatment is indicated for peri-implantitis. Surgery may take the form of access surgery, resective and/or regenerative treatment. In order to achieve biofilm removal and improvement of peri-implant tissues, prior implant decontamination should always be performed. Mechanical, chemical, antibiotic or laser methods may be used to carry out the procedure. This article discusses three clinical cases in which a combined surgical approach was used employing implantoplasty, decontamination with chlorohexidine and orthophosphoric acid, application of local antibiotic (piperacillin/tazobactam) and regeneration via synthetic hydroxyapatite and resorbable membrane, showing favorable clinical outcomes consistent with bibliographical references.