alexa Conservative Surgical Treatment of a Peri-Implant Defect with Open Flap Debridement with a Rotating Titanium Brush: A Case Report of a 2 Year Follow-Up | Open Access Journals
ISSN: 2161-1122
Dentistry
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Conservative Surgical Treatment of a Peri-Implant Defect with Open Flap Debridement with a Rotating Titanium Brush: A Case Report of a 2 Year Follow-Up

Pilloni A, Rossi R* and Zeza B

Department of Periodontology, University of Rome ‘Sapienza’, Genova, GE 16121, Italy

*Corresponding Author:
Roberto Rossi
Associate Professor, Department of Periodontology
University of Rome ‘Sapienza’, Torre San Vincenzo 2
Genova, GE 16121, Italy
Tel: +390105958853
E-mail: drrossi@perio.org

Received date: July 14, 2014; Accepted date: July 17, 2014; Published date: July 19, 2014

Citation: Pilloni A, Rossi R, Zeza B (2014) Conservative Surgical Treatment of a Peri-Implant Defect with Open Flap Debridement with a Rotating Titanium Brush: A Case Report of a 2 Year Follow-Up. Dentistry 4:i101. doi: 10.4172/2161-1122.1000i101

Copyright: © 2014 Pilloni A, 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.

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Case

A non-smoker male patient of 40 years old, sistemically and periodontally healthy, presented with an implant inserted 3 years ago showing bone loss and bleeding on probing. An open flap approach with removal of granulation tissue and debridment implant surface has been performed with a titanium rotating brush (Peribrush, Tigran, Sweden). In the SPT the patient has shown an excellent plaque control at each subsequent recall visits up to 24 months with a total plaque score of 10% and absence of BOP around the fixture.

Follow-up Clinical parameters mb b db dp p mp
baseline Plaque (+/-) + - + - - +
12 months Plaque (+/-) - - - - - -
24 months Plaque (+/-) - - - - - -
baseline BoP(0-3) 0 1 0 0 1 1
12 months BoP(0-3) 0 0 0 0 0 0
24 months BoP(0-3) 0 0 0 1 0 0
baseline PPD (mm) 2 5 7 7 6 9
12 months PPD (mm) 2 3 4 3 3 4
24 months PPD (mm) 2 3 4 2 2 4

Table 1: Clinical parameters measured at baseline, 12 months and 24 months.

dentistry-Pre-operative

Figure 1: Pre-operative clinical image of the implant with a buccal probing depth of 5 mm.

dentistry-Full-thickness

Figure 2: Full-thickness flap elevation. Presence of granulation tissue around the implant neck.

dentistry-Bone-defect

Figure 3: Bone defect and implant surface after the use of titanium peri-brush.

dentistry-Interrupted-suture

Figure 4: Interrupted suture in place.

dentistry-Clinical-image

Figure 5: Clinical image of the implant tissues at 1 year after surgery.

dentistry-peri-implant

Figure 6: Clinical image of peri-implant tissues at 24 months after surgery.

dentistry-Pre-operative

Figure 7: Pre-operative radiographic image of the implant with evidence of marginal bone loss.

dentistry-remineralization-occurring

Figure 8: Periapical x-ray at 6 months after the surgery. Partial remineralization occurring at the coronal portion of fixture.

dentistry-Radiographic-image

Figure 9: Radiographic image of the implant 12 months after surgery.

dentistry-lamina-dura

Figure 10: X-ray of implant at 24 months after surgery with further coronal growth of bone and formation of lamina dura.

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