Successful Management of Early Peri-Implant Infection and Bone Loss Using a Multidisciplinary Treatment Approach

Clinical Advances in Periodontics
Anthony L Neely, Ahmad Maalhagh-Fard

Abstract

Peri-implant infections can occur any time postloading. Although management of peri-implant infections has been described extensively in the literature, no consensus exists on the best approach to its treatment. Infections and bone loss can also occur around implants prior to loading, leading to early implant loss. Little has been reported on the management of peri-implant infections occurring prior to loading. This report describes the identification as well as the surgical and restorative management of infection and bone loss around a preloaded dental implant. A 52-year-old systemically healthy, non-smoking white female had severe inflammation with bleeding on probing and bone loss around implant #28 (Universal Numbering System) 7 weeks after placement and augmentation with autogenous and deproteinized bovine bone and a resorbable collagen membrane (RCM). Surgical exposure revealed a deep bony crater around the entire implant. The implant was cleaned for 4 to 5 minutes with a tetracycline and saline slurry. Guided bone regeneration was performed with demineralized freeze-dried bone allograft and an RCM. Azithromycin, ibuprofen 800 mg three times daily, and 0.12% chlorhexidine gluconate rinse were given post-surgery. Postopera...Continue Reading

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