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The Use of Implantoplasty and Guided Bone Regeneration in the Treatment of Peri-implantitis: Two Case Reports

Suh, Jong-Jin MSD, PhD; Simon, Ziv DMD, MSc; Jeon, Young-Sik MSD, PhD; Choi, Byeong-Gap MSD, PhD; Kim, Chong-Kwan MSD, PhD

doi: 10.1097/01.ID.0000091139.04246.BC
CLINICAL SCIENCE AND TECHNIQUES
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A variety of treatment modalities have been proposed for the management of peri-implantitis. These are mostly based on empiric experience and use the systemic administration of an antibiotic in conjunction with surgical intervention. To ensure decontamination of the affected implant surface(s), chemical and/or mechanical debridement is used. For textured implant surfaces, detoxification using implantoplasty could also give favorable results when used as part of the procedure. Two cases are reported in which implants developed localized peri-implantitis lesions. Implantoplasty followed by topical tetracycline decontamination was used in conjunction with guided bone regeneration. In both cases, the procedures were effective in arresting disease and regenerating lost bone. These results suggest that the technique holds promise and should be investigated further.

*Clinical Assistant Professor, Department of Periodontics, Yonsei University College of Dentistry, Seoul, Korea.

†Resident, Division of Periodontology, Faculty of Dentistry University of Toronto, Toronto, Canada.

‡Clinical Assistant Professor, Department of Prosthodontics, Yonsei University College of Dentistry, Seoul, Korea.

§Assistant Professor, Department of Prosthodontics, Yonsei University College of Dentistry, Seoul, Korea.

∥Professor, Department of Periodontics, Yonsei University College of Dentistry, Seoul, Korea.

Reprint requests and correspondence to:

Jong-Jin Suh, DDS, MSD

Yonsei University

College of Dentistry

Department of Periodontics

Shinchondong, Sudaemoongu

Seoul, Korea

Phone: (82)-2–3453–2520

Fax: (82)-2–3453–2343

E-mail: dreamsjj@hananet.net

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