Aishwarya Sabharwal, Nidhi Saripalli, Pramod Waghmare and Nishita Bhosale

Department of Periodontology, Bharati Vidyapeeth (Deemed to be University), Dental College and Hospital, Pune

*Corresponding Author: Aishwarya Sabharwal, Department of Periodontology, Bharati Vidyapeeth (Deemed to be University), Dental College and Hospital, Pune.

Received: April 19, 2023; Published: April 28, 2023

Abstract

Introduction: Peri-implant diseases are inflammatory reactions to bacterial infections affecting osseointegrated dental implants. The treatment of peri-implantitis is commonly associated to soft tissue changes as part of disease resolution. These changes may alter harmony in the aesthetic area, and thus may negatively affect patient satisfaction.

Case Report: A 30-year-old male patient reported to the Department of Periodontology, with a complaint of bleeding associated with implant and prosthesis which was placed in the region of 21, about 4 months back. On clinical and radiographic examination, mild to moderate bone loss associated with increased probing depth was seen with respect to 21. In the initial phase of treatment, mechanical debridement was carried out with plastic instruments and implant surface was treated using EDTA and Bifilac, a combination of prebiotic and probiotic. Due to anticipated soft tissue shrinkage, surgical intervention was necessary. Hence, a connective tissue grafting procedure was planned, the results of which are expected in 3 weeks.

Results and Discussion: Volumetric studies have demonstrated that the peri-implant mucosa undergoes considerable changes no matter what type of strategy is used to manage peri-implantitis. A major drawback in the management of peri-implant bone lesions is referred to the aesthetic sequelae which includes mucosal recession.

Conclusion: Given the shortcomings of nonsurgical therapy, surgical access is often advocated to efficiently remove the biofilm adhered to the contaminated implant surface.

Keywords: Peri Implantitis; Bifilac; Probiotic; Connective Tissue Graft; EDTA; Soft Tissue Augmentation

References

1. Mombelli A and Lang NP. “The diagnosis and treatment of peri-implantitis”. Periodontology 2000 17 (1998): 63-76.
2. Smeets R., et al. “Definition, etiology, prevention and treatment of peri-implantitis--a review”. Head and Face Medicine 10 (2014): 34.
3. Heydenrijk K., et al. “Microbiota around root-form endosseous implants: A review of the literature”. The International Journal of Oral and Maxillofacial Implants 17 (2022): 829-838.
4. Lang NP., et al. “Biological complications with dental implants: Their prevention, diagnosis and treatment”. Clinical Oral Implants Research 1 (2000): 146-155.
5. Karring ES., et al. “Treatment of peri-implantitis by the Vector system”. Clinical Oral Implants Research 3 (2005): 288-293.
6. Zhang Y., et al. “Periodontal and Peri-Implant Microbiome Dysbiosis Is Associated with Alterations in the Microbial Community Structure and Local Stability”. Frontiers in Microbiology 12 (2022): 785191.
7. Lee Y., et al. “Probiotics-Mediated Bioconversion and Periodontitis”. Food Science of Animal Resources 6 (2021): 905-922.
8. Mohammadi Z., et al. “Ethylenediaminetetraacetic acid in endodontics”. European Journal of Dentistry1 (2013): S135-S142.
9. Wohlfahrt JC., et al. “Porous titanium granules in the surgical treatment of peri-implant osseous defects: a randomized clinical trial”. The International Journal of Oral and Maxillofacial Implants 02 (2012): 401-410. 
10. Romandini M., et al. “Prevalence and risk/protective indicators of peri-implant diseases: A university-representative cross-sectional study”. Clinical Oral Implants Research1 (2021): 112-122.

Citation

Citation: Aishwarya Sabharwal.,et al. “Multi-Faceted Approach for Soft and Hard Tissue Management of Peri-Implantitis: A Case Report".Acta Scientific Dental Sciences 7.5 (2023): 64-67.

Copyright

Copyright: © 2023 Aishwarya Sabharwal.,et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.